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中华养生保健 ›› 2022, Vol. 40 ›› Issue (20): 5-8.

• 论著 • 上一篇    下一篇

公立医院多学科(MDT)模式下疾病诊疗护理成本管理研究

邢雪梅1, 王蓓2,*, 陈正红1, 胡继凤1, 赵文婷1, 赵兰1   

  1. 1.南京中医药大学附属中西医结合医院心胸外科,江苏 南京,210028;
    2.江苏省中西医结合医院护理部,江苏 南京 210028
  • 出版日期:2022-10-16 发布日期:2022-10-14
  • 通讯作者: *王蓓,E-mail:wwthk1998@163.com。
  • 作者简介:邢雪梅(1972.2-),女,汉族,籍贯:山东省济宁市,本科,主任护师,研究方向:中西医结合护理、护理管理。
  • 基金资助:
    公立医院MDT模式下疾病诊疗护理成本管理研究(JSYGY-3-2021-486)

Research on Cost Management of Disease Diagnosis and Treatment nder the Multidisciplinary (MDT) Model of Public Hospitals

XING Xue-mei1, WANG Bei2,*, CHEN Zheng-hong, HU Ji-feng, ZHAO Wen-ting, ZHAO Lan   

  1. 1. Department of Cardiothoracic Surgery, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing Jiangsu, 210028, China;
    2. Department of Nursing,Jiangsu Integrated Traditional Chinese and Western Medicine Hospital,Nanjing Jiangsu, 210028, China
  • Online:2022-10-16 Published:2022-10-14

摘要: 目的 随着医疗体制改革对公立医院内部运营管理提出了更高的要求,需加强精细化的成本管理、减少资源浪费,开源节流是内部管控的重要一环。方法 比较多学科诊疗模式(MDT)与传统诊疗模式的区别,在梳理多学科诊疗管理流程的基础上,提出多学科诊疗成本核算原则和思路,并分别按多学科诊疗中心成本、项目成本、病种成本提出了具体的核算方法。结果 多学科诊疗成本核算既为多学科诊疗项目收费提供了依据、为医院内部绩效分配提供了支持,同时也为病种成本管理提供了思路。结论 公立医院MDT模式下疾病诊疗护理成本管理是一个循序渐进的过程,只有采用注重效率、兼顾公平并且能够结合医院公益性和科学的管理方法,才能最大限度地提高经济收益。

关键词: 公立医院, 多学科协作诊疗, 成本管理

Abstract: Objective With the reform of medical system putting forward higher requirements for internal operation and management of public hospitals, it is necessary to strengthen refined cost management and reduce resource waste. Increasing revenue and reducing expenditure is an important part of internal control. Methods The differences between multidisciplinary diagnosis and treatment model and traditional diagnosis and treatment model were compared, and the principles and ideas of multidisciplinary diagnosis and treatment cost accounting were proposed on the basis of sorting out the management process of multidisciplinary diagnosis and treatment, and the specific accounting methods were put forward according to the cost of multidisciplinary diagnosis and treatment center, project cost and disease cost. Results Multidisciplinary diagnosis and treatment cost accounting not only provided the basis for multidisciplinary diagnosis and treatment project charges, but also provided support for hospital internal performance distribution, and provided ideas for disease cost management. Conclusion The cost management of disease MDT model of public hospitals is a gradual process. Only by focusing on efficiency, taking into account fairness, and combining the public welfare of the hospital and scientific management methods,can the economic benefits be maximized.

Key words: public hospital, multidisciplinary collaborative diagnosis and treatment, cost management

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