首页|单病种精细化管理实施效益分析——以某三甲综合医院甲状腺结节(手术治疗)病种管理为例

单病种精细化管理实施效益分析——以某三甲综合医院甲状腺结节(手术治疗)病种管理为例

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目的 分析单病种精细化管理的效益,为医疗机构单病种管理提供参考依据.方法 分析2019年至2022年某三甲综合医院的甲状腺结节(手术治疗,政策实施组)与混合痔(手术治疗,对照组)的相关质量管理数据,应用双重差分模型分析单病种精细化管理政策实施前后甲状腺结节(手术治疗)患者的次均住院费用、药品费用、检查费用、耗材费用、手术费用、其他费用.结果 实施单病种精细化管理政策后,甲状腺结节(手术治疗)患者的次均住院费用下降15.21%,其中手术费用下降36.24%,其他费用降低22.89%.结论 实施单病种精细化管理能够有效地改善单病种的效益指标,降低公立医院的营运成本,促进医院的高质量发展.
Benefits analysis of the implementation of the single disease fine management:a case study of the thyroid nodules management(surgical treatment)in a class A tertiary general hospital
Objective To analyze the benefits of the single disease fine management,aiming at providing references for the management of single disease in medical institutions.Methods The quality management data of thyroid nodules(surgical treatment,policy implementation group)and mixed hemorrhoids(surgical treatment,control group)in a class A tertiary general hospital from 2019 to 2022 were analyzed,and the Difference-In-Differences model was used to analyze the average hospitalization costs,drug costs,examination costs,consumables costs,surgical costs,and other costs of patients with thyroid nodules(surgical treatment)before and after the implementation of the single disease fine management policy.Results After the implementation of the single disease fine management policy,the average hospitalization costs of patients with thyroid nodules(surgical treatment)decreased by 15.21%,of which the surgical costs decreased by 36.24%and the other costs decreased by 22.89%.Conclusion The implementation of the single disease fine management can effectively improve the benefit indicators of single disease,reduce the operating costs of public hospitals,and promote the high-quality development of hospitals.

Public hospitalHigh-quality developmentSingle diseaseFine managementPolicy effect

郑斯丽、冯启明

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广西医科大学信息与管理学院,南宁市 530021

广西壮族自治区民族医院,南宁市 530001

广西医科大学卫生与健康政策研究中心,南宁市 530021

公立医院 高质量发展 单病种 精细化管理 政策效应

广西壮族自治区卫生健康委立项项目

Z20200423

2024

内科
广西壮族自治区医学科学情报研究所

内科

影响因子:0.905
ISSN:1673-7768
年,卷(期):2024.19(2)
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