出院病人区段费用分布情况探讨

Cost distribution analysis on discharged patients in section

目的 通过对出院病人区段费用情况分析,摸清病人＂主干＂病源的病例质量,分析大部分临床科室经济效益与社会效益不高的原因.方法 导出病人费用明细,对费用、人次、住院天数分区段汇总比较.定义低于6 000元为普通费用区段,6000元及以上为高费用区段,费用构成/人次构成为系数α,费用构成/住院天数构成为系数β.结果 低于6 000元的普通费用区段人次,占总例数的87.02%,6000元及以上高费用区段住院病人2 262人,占12.98%.普通费用区段α系数为0.65,即每1%的普通费用病人可提供0.65%的费用;高费用区段α系数为3.32,即每1%的高费用区段病人可提供3.32%的费用.高费用区段病人的贡献能力是普通费用区段病人的5.11倍.普通费用区段β系数为0.88,高费用区段β系数1.23,该区段是普通费用区段的1.40倍.高费用区段α和β的综合系数是普通费用区段的7.15倍.结论 通过费用分布情况分析,调整病源结构,规范临床治疗,加强区域影响力以及核心优势.改变临床科室收支结余情况,借鉴其他医院先进经验,结合绩效管理方案进行整合.

Objective To analysis the cost distribution of discharged patients,find out the case quality of main patients and why the most clinical departments is not high economic and social reasons. Methods Export details of patient costs, made a summary of costs, times, length of stays. Define the cost of less than 6 000 yuan for the ordinary section, 6 000 yuan and a- bove for high-cost segment, the cost structure/person structure for the coefficient α, the cost structure/structure of length of stay for the coefficientβ. Results Less than 6 000 yuan fee section of ordinary people, the total number of cases of 87.02% , 6 000 yuan and above section of the high cost of inpatient 2 262, accounting for 12.98%. The ordinary section of the α coefficient is 0. 65, for every 1% of the ordinary cost to provide every 0. 65% patients cost; high cost segment α coefficient is 3.32, for every 1% of patients with high-cost segment to provide 3.32% of the costs. High ability to contribute to the cost section of the patient section of the ordinary expenses of 5.11 times the patient. Ordinary section of the/~ coefficient is O. 88, the high cost of sections coefficient is1.23, the section is 1.40 times the ordinary cost section. The Comprehensive coefficient of high cost segment α andβ is 7.15 times the cost of ordinary section. Conclusion To analysis the cost distribution of discharged patients, adjust the Pathogenic structure, make the standard clinical, strengthening of regional influence and the core strengths. Change the balance of clinical departments, other hospitals learn from the advanced experience, combined with the integration of performance man- agement program.