期刊文献+
共找到2篇文章
< 1 >
每页显示 20 50 100
CHS-DRG和耗材集采下关节置换病组费用结构变化研究
1
作者 吕新兵 孟丽萍 +4 位作者 潘春华 郭子洵 耿晓坤 申喜凤 吴英锋 《中国医院》 北大核心 2024年第9期78-81,共4页
目的:研究CHS-DRG付费联合人工关节集采改革措施实施前后关节置换病组(IC29)住院患者费用结构变化情况及影响因素,揭示改革给医院运营带来的影响。方法:分析北京某三级医院改革实施前后IC29病组住院患者的信息以及住院费用变化情况;运... 目的:研究CHS-DRG付费联合人工关节集采改革措施实施前后关节置换病组(IC29)住院患者费用结构变化情况及影响因素,揭示改革给医院运营带来的影响。方法:分析北京某三级医院改革实施前后IC29病组住院患者的信息以及住院费用变化情况;运用结构变动度分析法,分析病组费用变化的主要类别和方向。结果:改革前后IC29病组次均住院费的结构变动度为39.4%,其中耗材费、手术费是影响住院费用变动的主要项目,累计贡献率为80.15%。改革后月均住院患者人次增加,次均住院费与耗材费下降,手术费占比升高,DRG医保盈余升高。结论:改革措施推进了CHS-DRG落地实施,使IC29病组住院费用结构趋于合理化,增加了医院可支配收入,降低了患者就医负担。但体现医务人员劳动技术价值的手术治疗费增幅有限,改革面临可能出现的诸多负性问题,需要进一步研究制定配套政策。 展开更多
关键词 医院集采 CHS-DRG 人工关节 费用结构
下载PDF
Development of IT Triage System (TRACY) to Share Regional Disaster Medical Information
2
作者 Muneyoshi Numada Yasunori Hada +1 位作者 Miho Ohara Kimiro Meguro 《Journal of Civil Engineering and Architecture》 2012年第8期985-996,共12页
We developed an IT (Information Technology) triage system for collecting disaster medical information in real time. FeliCa cards and card readers are used to obtain the number and condition of patients. The system i... We developed an IT (Information Technology) triage system for collecting disaster medical information in real time. FeliCa cards and card readers are used to obtain the number and condition of patients. The system is composed of two elements. First, the number of patients for each triage level and the accepted number of patients in each diagnosis and treatment department are obtained in real time, including response for changing triage level. Second, this information is shared in real time among hospitals, the admim'stration, and residents who are searching for their family. A disaster drill utilizing this system was held at the University of Yamanashi Hospital with 450 participants. From the result of that, the present system could work for those two elements. TRACY was examined its availability and practicability in this drill. 展开更多
关键词 TRIAGE disaster information system information sharing disaster medical treatment large scale disaster FeliCa.
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部