三级甲等医院稽留流产临床路径患者的住院费用分析  

Analysis of hospitalization expense of missed abortion patients in clinical pathway from tertiary hospitals

作　　者：廖洁容 林德南[1] Liao Jierong;Lin De'nan(Shenzhen Center for Health Information,Shenzhen 518000,China)

机构地区：[1]深圳市医学信息中心,广东深圳518000

出　　处：《中国医院统计》2020年第3期221-225,共5页Chinese Journal of Hospital Statistics

摘　　要：目的分析稽留流产临床路径管理模式下患者的住院费用,为控制医疗费用的不合理增长和实现医疗资源的有效利用提供依据。方法收集2017年深圳市三级甲等公立医院稽留流产出院患者的临床路径数据,采用描述性分析、聚类分析和单因素方差分析方法对入径患者的医疗费用结构和医疗费用水平进行分析与比较。结果稽留流产入径患者在不同的三级甲等医院就诊发生的住院费用相差较大,诊断类、综合医疗服务类、治疗类费用为住院费用的主要构成部分。研究结果显示,住院总费用高的医院,各项费用整体都偏高或部分项目费用比其他医院高。结论同一病种实施临床路径治疗,医院间的医疗收费差距较大,各项医疗费用分布存在差异。医院应加强临床路径管理,规范诊断与治疗行为,保障医疗质量,控制医疗费用的不合理增长。Objective To analyze the hospitalization expenses under the missed abortion clinical pathway management model,and to provide a basis for controlling the unreasonable growth of medical expenses and realizing the effective use of medical resources.Methods The data of clinical path with missed abortion patients from tertiary hospitals of Shenzhen were collected,descriptive analysis,cluster analysis and single factor analysis of variance(anova)were used to analyze the medical expenses structure and compare the medical expenses level.Results The cost of hospitalization varied greatly among patients with missed abortion in clinical pathway in different hospitals.Diagnosis expenses,comprehensive medical service expenses and treatment expenses were the main components of the hospitalization expenses for the missed abortion patients.The results showed that,in hospitals with high total hospitalization expenses,the expenses of all items were higher or the expenses of some items were higher than those in other hospitals.Conclusion With the implementation of clinical pathway treatment for the same disease,there is a large gap in medical charges between hospitals,and the distribution difference of various medical expenses is different.Hospitals should strengthen clinical pathway management,standardize diagnosis and treatment behavior,guarantee medical quality,and control unreasonable increase of hospitalization expenses.

关 键 词：临床路径 稽留流产 住院费用 

分 类 号：R195.4[医药卫生—卫生统计学] R714.2[医药卫生—卫生事业管理]