摘要
目的探讨单病种限价在先天性室间隔缺损中的应用效果，为合理有效地降低病人住院医疗费用和加强改进医疗服务质量提供参考依据，并为单病种付费制度的推广奠定基础。方法选取济宁医学院附属医院2004年4月-2008年12月先天性室间隔缺损病人346例，其中50例实施单病种限价管理（试验组），其余296例实施常规治疗管理（对照组）。结果试验组药费、检查费、耗材费及总费用较对照组均明显降低，差异有显著性（t=40．94～70．52，P＜0．05），但两组平均住院日比较差异无显著性（P〉0．05）。结论针对先天性室间隔缺损实施单病种限价管理模式，降低了医疗成本，有效地降低了病人住院费用。
Objective To investigate the application of limited price charge for single disease （LPCFSD） of congenital ventricular septal defect （CVSD）, and provide evidence for effectively decreasing patient＇s hospitalization fees and improving medi- cal service, so as to establish a base for extending the single disease payment system. Methods From April 2004 to December 2008, 346 patients with CVSD hospitalized in the Affiliated Hospital of Jining Medical School were selected in this study. LPCFSD was implemented in 50 patients （experimental group） and the conventional therapy was carried out in 296 （control group）. Re- sults The expenses on medicine, examination, materials and total expenditure were lower in the experimental group than the con trol, the differences were significant （t=40.94--70.52,P〈0.05）; there was no significant difference between the two groups in hospital stay （P〉0.05）. Conclusion The limited price charge for single disease targeting congenital ventricular septal defect de creases medical cost, and effectively reduce patient% cost of hospitalization.
出处
《齐鲁医学杂志》
2014年第4期361-362,共2页
Medical Journal of Qilu
关键词
室间隔缺损
费用控制
医院管理
heart septal defects, ventricular
cost control
hospital administration
