解放军总医院骨科病种质量费用分析

Quality for and costs of disease entities in Orthopedics Department of PLA General Hospital

目的:分析解放军总医院骨科病种质量与费用管理效果。方法:按ⅠCD-9六位数类目编码的疾病分类法提取病例,采用单病种医疗质量综合评价系统计算机软件,对单病种医疗质量进行综合评价。结果:计算和统计出骨科病例各型平均住院日和平均费用情况;收容数顺位在前10位疾病的平均住院日、平均药品费用、平均医疗费用情况等。结论:病种病例分型质量费用管理适合于医院当前质量管理的要求,骨科单病种医疗质量处于优良水平。

Objective:To estimate the effect of managing the quality for and costs of disease entities in the Orthopedics Department of PLA General hospital. Methods:Samples of cases were selected according to the ICD-9 classification of disease entities in six-digit category codes and a comprehensive evaluation of the medical quality for single disease entities was made by means of relevant software. Results:A calculation was made both of the average hospitalization day and costs for various types of cases and the average hospitalization day, drugs expenses and medical costs for disease entities ranking in the first 10 places with regard to the number of hospitalization. Conclusion:Quality and costs management of classified disease entities and cases fits in with the current demand for quality control in hospitals and the medical treatment quality for single disease entities in the Orthopedics Department is up to a high level.