某县医院基于临床路径的两个单病种住院费用控制分析  

Two Single Sort Disease Costs Control Analysis of Inpatients Based on the Clinical Pathway in A County Hospital

作　　者：关曼璐[1] 虎翼[1] 李林贵[1] 慕兴鹏[1] 李正直[1] 

机构地区：[1]宁夏医科大学,银川750004

出　　处：《宁夏医科大学学报》2014年第1期59-61,共3页Journal of Ningxia Medical University

摘　　要：目的选择实施临床路径管理的某县医院,选取剖宫产和高血压Ⅲ级两个病种,探讨不同支付方式(单病种和按项目付费)对住院总费用的影响。方法采用定量分析的方法比较单病种和按项目付费的住院病人年龄分布、住院时间和住院费用等,以及住院费用和住院病人年龄、住院时间和药占比的相关性。结果剖宫产单病种付费组的西药费、诊疗费、护理费、手术费和化验费低于按项目付费组,中成药费和其他费用高于按项目付费组(P<0.05);高血压Ⅲ级单病种付费组的中成药费、化验费和其它费用均低于按项目付费组(P<0.05)。两个病种的总住院费用单病种付费均低于按项目付费组,且总住院费用均与住院时间呈正相关(P<0.05)。结论剖宫产和高血压Ⅲ级两类病种采用单病种付费方式,与传统的按项目付费比较,能较好地控制住院费用的不合理增长,基本达到了控费的目的。Objective To choose cesarean birth and stage Ⅲ the clinical path management and to explore effect of different hypertension disease of a county hospital with payment methods （single sort disease and pay by project） on the total cost of hospitalization. Methods Age distribution, length of stay and hospital costs were compared between inpatients with the single disease and fee -for -patient as well as the correlation of age and inpatient hospital costs, length of stay and the proportion of the drug were analyzed by using quantitative analysis method. Results Medicine costs , treatment fees, care fees, surgery and laboratory fees of cesarean patients paid by single sort disease were significantly lower than those in patients paid by project while Chinese medicine and other fees of cesarean single sort disease group were significantly higher than those in patients paid by project （ P 〈 0.05 ）. Chinese medicine fee, laboratory fees and other costs of hypertension Ill patients paid by single sort disease were lower significantly than those patients paid by project （ P 〈 0.05 ）. The total cost of patients paid by single sort disease were lower than those in patients paid by project （P 〈 0. 05）. Conclusion Compared with the traditional cost paid method, single sort disease cost paid method could control the unreasonable growth in hospital costs.

关 键 词：单病种付费 按项目付费 费用控制 

分 类 号：R197.3[医药卫生—卫生事业管理]