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模型量化的药事服务费测算方法初探 总被引:2,自引:0,他引:2
目前,对药事服务费的测算主要有四种观点:按医生级别收取、按药价一定比例收取、按服务的价值收取及按病种收取。但是这些方法的可操作性不高,为此本文提出了采用损失叠加法和成本法测算药事服务费的基本思路。 相似文献
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通过文献综述对药事服务费的相关概念进行了梳理。在此基础上,利用上海市宝山区5家综合性医院的财务会计报表和调查统计表数据,分别测算了弥补药品加成收入和弥补药事服务成本两种不同思路下的药事服务费,并对不同财政投入和医疗服务价格政策下的药事服务费收取标准进行了敏感性分析,为政府科学决策提供了理论依据。研究认为,取消药品加成、收取药事服务费是医改深入推进的必然趋势,药事服务费在不同经济发展程度的地区可有不同收费标准,但均要建立定期调整机制。 相似文献
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王顺利 《中国卫生事业管理》2011,28(10)
新医改方案指出增设药事服务费,逐步取消药品加成政策.药事服务与药事服务费之间存在相辅相成的关系,药事服务费是弥补药事服务成本的合理途径,是促进药事服务水平提升的必然手段. 相似文献
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目的:探讨我国公立医院改革过程中设立药事服务费具备的优势和劣势以及外部环境带来的机遇和威胁.方法:运用管理学中的SWOT理论,对我国公立医院改革过程中设立药事服务费进行系统分析,并提出相应的意见和措施.结果:在我国公立医院改革过程中设立药事服务费虽不能完全解决公立医院亏损问题,但是能够在一定程度上缓解改革带来的诸多矛盾.因此,在我国公立医院改革中设立药事服务费势在必行. 相似文献
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目的:了解成都市公立医院药事服务情况,以及医药工作者对于药事服务费的收费意愿(收费方式和收费水平),为药事服务费的定义和测算提供依据.方法:采取分层随机抽样的方法选取调查对象,用自行设计的问卷进行现场调查.结果:医药工作者对药事服务费认识中两项内容的应答人数百分比小于75%;10项药事服务中,医师药师分别承担三项、两项.共同承担三项,两项未开展;药事服务费收费方式选择排首位,门诊和住院分别是按人次(37.3%)和按药品种类(37.3%).结论:成都市公立医院医药工作者对药事服务认识不够;药事服务水平低;医师、药师药事服务分工不明确. 相似文献
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随着药品加成政策的取消,增设药事服务费已提上议事日程。本调查针对药事服务费的内涵、意义、补偿对象及收取方式,对93名知情人进行了问卷调查,包括药师、医师、官员、政策研究者、药企人员、管理者,力求通过相关议题的调查和数据分析,征求多方意见。调查结果显示:药事服务费是药师劳务价值和药房管理成本的综合体现;增设药事服务费非常必要但不能根本解决看病贵的问题;根据调研结果具体建议药事服务费门诊按5~9元/诊次收取,住院按10~14元/床日收取,但需与当地经济发展水平相一致。 相似文献
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目的 对比分析临床路径实施前后各项医疗费用变化情况,评价临床路径的实施效果,为实施单病种付费提供研究基础.方法 采用病历回顾调查的方法,抽取我院临床路径实施前后大肠息肉、结节性甲状腺肿、腰椎间盘突出症住院病人的住院病历,采用t检验、秩和检验等统计方法对比分析其各项住院费用.结果 Wilcoxon秩和检验显示大肠息肉及腰椎间盘突出症住院病人临床路径实施前后的住院天数有统计学差异;大肠息肉临床路径实施前后人均住院总费用分别为5 758.60元、5 118.68元,差异具有统计学意义,临床路径实施后床位费、检查费、药费也显著低于实施前;结节性甲状腺肿临床路径实施后人均住院总费用10 509.91元,低于实施前的11 284.93元,差异具有统计学意义,检查费、药费及护理费在临床路径实施前后同样具有显著性差异,实施后费用显著低于实施前;腰椎间盘突出症临床路径实施前后人均住院总费用差异同样具有统计学意义,实施后为6 860.99元,较实施前有显著降低,临床路径实施后床位费、药费、手术费及其他费用低于实施前,差异具有统计学意义.结论 临床路径的实施有助于减少无效、低效住院日,控制住院天数,降低住院费用. 相似文献
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Nuckols TK Aledort JE Adams J Lai J Go MH Keesey J McGlynn E 《Health services research》2011,46(4):1124-1157
Objective. To examine the cost‐effectiveness of improving blood pressure management from the payer perspective. Data Source/Study Setting. Medical record data for 4,500 U.S. adults with hypertension from the Community Quality Index (CQI) study (1996–2002), pharmaceutical claims from four Massachusetts health plans (2004–2006), Medicare fee schedule (2009), and published literature. Study Design. A probability tree depicted blood pressure management over 2 years. Data Collection/Extraction Methods. We determined how frequently CQI study subjects received recommended care processes and attained accepted treatment goals, estimated utilization of visits and medications associated with recommended care, assigned costs based on utilization, and then modeled how hospitalization rates, costs, and goal attainment would change if all recommended care was provided. Principal Findings. Relative to current care, improved care would cost payers U.S.$170 more per hypertensive person annually (2009 dollars). The incremental cost per person newly attaining treatment goals over 2 years would be U.S.$1,696 overall, U.S.$801 for moderate hypertension, and U.S.$850 for severe hypertension. Among people with severe hypertension, blood pressure would decline substantially but seldom reach goal; the incremental cost per person attaining a relaxed goal (≤stage 1) would be U.S.$185. Conclusions. Under the Health Care Effectiveness Data and Information Set program, which monitors the attainment of blood pressure treatment goals, payers will find it slightly more cost‐effective to improve care for moderate than severe hypertension. Having a secondary, relaxed goal would substantially increase payers' incentive to improve care for severe hypertension. 相似文献
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Financial barriers are an important obstacle for access to emergency obstetric care and a contributing factor to too slow
a reduction in the level of maternal mortality. In Morocco, in 2009, a fee exemption policy for delivery and caesarean section
was implemented in public maternity hospitals. As in most countries where a fee exemption policy has been implemented, fee
exemption is considered synonym to free care. However, other direct costs may subsist. The objective of this study was to
get an estimate of the actual cost of caesarean sections from the patients' perspective. 相似文献
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