军队医院加强医疗单元的费用分析

An Icu cost aaalysis for army hospitals

对加强医疗单元(ICU)病人医疗费用分析和医疗效果评价,现已成为控制医疗费用上涨的突破口。本研究应用患者治疗措施计分法(TISS),对3所医院胸心外科 ICU 的184例病人医疗费用,进行统计分析,发现构成 ICU 高医疗费用的主要因素依次为:一次性材料费占51.43%、药品费占13.49%、血和血制品费占12.56%、监护费占5.36%等。随着 TISS 分值的增加,病人总的医疗费不断增加,前述因素占费用比例亦增加。

The ICU cost analysis and the evaluation of the medical effect have come to be a break- through in the task of bringing the medical cost hike under control.The author makes a statistical anal- ysis of the medical cost of 184 cardio-surgical patients in 3 hospitals with the help of TISS and finds that the main compononts causing the rocketing of medical cost are successivdly:materials that are used only once and then thrown away(51.43% of the total cost),drugs(13.49%),blood and blood products(12. 56%),nursing service(5.36%).with the increase of TISS value comes the rising mdeical cost and the proportional rise of the four components mentioned above.