Study on the Effects of Artificial Pricing System in Wound Care Clinic_West China Medical Journal

Authors：

 LIUXue-qin ¹ , MARui ² , FANHong-jing ³ , LIUQing ⁴ , LIUYan ³

1. Department of Nursing, Beijing 102206, P. R. China;
2. Department of Otorhinolaryngology, Beijing 102206, P. R. China;
3. Intensive Care Unit, Beijing 102206, P. R. China;
4. Department of Gynecology;Peking University International Hospital, Beijing 102206, P. R. China;

Corresponding author：

Keywords：

Pricing system; Wound care clinic; Patients safety

DOI：

10.7507/1002-0179.20140499

Video：

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Objective To analyze the application of artificial pricing system in wound care clinic. Methods We retrospectively analyzed the pricing and charging by five nurses with artificial pricing system between January and May 2013 in the wound care clinic of a grade-A level-three hospital in Beijing. Among the 1012 times of pricing, 448 were out-of-pocket cases, 372 were insurance cases and 192 were military cases. Results Generally, the average fee of the three types of cases had no significant difference (P>0.05). The military case was a little higher than the other two kinds of cases, and the cost of insurance cases was the lowest of all. There were no significant difference between the average price of out-of-pocket cases and military cases, and the general average price, but there was some differences in the aspect of insurance pricing. In the insurance cases, two nurses' pricing was significantly lower and one significantly higher than the general average (P<0.05). Conclusion The artificial pricing system is unstable and uncertain, and it has high risk on patients'safety in wound care clinic.

Citation： LIUXue-qin, MARui, FANHong-jing, LIUQing, LIUYan. Study on the Effects of Artificial Pricing System in Wound Care Clinic. West China Medical Journal, 2014, 29(9): 1626-1629. doi: 10.7507/1002-0179.20140499 Copy

1.	刘敏超.医院信息化中划价问题研究[J].中国医疗设备,2009,24(3):72-74.
2.	李健.划价与医院信息化问题研究[J].医学信息,2009,22(10):1988-1991.
3.	郭薇薇,陈相武,喻星旻,等.医院门诊收费工作研究进展[J].现代医院,2012,12(4):132-134.
4.	于星,唐荣福.质疑处方"划价"易位的合理性[J].中国药房,2009(1):44-45.
5.	张培林,郑万会,颜维华,等.从急病为主到慢病为主看卫生经费管理发展[J].慢性病学杂志,2010,12(2):97-98.
6.	袁芳萍,廖坤.门诊换药室护患纠纷原因探讨及防范措施[J].求医问药·学术版,2012,10(1):335-336.
7.	郑伟一,林枫,刘艳萍,等.从医疗费用情况看完善支付机制的重要性[J].中国卫生经济,2004,23(2):48-50.
8.	李凯,刘玉香.医疗费用过快增长成因及对策[J].中国医院统计,1999,3(1):40-41.
9.	李维嫣.公立医院内部成本核算中存在的问题和对策[J].医学信息·中旬刊,2011,24(2):704.
10.	严耀.新医改方案下改进公立医院成本核算工作的方法探究[J].行政事业资产与财务,2012,1(2):41-42.
11.	封黎利.成本核算和绩效管理研究——以医院为例[J].中国集体经济,2012,34(34):75-77.
12.	李刚.口腔诊所收费标准的确定[J].广东牙病防治,2008,16(4):185-186.
13.	于春华,蒋琪霞,仲继红,等."一次性耗材伤口护理专项培训考核"效果的评价研究[J].中国医学装备,2012,9(1):26-29.
14.	易红,黄奇,叶红,等.新医疗服务项目及收费标准对住院费用和收费结构的影响[J].中国卫生经济,2007,26(12):53-55.
15.	李文胜,彭修瑜,秦大成,等.医疗保险实行单病种定额结算的成本-效果分析[J].中国卫生经济,2007,26(3):18-20.
16.	亢雪岩.单病种费用过高的原因及其对策[J].中日友好医院学报,2004,18(2):125.

1. 刘敏超.医院信息化中划价问题研究[J].中国医疗设备,2009,24(3):72-74.
2. 李健.划价与医院信息化问题研究[J].医学信息,2009,22(10):1988-1991.
3. 郭薇薇,陈相武,喻星旻,等.医院门诊收费工作研究进展[J].现代医院,2012,12(4):132-134.
4. 于星,唐荣福.质疑处方"划价"易位的合理性[J].中国药房,2009(1):44-45.
5. 张培林,郑万会,颜维华,等.从急病为主到慢病为主看卫生经费管理发展[J].慢性病学杂志,2010,12(2):97-98.
6. 袁芳萍,廖坤.门诊换药室护患纠纷原因探讨及防范措施[J].求医问药·学术版,2012,10(1):335-336.
7. 郑伟一,林枫,刘艳萍,等.从医疗费用情况看完善支付机制的重要性[J].中国卫生经济,2004,23(2):48-50.
8. 李凯,刘玉香.医疗费用过快增长成因及对策[J].中国医院统计,1999,3(1):40-41.
9. 李维嫣.公立医院内部成本核算中存在的问题和对策[J].医学信息·中旬刊,2011,24(2):704.
10. 严耀.新医改方案下改进公立医院成本核算工作的方法探究[J].行政事业资产与财务,2012,1(2):41-42.
11. 封黎利.成本核算和绩效管理研究——以医院为例[J].中国集体经济,2012,34(34):75-77.
12. 李刚.口腔诊所收费标准的确定[J].广东牙病防治,2008,16(4):185-186.
13. 于春华,蒋琪霞,仲继红,等."一次性耗材伤口护理专项培训考核"效果的评价研究[J].中国医学装备,2012,9(1):26-29.
14. 易红,黄奇,叶红,等.新医疗服务项目及收费标准对住院费用和收费结构的影响[J].中国卫生经济,2007,26(12):53-55.
15. 李文胜,彭修瑜,秦大成,等.医疗保险实行单病种定额结算的成本-效果分析[J].中国卫生经济,2007,26(3):18-20.
16. 亢雪岩.单病种费用过高的原因及其对策[J].中日友好医院学报,2004,18(2):125.

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Study on the Effects of Artificial Pricing System in Wound Care Clinic

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