广州某医院产科在定额付费下盈亏原因分析与对策  

The analysis and countermeasures of profit and loss of obstetrics department of a hospital in guangzhou under quota payment

作　　者：刘敬[1] 钟碧霞 钟嘉冀 蔡进 陈江芸 LIU Jing;ZHONG Bixia;ZHONG Jiaji;CAI Jin;CHEN Jiangyun(Guangzhou First People’s Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院,广东广州510180 [2]广州医科大学公共卫生学院,广东广州511436 [3]南方医科大学卫生管理学院,广东广州510515

出　　处：《现代医院》2022年第4期579-582,共4页Modern Hospitals

基　　金：广州市卫生计生科技重大项目(20191A031001)

摘　　要：目的研究定额付费下同一医院不同院区生育保险费用的差异,探讨盈亏的原因并提出解决方案。方法通过数据分析和病历挖掘,分析不同院区生育保险住院患者费用指标的差异。结果不同院区生育保险住院患者的总费用、检查费、材料费具有显著性差异。结论平衡成本和绩效的基础上,强化管理意识,不该做的检查不做、高值耗材少用慎用合理用,可以有效控制生育保险费用。Objective To study the difference of maternity insurance costs in different districts of the same hospital under quota payment,explore the reasons for profit and loss,and propose solutions.Methods Through data analysis and medical record mining,the differences in the cost indicators of maternity insurance inpatients in different hospitals were analyzed.Results There were significant differences in the total cost,examination cost and material cost of inpatients with maternity insurance in different hospitals.Conclusion On the basis of balancing cost and performance,strengthening management awareness,not doing inspections that should not be done,and using high-value consumables sparingly and rationally can effectively manage maternity insurance costs.

关 键 词：生育保险 定额付费 盈亏 分析 

分 类 号：R197[医药卫生—卫生事业管理]