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探讨现阶段北京某三甲医院手术科室住院医疗保险项目付费自费费用中麻醉自费费用所占比例以及麻醉自费项目发生情况。方法 对北京某三甲医院2011年3月1-7日一周的15个手术科室医保出院病人麻醉自费项目进行现状调查。结果 北京某三甲医院手术科室麻醉自费费用占总自费费用比例12.04%，麻醉自费项目费用构成排名前5位的是凯纷注射液（占43.20%）、瑞芬太尼注射液（占17.43%）、镇痛泵（占10.04%）、赛机宁注射液（占8.20%）、天普洛安粉针（占8.14%），自费比例与麻醉自费费用正相关，与麻醉自费项目费用构成负相关。结论 只有解决凯纷注射液、瑞芬太尼注射液和镇痛泵等的报销问题，才能从根本上控制麻醉自费费用。 |
| 关键词: 手术科室 麻醉 自费项目 自费比例 |
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| Survey of Anesthetic Items at Patients’ Own Expense in Operation Departments of a Top Grade-three Hospital |
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| Abstract: |
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????? Objective
To study on the proportion of the anesthetic costs at their own expense to total costs at their own expense and anesthetic items at their own expense in operation departments of a certain top grade-three hospital in Beijing. Methods The status survey on anesthetic items at patients’ own expense was made in 15 operation departments of a certain top grade-three hospital in Beijing from March 1st ,2011 to March 7th ,2011. Results The ratio of anesthetic costs at their own expense to total costs at their own expense in the operation departments was 12.04%. The top five proportions of costs of anesthetic items at their own expense was Flurbiprofen Axetil Injection (43.2%) and Remifentanil Injection (17.43%), Analgesic Pump (10.04%), Cisatracurium Besylate Injection (8.2%), Ulinastatin Injection (8.14%), respectively. Ratio at one’s own expense has positive correlation with anesthetic costs at one’s own expense and negative correlation with proportion of costs of anesthetic items at one’s own expense. Conclusion Only resolving reimbursement issues of Flurbiprofen Axetil Injection, Analgesic Pump and Remifentanil Injection, etc can basically control anesthetic fees at their own expense. |
| Key words: operation department, Anesthesia, items at one’s own expense, ratio at one’s own expense cost |
