摘要
临床路径管理成本和历史费用测算工作是我国医疗服务价格改革的基础。为解决各医院在病种历史费用测算过程中普遍面临的统计软件和方法学问题,作者在长期经济学评价成本测算方法学研究的基础上,选择英国卫生经济研究中心开发的基于Excel软件的bootstrapping非参数估计方法成本测算工具,并结合实际应用经验对其进行汉化和必要的更新后在此做一介绍,以期最大限度地促进在医院层面自行开展病种费用测算,提高费用测算过程的透明度,为医院病种费用测算和医保部门定价博弈提供科学依据,同时为经济学评价研究提供决策分析模型的费用参数信息。
The clinical pathway management cost and historical cost estimating work was the base of medical service price reform in China. To address the statistic software and methodological problems that hospitals faced in the estimating process of disease historical costs, the instrument for bootstrapping non-parametric estimating me/hod developed by UK health economic research cen- ter based on Excel Software was selected on the basis of evaluating methodological research for estimating. Combined with practical application experience, Chinesization and necessary update were introduced so as to promote the implementation fi^r disease cost esti- mating in hospital hierarchy, improve the transparency of cost estimating process, provide scientific evidence for disease cost estimating in hospitals and pricing gaming in medical insurance departments, while providing cost parameter information of decision analysis model for economic evaluation research.
出处
《中国卫生经济》
北大核心
2016年第1期24-27,共4页
Chinese Health Economics
