摘要
目的:分析一家大型精神病医院在住院医疗费用从按项目付费变为按床日付费后临床用药行为的变化。方法:以医院的住院药品处方明细信息为基础,利用时间序列分析,比较支付制度变革前后,该医院在单位时间内医保病人药品使用量的变化。结果:每周药品使用量在支付制度变革以后明显下降,而"基本药物"的使用量则维持原有水平。结论:本案例中,支付制度的变革促使医院在保持医疗质量的情况下减少了"非基本药物"的使用。
Objectives： To analysis the change of prescribing behavior in the transformation from fee-for-service to per-diem reimbursement in a big psychiatric hospital. Method： Based on the detail information of inpatients＇ drug prescriptions, time serial analysis was used to analysis the change of drug utilization per week before and after payment system reform. Result： Tota utilization of drug per week decreased significantly after payment system reform. However the use of basic drugs was maintained at the level before the reform. Conclusion payment system reform encouraged the hospital to reduce the use of non-basic maintaining the medical service quality n this case, drug, while
出处
《中国药物经济学》
2009年第2期7-11,共5页
China Journal of Pharmaceutical Economics
关键词
按床日付费
用药行为
案例研究
per-diem payment
prescribing behavior
case study
