通过对北京地区11家三级综合医院1196例大额病例的一般情况、病种和医疗费用进行了分析,认为加强大额病例中发病率高病种的重点管理,是降低医疗费用的有效途径。建议制订常见大额病种预定额付费方案;实行大额病例审查报销制度,加强宏观管理;开展适宜技术;缩短平均住院日,控制床日费用增长;控制药费;加强预防、保健和康复治疗,减少大额病例发生率。 Through the analysis of the general conditions, disease types, and medical expenses of 1196 large-scale cases in 11 tertiary general hospitals in Beijing, it is believed that strengthening the key management of high incidence in large-scale cases is an effective way to reduce medical costs. . It is recommended to formulate prepayment plans for common large-size diseases; to implement large-scale case review and reimbursement systems, to strengthen macro-management; to develop appropriate technologies; to shorten the average length of hospital stay, to control the growth of bed-day expenses; to control drug costs; to strengthen prevention, health care, and rehabilitation; , reduce the incidence of large-scale cases.