Analysis of medical cost and its case classification in basic level hospitals
10.13699/j.cnki.1001-6821.2016.12.026
- VernacularTitle:基层医院的病例分型及其医疗费用分析
- Author:
Chang LIU
1
;
Yun-Bin YANG
Author Information
1. 南方医科大学 人文与管理学院
- Keywords:
basic level hospital;
case classification;
medical cost
- From:
The Chinese Journal of Clinical Pharmacology
2016;32(12):1142-1143,1146
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analysis the characteristics of medical cost of case classification in a basic level hospital to provide the basis for the appli-cation of case classification in basic level hospitals.Methods Taking some first-class public hospital as an example , analysis the first page data on medical records in new version to summarize the structural characteristics of the case classification;compare the medical cost between patients with and without medical insurance;and to calculate the reference ranges of medical standard cost of main cause diseases.Results The AB rate of this hospital was as high as 96.9%; the cost of patients with medical insurance was higher than the others’ in every mode of classification;the reference ranges of standard cost could be used to develop medical insurance reimbursement standard or medical quality cost management.Conclusion Basic level hos-pitals are based on simple cases and have a possibility that medical insur-ance funds were inefficiently used and wasted.It is suitable for the imple-mentation of simple and feasible case classification technology.
