三级医院单病种不同手术方式费用效益分析.pdfVIP

三级医院单病种不同手术方式费用效益分析 515000汕头市广东省汕头市中心医院中山大学附属汕头医院林碹杨少雄陈纯真叶惠青洪春燕篮斌 摘要 目的为了研究如何更有效利用医疗资源，制定出合理的医疗费用标准．探讨手术科单病种不同手术方式的费 用效益。方法选取子宫平滑肌瘤、胆囊结石伴胆囊炎、单纯性阑尾炎等三种单病种，对其两种手术方式的住院费用、住院 日、患者满意度等方面的差异进行分析。结果三种单病种腹腔镜手术组与开腹手术组在费用、住院Et、患者满意度等均有 显著性统计学差异(P0．05)。结论腹腔镜手术既减轻患者疼痛，术后恢复快，又缩短住院日，提高了患者满意度，增进了 医患问的和谐关系，有效地控制了医疗费用，提高社会效益及经济效益。 关健词单病种；手术方式；费用；效益分析 StudiesontheCostandEffectivenessofDifferent Onthe Diseaseinthe Lin Single Xuan，Yang OperationStyles Hospital Central Shantou Sun Shaoxiong,Chen Ye，ChunyanHong,BinLan，ShantouHospital．Affiliatedhospital Chunzhen，Huiqing Yat·Sen 15000China University．Shantou．5 andmakethe of Abstract Inordertoutilizethemedicalresourcemore criterion Objective effectively consuming payment onthecostandeffectivenessofdifferent ofthe diseaseinthe MethodWe morereasonable，we study operationstyles single hospital choosethreckindsof of with and to the Choleeystitis analyze singedisease：LeiomyomaUterus，CholecystolithiasisAppendicitis thedifferent differencesthe of and satisfactionwhoweretreated amongaveragehospitalizationexpenses，lengthstay patient by Betweenthe with and with isthestatistical the significance operationstyles．Result patientslaparoscopepatientslaparotomy,there (P0．05)inthe of andsatisfaction．ConclusionThe canrelievethe faster, operationexpenses,lengthstay lapa