病种质量管理方式探讨 ——以剖宫产为例

目的 以剖宫产为例研究病种管理方式，探讨病种纳入标准。方法 采用统计学分析法，对不同指征剖宫产按照住院天数、住院费用进行分组，并对其住院费用的影响因素进行分析。结果 5组不同指征剖宫产数据根据住院费用指标可分为3组，按照住院天数指标分类则可归纳为2组，并且经分析发现，影响不同指征剖宫产术住院总费用的因素主要为药费、住院天数。结论 可以依据医疗资源消耗的相似性制定病种纳入标准，扩大病种质量控制体系范围；此外，通过控制关键影响因素来加强病种质量管理，降低患者医疗费用。

Study on the Way of Disease Management: A Case Study for Cesarean Section

Objective Through studying on the way of disease management with the case of cesarean section, to probe the case income criterion. Methods Using the statistical analysis, grouping the different medical indication of cesarean section according to the hospitalization expenses and hospitalization days, and analyzing the influence factors of hospitalization expenses. Results Five groups of cesarean section are divided into three groups according to hospitalization expenses and clarifiedinto two groups according to hospitalization days. Meanwhile, it is found that the key factors, which influence the cesarean section, are medicine expense and hospitalization days. Conclusion The case income criterion can be explained by the similarity of consumption of medical resources. Through strengthening the quality control of categorized diseases by controlling the key factors, the medical cost can been reduced.