开展病种病例分型管理的实践与体会  

Practice and experience in the classified management of cases of disease categories

作　　者：胡平玲[1] 杨云滨[1] 田柯[1] 

机构地区：[1]南方医科大学附属南方医院,广州510515

出　　处：《中华医院管理杂志》2006年第5期322-324,共3页Chinese Journal of Hospital Administration

摘　　要：目的为提高医院对病种质量费用的自我控制能力,在确保医疗质量的同时减少不必要的医疗资源消耗。方法对全院住院病例实行病种病例分型,建立全病种的质量费用参考标准,完善病种质量反馈与分析制度、考评制度,开展对科室或医生的医疗质量和工作绩效的评价。结果科室病种质量费用意识加强,病例质量优良率由80.01%上升到86.22%,药品费用比例下降到40.32%。讨论实施病种病例分型管理,对提高医院管理水平、提高医疗工作效率、降低医疗成本、规范医疗行为等起着十分重要的作用。Objective To improve the hospital＇s capability for controlling the quality and expenses of disease categories so as to reduce unnecessary consumption of medical resources while ensuring medical quality. Methods All inpatient cases in the hospital were classified according to disease categories, reference criteria for the quality and expenses of all disease categories were formulated, feedback and analysis systems and assessment systems for the quality of disease categories were improved, and evaluation of the care quality and work performance by departments or physicians was conducted. Results The departments＂ awareness of the quality and expenses of disease categories was enhanced, the rate of goodquality cases rose from 80. 01% to 86.22%, and the proportion of drug expenses dropped to 40. 32%. Conclusion Classified management of cases of disease categories plays a key role in improving a hospital＇s managerial level, enhancing its medical efficiency, reducing its medical costs, and standardizing its medical behavior.

关 键 词：医疗质量 管理 病种病例分型 费用控制 病种 

分 类 号：R197.3[医药卫生—卫生事业管理]