部分单病种住院费用及质量评价  

Partial inpatient expenditure analysis and quality evaluation

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,200025 [2]复旦大学公共卫生学院,200032

出　　处：《中国卫生资源》2002年第5期227-229,共3页Chinese Health Resources

基　　金：上海市医保培训中心的资助

摘　　要：该文通过对医院 1997～ 1999年 3年中 34个病种 2 981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 10 0 % ,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 。Using retrospect method investigates 34 diagnosis related groups 2 981 inpatient case records in 1997-1999. Through inpatient expenditure analysis it had found that drug fee makes up main part of total expenditure; almost all DRGs average length of stay in 1999 was shorter than 1997. There was 10 DRGs cure rate near to 100%,and other DRGs also got preferable treatment effect. This suggest that make rational use of examination, treatment, medication can cut down ALOS was the efficient approach to control inpatient expenditure rising. Enhance hospital total Quality Control assurance system to provide low cost and high quality

关 键 词：单病种 住院费用 医疗质量 卫生调查 

分 类 号：R197.32[医药卫生—卫生事业管理] R195.1[医药卫生—公共卫生与预防医学]