模拟病人状况下的门诊医疗费用分析  

Analysis of Ambulatory Care Expenses of Mock Visits

作　　者：丁瑾瑜[1] 薛迪[1] 李敏[1] 李霞[2] 孙让春[2] 胡天佐[2] 陈洁[3] 

机构地区：[1]上海职工医学院,上海200237 [2]上海市卫生局,上海200002 [3]复旦大学医学院,上海200000

出　　处：《中国医院管理》2001年第3期13-14,共2页Chinese Hospital Management

摘　　要：通过模拟病人的形式对上海市区一、二级医院的内科常见病门诊医疗费用进行调查分析,结果表明:内科常见病次均门诊费用为133.91元,药费和检查费分别占42.39％和52.38％;同一模拟疾病不同诊次的费用差异较大。门诊实际药费均显著高于根据专家咨询得出的首选药物所计算得到的理论费用。结果分析还表明,医院级别及医生特征与门诊医疗费用高低无关。An investigation conducted at ambulant clinics of internal medicine of Shanghai urban primary and secondary levels hospitals showed: per visit expense of 133. 9 yuan, with drug and examination fees making up 42. 3% and 52. 38% respectively; there were significant differences in expense amount between person- time visits for one and the same mock disease; total expense of actually prescribed drugs in each mock visit was significantly higher than the calculated theoretical expense of the drugs of choice recommended in specialist consultation; the levels of ambulatory care expenses had correlation with neither hospital degree nor physician features.

关 键 词：模拟病人 门诊 医疗费用 医院管理 经营管理 

分 类 号：R197.1[医药卫生—卫生事业管理]