医保患者肿瘤日间病房诊疗模式分析

谢龙涛, 王殿武, 李伟, 张文震

中国医疗保险 ›› 2023, Vol. 0 ›› Issue (1) : 78-81.

中国医疗保险 ›› 2023, Vol. 0 ›› Issue (1) : 78-81. DOI: 10.19546/j.issn.1674-3830.2023.1.014
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医保患者肿瘤日间病房诊疗模式分析

  • 谢龙涛1, 王殿武2, 李伟1, 张文震1
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Analysis of Diagnosis and Treatment Mode of Ambulatory Ward for Cancer Patients Covered by Medical Insurance

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摘要

目的: 介绍肿瘤日间病房管理模式及实践成效,为完善肿瘤日间病房诊疗模式提供建议。方法: 通过问卷调查、资料分析法分析山东省某三甲医院肿瘤日间病房结算数据,探究肿瘤日间病房的优缺点。结果: 肿瘤日间病房结算模式减轻了患者经济负担,减少了医保基金支出,优化了医疗资源使用效率。结论: 探索开展医保政策支持下的肿瘤日间病房管理模式实现了患者、医院、医保三方共赢,对助力公立医院高质量发展、提高医保基金使用效率有着重要意义。

Abstract

Objective: The paper introduces the management model and effect of the cancer day ward, and provides suggestions for improving the cancer day ward model. Methods: Through questionnaire survey and data analysis, the billing data of cancer day ward in a Grade-A hospital in Shandong Province were analyzed to explore the advantages and disadvantages of cancer day ward. Results: The day ward settlement model reduced the economic burden of patients and the expenditure of medical insurance funds, and optimized the efficiency of medical resources. Conclusions: The implementation of the cancer day ward management mode supported by medical insurance policies has achieved a win-win situation for patients, hospitals and medical insurance, which is of great significance for promoting the high-quality development of hospitals and improving the efficiency of medical insurance fund.

关键词

恶性肿瘤 / 日间病房 / 医保结算

Key words

malignant tumor / day ward / medical insurance settlement

引用本文

导出引用
谢龙涛, 王殿武, 李伟, 张文震. 医保患者肿瘤日间病房诊疗模式分析[J]. 中国医疗保险. 2023, 0(1): 78-81 https://doi.org/10.19546/j.issn.1674-3830.2023.1.014
Analysis of Diagnosis and Treatment Mode of Ambulatory Ward for Cancer Patients Covered by Medical Insurance[J]. China Health Insurance. 2023, 0(1): 78-81 https://doi.org/10.19546/j.issn.1674-3830.2023.1.014
中图分类号: F840.684    C913.7   

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