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目的为提高医院对病种质量费用的自我控制能力,在确保医疗质量的同时减少不必要的医疗资源消耗。方法对全院住院病例实行病种病例分型,建立全病种的质量费用参考标准,完善病种质量反馈与分析制度、考评制度,开展对科室或医生的医疗质量和工作绩效的评价。结果科室病种质量费用意识加强,病例质量优良率由80.01%上升到86.22%,药品费用比例下降到40.32%。讨论实施病种病例分型管理,对提高医院管理水平、提高医疗工作效率、降低医疗成本、规范医疗行为等起着十分重要的作用。
The purpose is to improve the hospital’s ability to control the quality of the disease and to reduce the unnecessary consumption of medical resources while ensuring medical quality. Methods The classification of disease cases was carried out in hospital-wide hospital inpatients. The reference standard for quality and expense of the whole disease was established. The disease quality feedback and analysis system and evaluation system were perfected. The medical quality and performance of the department or doctor were evaluated. As a result, the awareness of the cost of the disease in the department was strengthened, and the rate of excellent and good cases was increased from 80.01% to 86.22%, and the proportion of drug costs dropped to 40.32%. Discussing the implementation of disease type management for cases will play an important role in improving the level of hospital management, improving the efficiency of medical work, reducing medical costs, and standardizing medical behavior.