住院费用“一日清单”明示的方法与作用

The method and function of the explicit of oneday list of hospitalization charge

目的建立和谐的医患关系,使患者在住院期间动态了解自己的医疗费用,减少纠纷。方法运用计算机将患者住院期间的各项医嘱直接录入收费管理系统,实行住院费用“一日清单”制度。结果经过6年的运行,患者对医院服务满意度由87%上升到98%;科室患者欠费总额,2004年比1999年下降了80%。结论实施患者住院费用“一日清单”制度体现了医院以患者为中心的服务宗旨,增加了医疗收费透明度,有效地遏止了收费记账中的不规范行为,但该项工作增加了护士的工作量,关于人员问题有待进一步探讨。

Objective To establish harmonious relationship between medical staff and patients,and make the patients know the medical expense dynamically,and to reduce medical disputes. Method The various doctors orders for the patients during hospitalization were input a charge management system to implement the one - day list of hospitalization charge. Results Over six years after the practice, patients＇ satisfaction raised from 87% to 98% ,and the total arrearage decreased by 80% from 1999 to 2004. Conclusion The implementation of one - day list system of patient＇ s hospitalization charge embodied patient - centered service philosophy,increased the clarity of medical charge, effectively reduced the abnormal behavior in medical charge. However, this work increased nurses＇ workload. It needs to be further studied about the issue of operators.