| 摘要: |
| ?????? 目的
通过对高额住院费用病例的费用构成及基本特征进行统计分析，探询高额费用发生的主要原因，为控制成本、遏制医疗费用过快增长提供参考依据。方法 选取某三级甲等综合医院2011年单个病人1次住院费用10万元以上的病例297例进行统计分析。结果 297例高额住院费用病例主要以损伤类疾病为主；药品、材料构成主要费用；不同住院天数对医疗费用具有明显影响。结论 对常见高额住院费用病例实施重点监控，控制药品、高值耗材及高新技术准入，缩短平均住院日是控制高额医疗费用的主要途径。 |
| 关键词: 高额费用构成 平均住院日 药品 材料 |
| DOI： |
|
| 基金项目: |
|
| Study on High Hospitalization Expenditure and Cost Control in a Certain Tertiary Hospital |
|
| () |
| Abstract: |
|
?????? Objective
To analyze the cost composition and the basic characteristics of high hospitalization expense cases, to explore the major reason of the high expense, and to provide reference for controlling costs and curbing excessive growth of medical expense. Method Selecting 297 cases whose total hospitalization expense of individual patients is over 100 000yuan form a 3A hospital in 2011, and doing statistical analysis. Results 297 high hospitalization expense cases are mainly injury diseases; Main charge is drugs and materials; Different hospitalization days have obvious influence on medical expenses. Conclusion The main way to control high medical cost is that surveillance with common cases of high hospitalization expense should be strengthened, the access of drugs, high value consumables and high and new technology be controlled and the average hospitalization days be shortened. |
| Key words: high cost composition, average hospitalization days, medicine, material |
