摘要
目的了解医院中重点DRG的费用结构及可能的影响因素,为政府部门、医疗机构提供合理控制医疗成本的建议。方法利用研究医院的病案首页数据和患者的DRG分组信息,统计分析重点DRG的有关费用信息。结果重点DRG患者总费用中医用耗材费用占比超过70%,且副高级、正高级职称医生以及各医生之间的费用差异有统计学意义。结论对于医用耗材的监管,医疗机构应在保障医疗质量和患者安全的前提下,做到促降价、严准入、防滥用、控成本。
Objective To study the costs structure of the key DRG and the possible influence factors,and to provide suggestions for the government and medical institutions to control the medical costs reasonably.Methods Using the hospitalization summary reports and the grouping information of inpatients to statistically analyze the cost information of key DRG.Results The cost of medical consumables accounts for more than 70%of the total cost in the key DRG in research hospital,and there are statistical differences in the costs of doctors between vice-senior and senior titles and among related doctors.Conclusion On the premise of ensuring medical quality and patient safety,it is suggested to promote price reduction,tighten access,prevent abuse and control cost for the supervision of medical consumables.
作者
周传坤
刘青青
杨川
徐超楠
许锋
李杨
王志锋
ZHOU Chuan-kun;LIU Qing-qing;YANG-Chuan(School of Public Health,Peking University,Beijing,100191,China;不详)
出处
《中国医院管理》
北大核心
2021年第2期55-58,共4页
Chinese Hospital Management
作者简介
通信作者:王志锋,E-mail:zhfwangwf@163.com。
