基于医院智能体的医疗服务收费项目成本精细化管理实践  

Practice of refined cost management of medical service charging items based on hospital intelligent agent

作　　者：江姜[1] 孙嘉增[1] 王理国[1] 伍平阳[1] 陈淑华[1] 邹春如 田军章[1] Jiang Jiang;Sun Jiazeng;Wang Liguo;Wu Pingyang;Chen Shuhua;Zou Chunru;Tian Junzhang(Guangdong Second Provincial General Hospital,Guangzhou 510317,China)

机构地区：[1]广东省第二人民医院,广州510317

出　　处：《中华医院管理杂志》2023年第1期11-15,共5页Chinese Journal of Hospital Administration

基　　金：广东省重点领域研发计划(第七批)项目(2020B0101130020)。

摘　　要：近年来,我国公立医院面临着医保支付方式改革的压力,加强医院运营管理迫在眉睫。2022年6月,某院借助医院智能体,开展医疗服务收费项目成本精细化管理实践,通过梳理医疗服务收费项目,设计管理路径,核算项目成本,从项目单位成本的人力、设备和耗材3个管控维度以及横向和纵向2个比较方向,对医疗服务收费项目成本进行精细化管理。基于智能体的医疗服务收费项目成本精细化管理实践,为院内全局精细化成本管控指明方向,降低了医院耗占比,管理成效初显,为提升公立医院医院精细化运营管理水平提供参考。In recent years,public hospitals have been facing pressure from the reform of medical insurance payment methods.It is urgent to strengthen the operation and management of public hospitals.In June 2022,a tertiary public hospital utilized hospital intelligent agents to carry out refined cost management practices for medical service charging projects,sorted out medical service charging projects,designed management paths,and calculated project costs.The hospital conducted refined management on the cost of medical service charging items from three control dimensions of project unit cost with manpower,equipment and consumables,and two comparative directions with horizontal and vertical.The refined cost management practice not only pointted out the direction for global refinement cost control within the hospital,but also reduced the proportion of hospital consumption,which provided reference for improving the level of refined operation and management of public hospital hospitals.

关 键 词：医院 公立 医疗服务收费 项目成本 精细化管理 

分 类 号：R197.32[医药卫生—卫生事业管理]