中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
Chinese Journal of Hospital Administration
2015年
11期
822-824
,共3页
林丽丽%赵亮%尹超邦%王金凤%陈世景%谢海梅
林麗麗%趙亮%尹超邦%王金鳳%陳世景%謝海梅
림려려%조량%윤초방%왕금봉%진세경%사해매
公立医院%诊断相关组(DRGs)%晶体手术%因子分析%费用控制
公立醫院%診斷相關組(DRGs)%晶體手術%因子分析%費用控製
공립의원%진단상관조(DRGs)%정체수술%인자분석%비용공제
Public hospital%Diagnosis related groups%Lens surgery%Factor analysis%Expense control
目的 找出影响晶体手术住院费用的公因子,提出控制医疗费用不合理增长的有效措施.方法 收集北京某三级综合医院2014年全年住院患者信息,使用BJ-DRGs平台,将其反馈的DRGs组为CB39(晶体手术)的555例患者对应的住院费用构成进行因子分析.结果 该医院晶体手术组病例中,手术用一次性医用材料费用占比最高,占总费用42.77％;手术治疗费、西药费占比排名也靠前,分别为23.19％,17.15％.结论 从院方角度出发,可控费用重点项目为医用药品、耗材两类,建议医院根据临床路径、诊疗规范、采购政策进行严格管控,并探索新的支付方式.
目的 找齣影響晶體手術住院費用的公因子,提齣控製醫療費用不閤理增長的有效措施.方法 收集北京某三級綜閤醫院2014年全年住院患者信息,使用BJ-DRGs平檯,將其反饋的DRGs組為CB39(晶體手術)的555例患者對應的住院費用構成進行因子分析.結果 該醫院晶體手術組病例中,手術用一次性醫用材料費用佔比最高,佔總費用42.77％;手術治療費、西藥費佔比排名也靠前,分彆為23.19％,17.15％.結論 從院方角度齣髮,可控費用重點項目為醫用藥品、耗材兩類,建議醫院根據臨床路徑、診療規範、採購政策進行嚴格管控,併探索新的支付方式.
목적 조출영향정체수술주원비용적공인자,제출공제의료비용불합리증장적유효조시.방법 수집북경모삼급종합의원2014년전년주원환자신식,사용BJ-DRGs평태,장기반궤적DRGs조위CB39(정체수술)적555례환자대응적주원비용구성진행인자분석.결과 해의원정체수술조병례중,수술용일차성의용재료비용점비최고,점총비용42.77％;수술치료비、서약비점비배명야고전,분별위23.19％,17.15％.결론 종원방각도출발,가공비용중점항목위의용약품、모재량류,건의의원근거림상로경、진료규범、채구정책진행엄격관공,병탐색신적지부방식.
Objective To identify the common factor affecting hospitalization expense of lens surgery operation, and propose effective measures to curb unreasonable increase of medical costs.Methods Collection of inpatients information of the year 2014 from a tertiary hospital in Beijing, for factor analysis of the hospitalization expenses of 555 inpatients categorized as DRGs of CB39 (lens surgery), using the BJ-DRGs platform.Results The highest factor of lens surgery expenses is disposable medical surgery materials, accounting for 42.77％;followed by surgery fee and medication fee, accounting for 23.19％ and 17.15％ respectively.Conclusion For the hospitals, medicine and medical material rank the highest in cost control, and they are recommended to work on them by means of clinical pathways, medical norms and purchasing policy, and to explore new means of payment in the meantime.
