西南医科大学附属医院眼科
Published:2020,
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[1]干锦华,刘利,王芳.基于临床路径的年龄相关性白内障住院费用研究[J].西南医科大学学报,2020,43(02):188-191.
GAN Jinhua, LIU Li, WANG Fang. A clinical path-based study of hospital costs for age-related cataract. [J]. Journal of Southwest Medical University 43(2):188-191(2020)
目的:探讨基于临床路径的年龄相关性白内障住院费用情况。方法:从我院计算机室HIS后台选取2017年1月~2018年12月入我院眼科住院的进入临床路径的年龄相关性白内障患者的病案首页资料
按照国际疾病分类方法(ICD-10-CM)筛选满足首要诊断为H25.901的年龄相关性白内障患者和手术编码为13.4101超声乳化白内障吸除术及手术编码为13.7101人工晶状体一期植入术的患者
分析白内障住院费用情况。结果:本研究共纳入393例患者
均为单眼。患者总费用为9192(8 374
10 618)元。费用构成中
占前三位的分别是材料费、手术费及检查费
分别为4 158(3 643
4 623)元、1 725(1 725
2 588)元和1276元(1 079
1 536)元;占总费用比例的中位数分别为44.8%、20.6%和13.6%。男性患者治疗费用高于女性患者
差异有统计学意义(Z=2.267
P=0.023);不同年龄组患者药品费差异有统计学意义(Z=9.817
P=0.007);70岁及以上患者高于70岁以下患者
差异具有统计学意义(P <0.05)。结论:合理测算单病种年龄相关性白内障费用构成
可为单病种年龄相关性白内障标准化的病种成本核算和疾病诊断相关分组(diagnosis related groups
DRGs)提供理论依据。但未来仍需要更多高质量、大样本的研究进一步探讨单病种年龄相关性白内障的新项目、新技术的费用和最合理的病种成本核算。
Objective: To explore the hospital costs for age-related cataract based on clinical paths. Methods:The hospital information system of the Computer Room in our hospital was searched for the initial pages of patientswith age-related cataract who were admitted to the Department of Ophthalmology in our hospital and had beenplaced on a clinical path from January 2017 to December 2018. Based on the International Classification of Diseas-es
Tenth Revision
Clinical Modification
patients who were primarily diagnosed with age-related cataract(code:H25.901) and underwent phacoemulsification(code: 13.4101) and primary implantation of artificial lens(code:13.7101) were enrolled and analyzed for the hospital costs for treating their cataracts. Results: The study included393 patients with monocular cataract. The total cost for these patients was $9 192(8 374
10 618). In the cost com-position
the top three were material fee median: $4158(3 643
4 623)
surgery fee median: $1 725(1 725
2588)
and examination fee median: $1 276(1 079
1 536)
accounting for 44.8%
20.6%
and 13.6%
respec-tively
of the total cost. The treatment cost of male patients was significantly higher than that of female patients(Z =2.267
P = 0.023). There was a significant difference in drug expenses between different age groups(Z = 9.817
P =0.007)
with significantly higher fees incurred by patients aged ≥ 70 years than by patients aged under 70 years(P < 0.05). Conclusion: A reasonable calculation of the cost composition of age-related cataract as a single diseaseprovides a theoretical basis for standardized cost accounting and diagnosis-related groups for the disease. However
more high-quality and large-sample studies are needed in the future to further explore the costs of new projects andtechnologies related to age-related cataract as a single disease and the most reasonable disease cost accounting.
临床路径年龄相关性白内障住院费用
Clinical pathAge-related cataractHospital cost
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