多措并举,加强大额病例管理

Strengthening the Management of the Cases with Large Medical Expenditure in Multi-Ways

目的通过对某综合性医院大额病例的统计分析,为探索控制大额病例数量及费用的方法、加强医院管理和费用考核机制提供参考依据。方法对某综合性医院2005年8月至2006年7月期间出院的98例大额病例进行统计分析。结果大额病例中,前三位疾病分别是心、脑管疾病占73.47%,肿瘤占11.22%,消化系统疾病占5.10%。住院时间长,介入-支架置入等新技术、新疗法的应用及药费过高是形成大额病例的主因。

Objective By analyzing the large medical expenditure in a comprehensive hospital, we are going to provide the gist for controlling the amount and large medical expenditure so as to enhance the hospital management and exam the mechanism of medical expenditure. Methods we selected and analyzed 98 cases, which have already dismissed from the hospital from August 2005 to July 2006, of large medical expenditure. Results The No. 1 disease of the large medical expenditure cases are cardiovascular and cerebrovascular diseases （73.47%） ; the second is tumor （ 11. 22% ） and the third is the disease of digestive system （5.10%）. The main causes of large medical expenditure is long time in hospital, the application of new techniques and therapeutics, such as interposition therapy and bracket implantation, and the higher drug expense.