242例高额住院医疗费用情况分析  

Analysis on Status of 242 Patients with High Medical Costs

作　　者：于金华[1] 王华[1] 

机构地区：[1]南通大学附属医院,南通市226001

出　　处：《中国病案》2010年第7期63-64,共2页Chinese Medical Record

摘　　要：目的通过分析高额费用住院病例的基本特征,为合理控制医疗费用提供依据。方法提取华东地区某省属三甲医院2005年至2009年病案数据库中的大于20万元的高额费用病例共242例,利用EXCEL软件进行分年度分类归纳计数求平均值等统计分析。结果高额费用患者大多为住院时间长、药费比例高、出院情况较好、患肿瘤及循环呼吸系统和损伤中毒的中老年男性病人。结论必须采取有效措施加强常见高额费用病例的监控和管理,完善收费组织结构,合理控制平均住院日,降低药费比例。Objective To analyze basic characteristics and costs of patients with high medical costs and provide evidence for effective measures to control medical costs.Methods Medical records of 242 patients with high medical costs of more than 200 thousand RMB extracted from medical records database of a provincial first class hospital in Eastern China from 2005 to 2009,was analyzed using EXCEL software.Results Most patients with high medical costs were elderly male patients with longer length of stay,relatively higher rate in drugs costs,better outcome after discharge and suffering from tumor,circulatory,respiratory disease and injury and poisoning.Conclusion To control high medical costs,we must attach importance to medical costs management,perfect fee-charging structure,decrease the proportion of drugs costs in the medical costs;strengthen surveillance and management of common cases with high costs and shorten length of stay to avoid invalid hospitalization.

关 键 词：高额 医疗费用 

分 类 号：R197.3[医药卫生—卫生事业管理]