康复医院实施工伤康复多维度控费管理的实践  

Multi-dimensional Cost Control Management of Work Injury Rehabilitation in a Tertiary Hospital

作　　者：孔丽丽 张静 王凤颖[1] 张富云 刘铁军[1] Kong Lili;Zhang Jing;Wang Fengying;Zhang Fuyun;Liu Tiejun(Beijing Rehabilitation Hospital, Capital Medical University,Beijing,100144)

机构地区：[1]首都医科大学附属北京康复医院

出　　处：《中国医疗保险》2019年第8期64-66,68,共4页China Health Insurance

摘　　要：目的:分析北京某三级康复医院实施工伤康复多维度控费管理前后的费用情况,探讨该三级康复医院工伤康复控费的可行性。方法:以2015年5月至2018年4月出院工伤康复患者住院费用作为研究对象,对比分析多维度控费管理前后住院费用相关指标的变化,采用单因素方差分析进行数据分析。结果:三年间月均出院人次保持平稳(P<0.05)。2016年5月至2017年4月较2015年5月至2016年4月间,次均费用、平均住院日、药占比均无明显变化(P>0.05),耗占比明显上升(P<0.05);2017年5月至2018年4月较2016年5月至2017年4月,次均费用、平均住院日、药占比均明显下降(P<0.05),耗占比略有下降但没有显著差异(P>0.05)。结论:在三级康复医院,实行多维度工伤控费管理措施,可有效控制工伤费用的增长,费用结构趋于合理,值得进一步探索。Objective:To analyzes the cost before and after the implementation of multi-dimensional cost control management of work injury rehabilitation in a tertiary rehabilitation hospital in Beijing, and discusses the feasibility of the cost control of work injury rehabilitation. Methods:Taking hospitalization expenses of work injury rehabilitation patients discharged from hospital from May 2015 to April 2018 as the research object, the changes of relevant indexes of hospitalization expenses before and after multi-dimensional cost control management were compared and analyzed. Univariate variance was adopted for data analysis. Results:Monthly discharge times remained stable during the three years (P<0.05).Compared 2016.5-2017.4 with 2015.5-2016.4, there was no signifi cant change in average cost per visit, average length of stay and drug ratio(P>0.05), and the consumption ratio increased signifi cantly (P<0.05).Compared 2017.5-2018.4with 2016.5-2017.4, the average cost per visit, average length of stay and drug ratio were signifi cantly reduced(P<0.05), while the consumption ratio was slightly reduced but no signifi cant diff erence (P>0.05). Conclusion:In tertiary rehabilitation hospitals, the implementation of multidimensional management measures can eff ectively control the increase of work injury cost, and the cost structure tends to be reasonable, which is worth further exploration.

关 键 词：工伤康复 控费 管理 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]