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目的通过分析高额费用住院病例的基本特征,为合理控制医疗费用提供依据。方法提取华东地区某省属三甲医院2005年至2009年病案数据库中的大于20万元的高额费用病例共242例,利用EXCEL软件进行分年度分类归纳计数求平均值等统计分析。结果高额费用患者大多为住院时间长、药费比例高、出院情况较好、患肿瘤及循环呼吸系统和损伤中毒的中老年男性病人。结论必须采取有效措施加强常见高额费用病例的监控和管理,完善收费组织结构,合理控制平均住院日,降低药费比例。
Objective By analyzing the basic characteristics of high cost inpatient cases, provide the basis for reasonable control of medical expenses. Methods A total of 242 high-cost cases with more than 200,000 yuan in medical records database from 2005 to 2009 of a provincial-level top three hospital in East China were extracted. Statistical analysis was performed by means of EXCEL software. The results of high cost patients are mostly hospitalized for a long time, a high proportion of drug costs, discharged well, suffering from cancer and circulatory system and injury poisoning in the elderly male patients. Conclusion Effective measures must be taken to strengthen the monitoring and management of common high-cost cases, improve the structure of fee collection, rationally control the average length of stay, and reduce the proportion of drug fees.