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以临床路径为基础实施单病种管理
引用本文:杨萌.以临床路径为基础实施单病种管理[J].江汉大学学报(自然科学版),2014(5):58-62.
作者姓名:杨萌
作者单位:长江航运总医院财务处,湖北 武汉,430010
摘    要:随着医疗体制改革的不断深化,单病种预付费用制度的重要性日益彰显。病种付费标准的制订应以临床路径为基础,以社会平均的医疗项目成本为依据,准确算出各病种付费的标准。临床路径应用于按病种收费体系,结合电子病历优化了医疗流程。实施单病种预付费用制度,可以制订更合理、更具有科学性的收费价格,能有效提高医疗管理质量,规范护理服务,使医疗费用减少,增强医院的核心竞争力,能够为解决老百姓"看病难、看病贵"的问题提供有效途径。实施单病种管理是当前医院管理的方向和必然趋势。

关 键 词:临床路径  单病种成本  直接成本  间接成本  电子病历

Implementation of Single Disease Management Based on Clinical Pathway
YANG Meng.Implementation of Single Disease Management Based on Clinical Pathway[J].Journal of Jianghan University:Natural Sciences,2014(5):58-62.
Authors:YANG Meng
Institution:YANG Meng (Financial Department, General Hospital of the Yangtze River Shipping, Wuhan 430010, Hubei , China)
Abstract:With the continuous deepening of the reform of medical system,the importance of the prepayment system of single disease is increasing. Establishment of payment standard of disease should be based on clinical pathway and lay the foundations on the social average medical cost and calculate the payment standard of each disease accurately. By the application of clinical pathway in fees combined with the electronic medical record,the medical process is optimized. The implementa?tion of the system of single disease prepayment can make a more reasonable and scientific pricing, effectively improve the quality of medical management,standardize the nursing service,reduce the medical expense,enhance the core competitiveness of the hospital and provide an effective way to solve the problem of "seeing a doctor is difficult and the fee is expensive" for the common people. The implementation of the management of single disease is the current hospital management direc?tion and inevitable trend.
Keywords:clinical pathway  single disease cost  direct cost  indirect costs  electronic medical re-cords
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