Research On Diagnosis And Treatment Costs And Diagnosis And Treatment Behavior Of Appendicitis And Coronary Heart Disease

Like our country and developed countries face the threat of excessive growth of medical costs,according to the Ministry of Health Statistics Yearbook published data show that in 1984-2013,total health expenditure increased from 24.207 billion yuan to 3.186895 trillion yuan,30 years,an increase of more than 100 times,while in 2013 both times hospital outpatient expenses and hospital costs per capita at constant prices compared with last year's average of 4.5%and were up 3.9%.The reason is that according to our current medical fee-oriented model there is a big drawbacks and risks,according to the medical fee system projects a lack of uniform treatment protocols,the number and scope of projects and services in different hospitals are quite different,even if the provisions of the Medical service Unit,the hospital is still possible by increasing the number of health care services to improve the health care costs,resulting in many unnecessary services and unreasonable costs.Therefore,this study combined with the existing single-DRGs and international experience of DRGs to pay for appendicitis and coronary heart disease were two types of the disease costs,as well as comparative analysis of the factors affecting the hospital,to provide reasonable for our future DRGs mode reference proposal.Objective:This study of two types of common appendicitis and coronary heart disease and the cost estimates made up,and the corresponding medical sort of project,from multi-angle multi-level analysis of the same disease at all levels between the hospital,the hospital fees and other differences among the various levels inside and outside the doctor and found all kinds of factors influence the cost of the disease,as well as the behavior of the different treatment of hospital or doctor to provide empirical reference for the study of disease treatment costs for hospitals and the relevant departments to standardize the behavior of medical services propose viable management methods,and the implementation of DRGs and pricing for the next hospital and medical insurance sector reference.Methods:For domestic and foreign literature on the cost of disease management,hospitals and clinics compare the cost of the disease behavior of Summarization and collect basic patient information platform consolidation project subject of two types of disease,disease diagnosis and medical information services cost data.Using basic descriptive statistics methods,among various diseases,hospital main analysis field and characteristics among factors were analyzed;reasonable use of expert consultation,demonstration cost range;variance analysis,verification between the disease among hospital and various characteristics among many factors influence the cost of group differences in the samples;multiple linear regression analysis,screening out the main factors studied two types of disease costs.Contents:according to two types of appendicitis and coronary heart disease outpatient and inpatient cost data First,calculate the cost of disease and the constitution,and to analyze the cost of the difference between disease categories,and give each cost range of diseases.Secondly,on the basis of a select sample of the largest sub-category of disease,carried out between the various hospitals,between integrated and specialized hospitals,there are differences between specialty hospitals and other hospital costs,medical services and the use of in-depth analysis.Finally,select the social characteristics factors and disease related factors to explore the main factors affecting the cost of the two types of disease.Conclusion:The presence of appendicitis and various cost categories and sub-categories Category coronary heart disease among some differences.Some of the cases of appendicitis disease sub-categories of analysis indicated that the cost difference between the major diseases that medical services on the use of different types.As for the cost difference between the two kinds of disease among the same sub-category inside the hospital and physician disease analysis,found that the use of higher priced items or the number of projects using a higher situation exists in the hospital and doctors diagnosis and treatment.After Taking Two inpatient cost data Case study factors showed that differences existed between the various factors internal classification,regression analysis results,the direct impact on the cost of hospitalization for appendicitis factors:the level of the hospital,each hospital,age,drug accounting,length of stay,whether the major surgery;a direct impact on coronary heart disease hospitalization expenses for:hospital level,gender,age group,accounting for sanitary materials,length of stay,the number of secondary diagnosis,whether the major surgery.Also,two types of diseases both times the cost of the combination of comparative analysis,reflecting the various hospitals,clinics different diseases trend.At the same time,there are some common types of diseases in the outpatient and inpatient fee structure,and attendances trends and so on.