A method and a system for medical cost apportionment and benefit calculation

Abstract

A method for allocate that cost of medical service and calculating the individual benefit of case includes such steps as step 1: carrying out multi-level allocate and cost accounting on the cost of hospital departments, dividing the allocating departments into clinical service departments, medical technology departments, medical auxiliary departments and administrative and logistic departments, dividing the cost of hospital departments into two parts, allocating the cost of hospital departments, and calculating the cost of hospital departments. The multi-level apportionment is a five-level andfour-level apportionment mode for the indirect cost, and the apportionment of the medical service cost is ultimately refined into individual patients; Step 2: Refine the case income structure to include: Revenue from pharmaceuticals (western medicine, traditional Chinese medicine, proprietary Chinese medicine), Consumables income (treatment, surgery, examination), treatment income, surgical income, examination income and other details, matching with the cost-sharing items, income minus cost corresponding statistics of each individual patient's income, thus providing a credible data support for the hospital to carry out targeted income performance evaluation and the decision-making of the doctor group and the department.

Description

technical field [0001] The invention relates to the field of medical cost quantification, in particular to a method and system for medical cost allocation and benefit calculation. Background technique [0002] In recent years, as the scale of our country's hospitals has gradually increased, the difficulty of hospital cost management has also increased. In the traditional hospital cost calculation model, the layered apportionment model is often used for calculation. In recent years, medical service costs have gradually been included in the hospital's cost apportionment system, which mainly includes various manpower, such as wages, benefits and subsidies; Material resources, such as depreciation of fixed assets, medicines and medical consumable materials, etc.; financial resources, such as capital and some other indirect expenses. [0003] However, in the existing technology, even if the method of hospital cost calculation adopts the method of hierarchical allocation, it only...

AI Technical Summary

Problems solved by technology

However, this cost-sharing model cannot be used to represent the cost-effectiveness of individual patients, so it cannot provide targeted suggestions and decision-making guidance for the diagnosis and treatment of patients in departments

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