单病种实施前后股骨颈骨折患者住院费用情况分析  

作　　者：陈钟涛[1] 吴起武[1] 林宽[1] 陈彦羽[1] 

机构地区：[1]中山市广东医学院附属陈星海医院,广东528415

出　　处：《当代医学》2014年第20期44-46,共3页Contemporary Medicine

摘　　要：目的探讨股骨颈骨折实施单病种限额付费的意义。方法分析中山市某二甲医院2007年7月～2013年6月主要诊断为股骨颈骨折患者的住院费用,按单病种限额付费管理前、后分为2组单病种付费前组（n=62）,单病种付费后组（n=93）。采用EXCEL和SPSS 15.0统计软件处理。结果单病种付费管理后,传统手术及修复手术的日均费用高于单病种管理前,单病种管理前、后手术治疗的治愈率明显高于保守治疗,差异有统计学意义（P〈0.05）。单病种限额付费前、后保守治疗、传统手术、修复手术例均费用均超出限额标准。单病种限额付费后化验费高于单病种管理前（t=-2.616,P=0.010）,检查费高于单病种管理前（t=-3.464,P=0.001）。结论中山市社保局制订的限额付费标准,较实际医疗费用低,应进一步完善,从而实现住院费用的合理控制。Objective To study the significance of single-disease payment implemented the femoral neck fracture. Methods Analysised the hospitalization expenses of the femoral neck fracture in a dimethyl hospital of zhongshan city from July 2007 to June 2013. They are divided into two groups,before single-disease payment group incluing 62 cases, after the single macro-reforms group 93 cases. And using EXcelland SPSS 15.0 statistical software processing. Results After the single disease payment management, the average daily cost of the traditional surgery and reconstructive surgery was more than single diseases management, the cure rate of surgical treatment was obviously higher than the conservative treatment, the difference was statistically significant. The conservative treatment, the traditional surgery, surgery to repair a case all costs beyond the limit of single diseases paid standards. Limit of single diseases after paying assay was higher than before the single disease management （t=2.616, P=0.01）, the inspection fee was higher than before the single disease management （t=3.464, P=0.001）. Conclusion The limit pay standards of zhongshan social security bureau is lower the actual medical expenses, which should be further perfected, so as to realize the reasonable control of hospitalization expenses.

关 键 词：股骨颈骨折 单病种 住院费用 

分 类 号：R197.3[医药卫生—卫生事业管理]