基于临床路径的农村贫困人口终末期肾脏病救治的付费标准制订研究  

Study on the Establishment of Payment Standard for End-stage Renal Disease among Rural Poor Population Based on Clinical Pathway

作　　者：李京 刘洋[2] 黄卫东[1] 刘刚[3] 张歆[1] 底亦澎 刘国祥[1] LI Jing;LIU Yang;HUANG Wei-dong(Harbin Medical University, Harbin, 150081, China)

机构地区：[1]哈尔滨医科大学卫生管理学院,哈尔滨150081 [2]哈尔滨医科大学公共卫生学院,哈尔滨150081 [3]黑龙江中医药大学,哈尔滨150040

出　　处：《中国卫生经济》2019年第9期29-31,共3页Chinese Health Economics

基　　金：国家科技部重点研发计划（2017YFC1308700,2017YFC1308705）;国家自然科学基金项目（71673071）

摘　　要：目的:基于临床路径,对罹患终末期肾脏病的区域内农村贫困人口的付费标准进行研究,为农村贫困人口大病专项救治的政策制定提供参考。方法:结合实际情况,收集、筛选定点医院终末期肾脏病患者病历,采用描述统计方法,确定费用支付标准。结果:市级终末期肾脏病常规血液透析治疗的付费标准拟定区间为(9 232,9 390),建议值为9 260元;县级终末期肾脏病住院患者常规血液透析治疗的付费标准拟定区间为(3 459,3 612),建议值为3 536元。结论:依据临床路径严格监管非常有必要。Objective: Based on the clinical pathway, it tried to calculate the payment standards of the rural poor with end-stage renal disease and provided references for the policy formulation of the special treatment for the major diseases of the rural poor. Methods: According to the actual situation, it collected and screened the medical records of patients with end-stage renal disease in designated hospitals, and used the descriptive statistical methods to determine the payment standard. Results: The proposed standard for the payment of routine hemodialysis treatment for municipal end-stage renal disease was (9232, 9390), and the recommended value was 9 260 yuan. The proposed standard for the payment of routine hemodialysis treatment for hospital-level end-stage renal disease patients was (3459, 3612), and the recommended value was 3 536 yuan. Conclusion: It was necessary to strict supervision of clinical pathways.

关 键 词：临床路径 农村贫困人口 终末期肾脏病 付费标准 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R197