以桡骨远端骨折为中医优势病种的历史成本费用结构分析  

Analysis on the Historical Cost Structure of Distal Radius Fracture as the Dominant Disease in Traditional Chinese Medicine

作　　者：杨永生[1] 肖梦熊[1] 陈珞珈[1] 郑格琳[1] YANG Yong-sheng;XIAO Meng-xiong;CHEN Luo-jia(Chinese Academy of Chinese Medicine,Beijing,100700,China)

机构地区：[1]中国中医科学院,北京100700

出　　处：《中国卫生经济》2020年第12期66-68,共3页Chinese Health Economics

基　　金：北京市中医管理局课题项目(2017)。

摘　　要：目的:分析桡骨远端骨折病人费用成本费用结构情况。方法:描述性统计分析法、对比分析法。结果:单纯的按项目付费,病种费用受医生的行为方式影响较大,大检查和大处方会增加病种费用,加上占比较大的药费和耗材等受政策影响较大,导致实际费用远高于病种实际成本。结论:优化费用结构,降低医药成本;探索中医优势病种按单病种付费改革。Objective:To analyze the cost structure of patients with distal radius fracture.Methods:Descriptive statistical analysis and comparative analysis.Results:Simply pay by project,the disease cost is greatly affected by the doctor’s behavior.The large examination and prescription will increase the disease cost.In addition,the relatively large drug cost and consumables are greatly affected by the policy,resulting in the actual cost far higher than the actual cost of the disease.Conclusion:It needs to optimize the cost structure and reduce the cost of medicine,explore the reform of paying per disease for the dominant diseases of traditional Chinese Medicine.

关 键 词：桡骨远端骨折 中医优势病种 成本费用 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F224.5[经济管理—国民经济]