摘要
目的:测算样本医院儿科109个DRG病种组成本,根据核算结果开展病种组比价研究,以期理顺病种组比价关系。方法:收集儿科2020年病种费用与成本相关数据,利用费用成本转换法测算儿科病种成本,采用统计描述方法分析儿科病种组费用、成本及比价关系。结果:58.71%的儿科DRG病种组呈现不同程度亏损;儿科DRG病种组费用与成本之间存在偏离;儿科DRG病种组比价关系尚未理顺。结论:建议有针对性地调整儿科医疗服务价格,突显儿童医疗服务价值,同时秉持比价合理的原则,推行以成本为基础的DRG病种组定价制度。
Objective:To calculate the cost of 109 DRG disease groups in pediatrics of a tertiary hospital,and carry out the price comparison study of disease groups according to the accounting results,in order to straighten out the price comparison relationship among disease groups.Methods:The related data of disease cost and cost in pediatric department in 2020 were collected,the cost of pediatric disease was calculated by cost-to-charge method,and the cost and price comparison relationship of pediatric disease group were analyzed by statistical description method.Results:58.71% of pediatric DRG disease groups showed different degrees of loss;there is a deviation between the cost and the cost of pediatric DRG disease group;the price comparison relationship between pediatric DRG disease groups has not been straightened out.Conclusion:It is suggested to target the adjustment of pediatric medical service prices to highlight the value of pediatric medical services,adhere to the principle of reasonable price comparison,and implement the DRG disease group pricing system based on cost.
作者
马欣彤
邓婕
宋喜国
夏欧东
MA Xin-tong;DENG Jie;SONG Xi-guo(School of Health Management of Southern Medical University,Guangzhou,510515,China;不详)
出处
《中国卫生经济》
北大核心
2022年第8期40-42,共3页
Chinese Health Economics
基金
广东省基础与应用基础研究基金自然科学基金面上项目(2021A1515011446)。
关键词
按疾病诊断相关分组
儿科病种组
比价关系
费用成本转换法
diagnosis related group
pediatricdisease group
price comparison relationship
cost-to-charge method
作者简介
马欣彤(1997一),女,硕士在读,研究方向:卫生经济学,E-mail:18553707973@163.com;通信作者:夏欧东,E-mail:xiaodnf@163.com。
