摘要
目的对某三级甲等医院2003年～2004年收治的急性心肌梗死住院患者为对象进行研究,为费用控制和合理费用分担提供决策依据。方法分别统计478例急性心肌梗死患者的住院日、出院情况、付费方式、治疗方式、住院总费用及其分项,并用Excel进行数据处理。结果公费患者的平均住院日、例均住院费用高于医疗保险和自费患者；行冠状动脉搭桥术(CABG)的患者平均住院日最长且住院费用最高。结论严格控制医疗费用的开支,缩小公费、医保、自费患者的差距；根据病情特点选用最佳效费比的治疗方法,降低材料费、药费等相关费用,总费用的增长趋势就会得到控制,从而大大缓解医疗保险和个人负担。
To compare the costs of the different models of payment and the therapies, this paper analyzed the average cost, the average days of stay and the effect of the treatment of 478 aeute myocardial infarction inpatients from 2003 to 2004. The study claimed that the medical cost and the duration paid by medicare are higher than those paid by their own or health insurance. The longest days of stay and the highest cost is the patients with CABG operation. To reduce the expenses of the medicare and the patients＇ paid by their own, the hospital is in duty to choose the best way rather than the most expensive way.
出处
《中国病案》
2006年第10期6-7,共2页
Chinese Medical Record
关键词
急性心肌梗死
例均住院费用
平均住院日
acute myocardial infarctioni＇ average expenses of the admission/average days of stay
