DRG核心指标指导下的心血管内科专病病区运营和医保管控初探
DOI:
作者:
作者单位:

南京医科大学第一附属医院

作者简介:

通讯作者:

中图分类号:

基金项目:

江苏高校优势学科建设工程三期项目立项学科(苏政办发〔2018〕87号)


DRG Core Indicators Guided Cardiovascular Specialized-Disease Wards Operation And Health Insurance Cost Control
Author:
Affiliation:

The First Affiliated Hospital with Nanjing Medical University

Fund Project:

Jiangsu universities advantageous discipline construction project phase III project establishment discipline(【2018】No.87)

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    回顾性收集2019-2021年南京一所大型三级甲等教学医院心血管内科运营数据,从病案统计科年度统计数据中提取DRG核心指标;从医疗保险处年度统计数据中提取医保消耗额度;进而对比其中三个同规模病区(两个特色专病病病区和一个综合病区)的数据。结果显示心血管内科不同亚专业专病病区的运营各有特色。电生理专病病区手术难度高、成本消耗大;冠心病专病病区病人周转快、成本消耗低。与综合性病区相比,专病病区的收治病种类型集中,且需手术操作的患者较多。专病病区经合理管控后,医保费用节约更多。通过建设心血管内科亚专业专病病区,可以促进临床诊疗路径化、缩短介入操作的学习曲线,更易于成本管控、学科发展和人才培养。

    Abstract:

    The operation data of three typical specialized-disease wards were collected retrospectively from records of cardiovascular department of a tertiary hospital in Nanjing date 2019 to 2021. The DRG core indicators were analyzed by the Medical Records and Statistics Room, and the health insurance cost data were analyzed by the Medical Insurance Division. The differences between the specialized-disease wards and ordinary wards were compared. Different specialized-disease wards of the Cardiovascular department operate with their own characteristics. The electrophysiological disease ward is characterized as high difficulty in interventional operation and high cost of health insurance, whereas the coronary heart disease ward is characterized as low cost of health insurance and quick patients turnover. Distinctive from general disease ward, the specialized-disease ward is much more advanced in centralized disease types, more interventional treated patients. The optimization of department operation, the promotion of academic development, and the intensification of cost control, could all be achieved through the construction of specialized-disease wards, it is arguably a new way of development and operation for the future of cardiovascular department.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-06-30
  • 最后修改日期:2022-10-07
  • 录用日期:2022-10-11
  • 在线发布日期:
  • 出版日期: