CAJ | 학술논문

目的探讨临床路径单病种定额支付方式对医疗费用的影响.方法收集2009年至2011年重庆市黔江中心医院胆囊良性病变择期手术、急性单纯性阑尾炎、计划性剖宫产三个单病种临床路径前、后总费用、药品费用、检查费用资料.采用SPSS11.0统计软件,回顾性分析临床路径单病种管理前后各单病种的治疗费用情况.结果实行临床路径单病种管理后,胆囊良性病变择期手术、急性单纯性阑尾炎及计划性剖宫产总费用、药品费用,与临床路径单病种管理前相比,明显下降,差异有显著性( P<0.05);胆囊良性病变择期手术、急性单纯性阑尾炎检查费用略有下降,无显著差异( P>0.05);计划性剖宫产检查费用略有上升,与实行临床路径单病种管理前相比,差异有显著性( P<0.05).结论临床路径单病种定额支付方式,能降低病种总费用、药品费用等费用及降低医疗成本,遏制医疗费用不合理增长,减少卫生资源浪费.
목적탐토림상로경단병충정액지부방식대의료비용적영향.방법수집2009년지2011년중경시검강중심의원담낭량성병변택기수술、급성단순성란미염、계화성부궁산삼개단병충림상로경전、후총비용、약품비용、검사비용자료.채용SPSS11.0통계연건,회고성분석림상로경단병충관리전후각단병충적치료비용정황.결과실행림상로경단병충관리후,담낭량성병변택기수술、급성단순성란미염급계화성부궁산총비용、약품비용,여림상로경단병충관리전상비,명현하강,차이유현저성( P<0.05);담낭량성병변택기수술、급성단순성란미염검사비용략유하강,무현저차이( P>0.05);계화성부궁산검사비용략유상승,여실행림상로경단병충관리전상비,차이유현저성( P<0.05).결론림상로경단병충정액지부방식,능강저병충총비용、약품비용등비용급강저의료성본,알제의료비용불합리증장,감소위생자원낭비.
Objective To discuss the effect of clinical pathway single disease quota payment mode on medical costs .Methods Col ecting the total cost ,drug costs ,and inspection fee of gal bladder benign disease surgery ,acute simple appendicitis ,planned cesarean section during 2009 and 2011 in qianjiang central hospital .Analyze the treatment costs of single diseases before and after clinical pathway single diseases implementing by spss 11 .0 .Re-sults Comparing to the medical costs before clinical pathway single disease management ,the total cost and the drug expenses of gal bladder benign dis-ease surgery ,appendicitis and cesarean section has ddramatic decline .It has significant difference ( P<0 .05) .The check fees of gal bladder benign dis-ease surgery and cesarean section were lower .It has no significant difference ( P>0 .05) .The check fee of cesarean section was increased .It has sig-nificant difference (P P<0 .05) .Conclusion It can reduce the total cost of disease and drug fees ,reduce health-care costs ,curb the grow th of unrea-sonable medical expenses ,and reduce the waste of health resources .