| 摘要: |
| 目的：通过分析福建某三甲公立医院2020年单病种费用使用情况，找出影响单病种费用的关键费用指标，实现科学合理管控。方法：对该院2020年11 672个单病种各类费用进行等级相关分析和主成分分析，同时对个案费用进行回顾性分析。结果：单病种费用的影响大小分别为：麻醉费、检查化验费、药品费、医务性收入、耗材费。结论：医院管理层应从关键费用指标着手，加强管控，合理制定科室各单病种费用分配标准，严格管控麻醉费用，减少不必要的检验检查和用药；通过对病种进行医疗组间对比查缺补漏；应加强医务人员对实施单病种管理知识的培训。 |
| 关键词: 单病种 医保 主成分分析 质理管理 |
| DOI： |
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| 基金项目: |
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| Study on the Current Situation of Single Disease Expense Management in a Certain Grade-A Tertiary Public Hospital |
| SU Zhenying |
| (Management Office，Fujian Provincial Hospital) |
| Abstract: |
| Objective：To find out the key items of single disease expenses by studying the use of single disease expenses in 2020 ina certaingrade-A tertiarypublic hospital in Fujian，and to realize scientific and reasonable management and control. Methods：11，672 cases of single disease in 2020 were analyzed by rank correlation analysis and principal component analysis，and the case cost was analyzed retrospectively. Results：The influence of single disease expense was anesthesia expense，examination and testing expense，medicine expense，medical income and consumable material expense. Conclusion：The Hospital management should start from the key cost index，strengthen the management and control，make the reasonable allocation standard of each single disease in the department，control the anesthesia expense strictly，reduce the unnecessary examination and medication. Check the gaps and make up for the emissions through the comparison between the medical treatment groups.Some medical personnel have insufficient knowledge of single disease management，so training should be strengthened. |
| Key words: Single Disease Principal Component Analysis Quality Management Principal Component Analysis |
