病人就诊流向及医疗费用的变化  

Research on the Change of Medical Cost after the Dispersal of Patients and Shortening Dwelling Day in Hospitals

作　　者：凌莉[1] 方积乾[1] 

机构地区：[1]中山大学公共卫生学院,广州市510080

出　　处：《中国医院统计》2002年第4期219-221,共3页Chinese Journal of Hospital Statistics

摘　　要：目的　定量研究三级医院病人分流和缩短住院日后医疗费用的变化。方法　抽样研究三级医院住院病人人均日住院费用与不同计划分流比例的关系及缩短住院日后人均日住院费用的变化。结果　分流病人后 ,未分流病人的人均日住院费用有不同程度的增加 ;缩短住院日后 ,人均日住院费用有所增加。结论　大医院将常见病和康复期病人转向低级别医院继续治疗 。Objective The changes of average cost per in-patient per day after the dispersal of patients and shortening dwelling day in hospitals are explored. Methods The diseases of in patients in several higher ranked hospitals were divided into 19 classifications according to the coding of ICD 9 and the relationship between average cost per in patient per day and different dispersion rates are explored by sampling research proportionally. Results The dispersion of usual diseases and shortening dwelling day in hospitals by reform measure will lead to the increase of the average cost per in patient per day. Conclusion Medical cost can be saved if some in patients with usual diseases or convalescent will disperse from the higher ranked hospitals to the lower ranked hospitals for treatment continuously

关 键 词：医院 ICD-9 病人分流 医疗费用 平均住院日 

分 类 号：R195[医药卫生—卫生统计学]