单病种限价的实施办法及其与质量和效益的关系研究

来源 :中国医疗前沿 | 被引量 : 0次 | 上传用户:xxxhot006
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目的探讨单病种限价与质量和效益的正效应关系,为单病种限价提供理论依据。方法在制定临床路径的基础上,进行成本测算,确定部分病种的最高收费标准及实施办法,然后通过观察单病种限价对限价病种自身以及全院综合医疗质量和综合经济效益的影响,探讨单病种限价与质量和效益的正效应关系,为单病种限价提供理论依据。结果实行单病种限价后,不仅限价病种的出院病人教和经济收入呈大幅度增长,而且全院整体经济效益也呈现大幅度快速增长,同时综合医疗质量也有所提高。证明单病种限价与质量和效益之间存在着良性正效应关系。结论单病种限价不单纯是一个降价问题,它是在规范管理、强化管理的基础上,通过提供“低价格、高质量”的服务,进而获取更大社会效益和经济效益的一种新的管理举措。对转变传统的管理理念、服务理念和经营理念以及提高医疗质量、降低医疗成本、减轻患者的经济负担、促进医院发展等具有重要意义。 Objective To explore the positive effect relationship between limit price, quality and benefit of single disease, and provide theoretical basis for the price limit of single disease. Methods Based on the establishment of clinical pathways, cost estimation was conducted to determine the maximum fees for some diseases and their implementation methods. Then the single disease price limit was applied to limit the price of the disease itself and the hospital’s comprehensive medical quality and comprehensive economic benefits. Influencing, to explore the positive effect relationship between the limit price of single disease and quality and benefit, and provide theoretical basis for the price limit of single disease. After the implementation of the single-disease price limit, the hospitalized patients and the economic income of the hospital were not limited to the price of diseases. The overall economic benefits of the hospital also showed a rapid and rapid increase, and the overall quality of medical services also improved. It is proved that there is a positive and positive effect relationship between the limit price of single disease and quality and benefit. Conclusion The price limit for a single disease is not simply a price reduction issue. It is based on standardized management and strengthened management, and it provides “low-price, high-quality” services to achieve greater social and economic benefits. New management initiatives. It is of great significance to transform traditional management concepts, service concepts and business concepts, as well as improve medical quality, reduce medical costs, reduce the economic burden on patients, and promote the development of hospitals.
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