摘要
目的随着医疗体制改革对公立医院内部运营管理提出了更高的要求,需加强精细化的成本管理、减少资源浪费,开源节流是内部管控的重要一环。方法比较多学科诊疗模式(MDT)与传统诊疗模式的区别,在梳理多学科诊疗管理流程的基础上,提出多学科诊疗成本核算原则和思路,并分别按多学科诊疗中心成本、项目成本、病种成本提出了具体的核算方法。结果多学科诊疗成本核算既为多学科诊疗项目收费提供了依据、为医院内部绩效分配提供了支持,同时也为病种成本管理提供了思路。结论公立医院MDT模式下疾病诊疗护理成本管理是一个循序渐进的过程,只有采用注重效率、兼顾公平并且能够结合医院公益性和科学的管理方法,才能最大限度地提高经济收益。
Objective With the reform of medical system putting forward higher requirements for internal operation and management of public hospitals,it is necessary to strengthen refi ned cost management and reduce resource waste.Increasing revenue and reducing expenditure is an important part of internal control.Methods The diff erences between multidisciplinary diagnosis and treatment model and traditional diagnosis and treatment model were compared,and the principles and ideas of multidisciplinary diagnosis and treatment cost accounting were proposed on the basis of sorting out the management process of multidisciplinary diagnosis and treatment,and the specific accounting methods were put forward according to the cost of multidisciplinary diagnosis and treatment center,project cost and disease cost.Results Multidisciplinary diagnosis and treatment cost accounting not only provided the basis for multidisciplinary diagnosis and treatment project charges,but also provided support for hospital internal performance distribution,and provided ideas for disease cost management.Conclusion The cost management of disease MDT model of public hospitals is a gradual process.Only by focusing on effi ciency,taking into account fairness,and combining the public welfare of the hospital and scientifi c management methods,can the economic benefi ts be maximized.
作者
邢雪梅
王蓓
陈正红
胡继凤
赵文婷
赵兰
XING Xue-mei;WANG Bei;CHEN Zheng-hong;HU Ji-feng;ZHAO Wen-ting;ZHAO Lan(Department of Cardiothoracic Surgery,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing Jiangsu,210028,China;Department of Nursing,Jiangsu Integrated Traditional Chinese and Western Medicine Hospital,Nanjing Jiangsu,210028,China)
出处
《中华养生保健》
2022年第20期5-8,共4页
CHINESE HEALTH CARE
基金
公立医院MDT模式下疾病诊疗护理成本管理研究(JSYGY-3-2021-486)。
关键词
公立医院
多学科协作诊疗
成本管理
public hospital
multidisciplinary collaborative diagnosis and treatment
cost management
