实施单病种质量控制的效果评价

目的:探讨单病种质量控制对医疗费用、住院天数的影响。方法:将2011年1季度未实施单病种质量控制的患者154例归为对照组,2012年1季度实施单病种质量控制的患者213例归到实验组,以医疗费用、住院天数、药品费用、检查费用等作为评价指标,应用SPSS 13.0进行统计分析。结果:剖宫产术实验组病人总费用较对照组有所升高,住院天数明显下降;脑梗塞实验组病人总费用较对照组明显升高;心力衰竭实验组病人总费用较对照组明显下降,差异均有统计学意义(P0.01或P0.05)。儿科肺炎、老年性白内障两组病人总费用的差异,以及儿科肺炎、脑梗塞、心力衰竭、老年性白内障住院天数的差异均无统计学意义(P0.05)。结论:实行单病种质量控制,能降低医疗费用及住院天数,提高医疗质量。

The Effect Assessment of Quality Control Practice of Mono-disease

Objective：To explore the affect of quality control practice of mono-disease to hospitalization expenses and hospital stay.Methods：IS4 patients who underwent quality control of mono-disease from the First Quarter of 2011 were taken as control group and another 213 patients who received quality control of mono-disease from the First Quarter of 2012 were taken as experimental group.SPSS 13.0 was used to analyze the evaluation index such as hospi- talization expenses,hospital stay,Medication Costs,inspection charge and so on.Results：The total costs of cesarean sec- tion experimental group were higher than control group ,the hospital stay were lower than control group with significant difference.The total costs of cerebral infarction experimental group were higher than control group,the total costs of heart failure experimental group were lower than control group with significant difference.The difference of total costs between Pediatric pneumonia and senile cataract and the difference of hospital stay between Pediatric pneumonia,ce- sarean section,cerebral infarction and senile cataract weren＇t significant.Conclusions：Quality control of mono-disease can reduce hospitalization expenses and hospital stay and improve medical quality further .