摘要
在杭州市7所医院肾透析服务成本调查的基础上,测算了肾透析服务的全成本。结果显示,7所医院次均HD(血液维持性透析)和HDF(血液滤过性透析)的实际成本差异很大,HD的每人实际成本在488-1290元之间,HDF在727-1640元之间,主要原因是由劳务成本和材料成本的差异所造成。结果表明,有必要进一步规范肾透析治疗,研究和测算肾透析服务的次均标准成本,完善补偿机制。这将有利于保证医疗质量,减少浪费,也便于医疗保险部门对医院肾透析服务的监督管理。
Based on the survey of seven hospitals which provied hemodialysis service in Hangzhou, the real cost per person-time is measured. The results show that the real costs of HD and HDF of seven hospitals are different greatly, the real cost of HD ranges from 488 to 1 290 Yuan, and HDF ranges form 727 to 1 640 Yuan .The main reasons for such different are service cost and material cost. According to the results, it's nesessary to formulate the treatment of hemodialysis, research and measure the standard cost of hemodialysis and improve reimbursement mechanism. That's good for high medical quality, less waste and supervision of medical insurance on hemodialysis service of hospitals.
出处
《中国卫生经济》
2005年第7期47-50,共4页
Chinese Health Economics
关键词
肾透析
实际成本
成本测算
hemodialysis, real cost, cost measurement