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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▲
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

内科 202419卷02期 页码:123-128

作者机构:1 广西医科大学信息与管理学院,南宁市 530021;2 广西壮族自治区民族医院,南宁市 530001;3 广西医科大学卫生与健康政策研究中心,南宁市 530021

基金信息:▲基金项目:广西壮族自治区卫生健康委员会立项课题(Z20200423)

DOI:10.16121/j.cnki.cn45⁃1347/r.2024.02.03

  • 中文简介
  • 英文简介
  • 参考文献

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。

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.

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