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目的:在实施临床路径下对现行生育保险定额付费进行探讨,合理控制医院生育费用的上涨。方法:选择临床路径下定额付费的产科866名生育保险患者与项目付费742名生育保险患者的住院平均费用、平均住院日进行对照。结果:在实施临床路径下生育保险患者按定额付费的结算标准低于传统标准。结论:临床路径下定额付费制度影响了住院分娩服务提供方控制费用的行为,是控制住院分娩费用的有效手段。
OBJECTIVE: To explore the current fixed-term maternity insurance payment in the implementation of clinical pathways and reasonably control the rise of hospital rearing expenses. Methods: The average hospitalization costs and average length of stay of 866 maternity insurance patients who paid for obstetrics under the clinical pathway and 742 maternity insurance patients who paid for the project were compared. Results: The standard of payment for fixed-term maternity insurance patients under the clinical pathway was lower than the traditional standard. CONCLUSION: The fixed payment system under the clinical pathway has an effect on the cost control of hospital delivery service providers, which is an effective way to control the cost of hospital delivery.