摘要
目的:以医用耗材为切入点探讨按病种收费方式对病种耗材费用和使用的影响。方法:回顾病种历史费用,以房间隔缺损封堵术耗材使用范围为基础,通过德尔菲法征询专家对该病种耗材使用的种类和合理数量。结果:分析病种费用,其中材料费占全部费用的43.7%。通过15份问卷调查,其中12份有效问卷,结合专家意见制定房间隔缺损封堵术耗材使用清单。以此规范耗材使用,降低病种成本。结论:按病种收费方式将激励医院对于医疗服务的监管重心转向控制产出和结果指标,促使医院自主降低医疗服务成本。
Objective： To discuss on the effect of single disease charging mode on the cost of material consumption by using medical consumable material. Methods： Based on the use of the materials of the disease by reviewing the historical cost of diseases, the type and reasonable quantity of the materials used in the disease are consulted by Delphi method. Results： Through analyzing the cost of the disease, the cost of materials accounted for 43.7% in the total cost. According to the experts＇ advice, we make a list of medical consumable materials of atrial septal defect closer by 13 valid questionnaires, in order to regulate the use of supplies and reduce the cost of diseases. Conclusion： Single disease charges will encourage hospitals to focus on the control of medical services to control output and outcome indicators and promote the hospitals to reduce the cost of medical services.
出处
《中国医学装备》
2016年第8期27-30,共4页
China Medical Equipment
关键词
按病种收费
医用耗材
病种成本
临床路径
房间隔缺损封堵术
Single disease charge
Medical consumables
Cost of disease
Clinical pathway
Transcatheter closure of atrial septal defect
