瑞金医院1997—1999年部分病种住院费用及医疗质量评价  

Assessment of the Inpatient Expenditure of Some Kinds of Diseases and Medical Services Quality in Ruijin Hospital from 1997 to 1999

作　　者：张旦琪[1] 袁克俭[1] 俞卓伟[1] 曹建文[2] 

机构地区：[1]上海第二医科大学附属瑞金医院,上海市200025 [2]复旦大学医学院,上海市200032

出　　处：《中国医院管理》2002年第6期32-34,共3页Chinese Hospital Management

基　　金：本课题得到了上海市医保培训中心的资助

摘　　要：通过对上海瑞金医院1997—1999年3年中34个病种2981份病案的住院费用进行分析,占各病种总费用比例较大的是药品;几乎所有的病种1999年的平均住院日低于1997年;有10个病种的治愈率达到100％,而其他病种也取得了较好的治疗效果。提示合理检查、合理治疗、合理用药及缩短平均住院日是控制住院费用上涨的有效途径。加强医院的全面质量保证体系,以低廉的价格为病人提供优质的服务。By the analysis of the inpatient expenditure of 34 DRGs about 2 981 cases in Ruijin hospital in Shanghai from 1997 to 1999, we found that the fee on drugs was the main part of the total expenditure, and almost all DRGs ALOS in 1999 was shorter than that of 1997. There were ten DRGs of which the cure rate is 100% and other DRGs also got preferable treatment effect. The suggestions are that making rational examination, treatment, medication and cutting down ALOS are the efficient way to prevent the increase of inpatient expenditure. The hospital should strengthen the quality control system thoroughly, and provide better service to the patients with lower price.

关 键 词：瑞金医院 1997-1999年 住院费用 医疗质量 

分 类 号：R197.3[医药卫生—卫生事业管理]