A control method of total medical expense growth based on disease risk modeling
A technology for growth control and disease risk, applied in the field of medical index quantification, it can solve the unreasonable and unreasonable growth distinction, does not fully consider the differences in patient risk differences, risk differences, differences in treatment and surgical methods, and cannot accurately evaluate each. Issues such as total patient costs, reasonable values for drug use and consumable use
Inactive Publication Date: 2019-03-08
中科厚立信息技术(成都)有限公司
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Problems solved by technology
[0004] The existing technology’s total medical cost growth index does not fully consider the patient’s own risk differences, disease classification and risk differences of complications, and differences in treatment and surgical methods during clinical treatment, and cannot accurately evaluate the total cost of each patient. Reasonable values for drug use and consumable use; therefore no distinction can be made between reasonable and irrational increases in total cost increases
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[0041] In order to have a clearer understanding of the technical features, purposes and effects of the present invention, the specific implementation manners of the present invention will now be described with reference to the accompanying drawings.
[0042] as attached figure 1 As shown, it shows a method for controlling the growth of total medical expenses based on disease risk modeling, including:
[0043] Statistical data of medical institutions in the statistical area;
[0044] Establish a distribution model of the growth rate of total medical expenses; the distribution model includes disease risk modeling data ACMI;
[0045] Calculate the distribution model, and obtain the target growth rate of the total medical expenses through calculation, as the growth limit index of the total medical expenses of the medical institutions in the region;
[0046] The growth restriction index of the total medical expenses is distributed from the upper-level area to the lower-level area...
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The invention provides a control method of total medical expense growth based on disease risk modeling, which comprises the following step of 1 counting the medical institutions in a region; establishing the analysis model of the growth rate of the total medical cost, wherein the core of the analysis model is to quantitatively analyze the rationality of the growth of the total medical use throughdisease risk model and eliminate the unreasonable growth; 2 establishing a growth distribution model of that total medical cost, by calculating the target growth rate of the total medical cost, as thegrowth restriction index of the total medical cost of the medical institutions in the region, through the step-disease risk modeling analysis model, combined with the characteristics of the regionaldisease changes, establishing the total medical cost index allocation model, and then scaling the upper region to the lower region to be allocated. The method of the invention solves the technical problems in the prior art that the growth index of the total medical expense does not sufficiently consider the risk difference of the patients themselves, the risk difference of the disease classification and the complications, and the technical problems that the rationality and the irrationality of the growth index of the total medical expense cannot be distinguished.
Description
technical field [0001] The invention relates to the field of medical index quantification, in particular to a method for controlling the growth of total medical expenses based on disease risk modeling. Background technique [0002] Seven departments including the Medical Reform Office of the State Council, the Health and Family Planning Commission, and the Ministry of Finance issued a notice on comprehensively promoting the comprehensive reform of public hospitals. The average growth rate of medical expenses shall be controlled below 10%. All provinces (autonomous regions, municipalities) and Corps shall set 2017 annual medical cost growth control targets, which shall be broken down to cities, counties and hospitals in various regions based on actual conditions. [0003] Under the strict control policy, in the second half of 2017, some regions or hospitals faced the embarrassment that the annual cost increase may exceed the standard. In order to implement the policy, some s...
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Login to View More IPC IPC(8): G06Q10/06G06Q50/26
CPCG06Q10/0635G06Q50/26
Inventor 陈霞蒋晓龙唐显恒马智魁李涛
Owner 中科厚立信息技术(成都)有限公司