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目的:为找出影响医院病种费用的主要因素,从而进行病种费用控制;方法:通过省内某人民医院8种重点控制病种的成本费用与住院过程中实际花费的住院费用对比,找出影响费用的主要因素;结果:对比结果,病种实际费用大于成本费用的30%的病种有三种:急性阑尾炎、脑梗塞、剖宫产;结论:在主要成本发生项目中界定单病种成本管理的可控成本和不可控成本项目,对可控成本项目进行干预和管理,是进行科学的病种成本核算和管理、指导合理收费的重要手段。
OBJECTIVE: To find out the main factors that affect the cost of hospital diseases, so as to control the cost of diseases. Methods: By comparing the cost of 8 kinds of key controlled diseases of a People’s Hospital in the province with the hospitalization expenses actually spent in hospital, Outcome of the main factors affecting the cost; Results: The comparison results, the actual cost of the disease is greater than 30% of the cost of the disease there are three: acute appendicitis, cerebral infarction, cesarean section; Conclusion: the main cost of occurrence in the project to define a single disease Controllable costs and uncontrollable costs of cost management projects, the controllable costs of intervention and management is to carry out scientific disease accounting and cost management, an important means to guide a reasonable fee.