Patient expense reminding method, equipment and medium

Abstract

The invention belongs to the field of digital medical treatment, and discloses a patient expense reminding method and device and a medium, and the patient expense reminding method comprises the steps: obtaining the DRG standard expense of a patient; obtaining a first overall medical cost predicted by the patient; and sending expense reminding information according to the first overall medical expense and the DRG standard expense. According to the invention, a doctor can know the overall medical cost of a patient before an operation, and the situation that the overall medical cost exceeds the DRG standard cost due to improper use of consumables is avoided. The doctor can timely adjust the use of the consumables in the operation plan according to the prompt, so that the medical cost can be reasonably controlled, the possible economic pressure of the hospital and the doctor can be reduced, and the reasonable use of the medical insurance fund can be facilitated.

Description

Technical Field

[0001] The present invention relates to the field of digital medicine, and in particular to a method, device and medium for reminding patients of expenses. Background Art

[0002] DRG (Diagnosis Related Groups) is a tool used for medical expense payment and medical service management. It can achieve accurate payment of medical expenses and improve the efficiency of medical insurance fund use; by setting payment standards, it can control the unreasonable growth of medical expenses and reduce the pressure of medical insurance payment; it can promote medical institutions to improve the quality and efficiency of medical services and provide better medical protection for insured persons.

[0003] When a patient undergoes surgery, the doctor can only select consumables in real time according to the patient's condition during the operation. Choosing different consumables will result in different surgical costs, which may cause the patient's first overall medical expenses to exceed the DRG payment standard. Among them, the patient's first overall medical expenses generally include treatment service fees (hospitalization fees, surgery fees, anesthesia fees, rehabilitation fees, material fees, treatment fees, etc.) and consumables fees during surgery. Because the treatment service fees are basically fixed, the factors affecting the patient's first overall medical expenses are mainly surgical consumables fees. Therefore, the hospital believes that if the overall medical expenses exceed the DRG payment standard, the consumables costs are too high, and the excess costs shall be borne by the surgeon. During the operation, the surgeon cannot promptly understand whether the first overall medical expenses are higher than the DRG payment standard due to the use of consumables.

[0004] Therefore, how to enable surgeons to reasonably select surgical consumables and thus reasonably control the patient's overall medical expenses is an issue that needs to be addressed urgently. Summary of the invention

[0005] The present invention provides a patient expense reminder method, device and medium, aiming to solve the technical problem that surgeons cannot reasonably select consumables during surgery and thus cannot reasonably control the overall medical expenses of patients.

[0006] In order to achieve the above-mentioned object of the invention, the first aspect of the present invention provides a patient fee reminder method, comprising the steps of:

[0007] Obtain the patient's DRG standard costs; and,

[0008] Obtaining a first overall medical expense estimated for the patient;

[0009] Based on the first overall medical expenses and the DRG standard expenses, a cost reminder message is issued.

[0010] Further, the first overall medical expenses include treatment service fees and the first overall consumables fees;

[0011] The step of obtaining the first overall medical expenses estimated for the patient comprises:

[0012] Obtaining the treatment service fee of the patient on the HIS system; and,

[0013] Acquire different types of first single consumables expected to be used in the surgical plan, and the expected usage quantity of each of the first single consumables;

[0014] Go to the preset consumables library to search for the unit price of each of the first single consumables;

[0015] Calculate the first overall consumables fee based on the estimated usage quantity of each of the first single consumables and the unit price of each of the first single consumables;

[0016] The first overall medical expense is calculated based on the treatment service fee and the first overall consumables fee.

[0017] Furthermore, the step of issuing fee reminder information according to the first overall medical expenses and the DRG standard expenses includes:

[0018] comparing the first overall medical expenses with the DRG standard expenses;

[0019] When the comparison result shows that the first overall medical expense is greater than the DRG standard expense, a prompt is issued to ask whether to adjust the first overall medical expense;

[0020] When the comparison result is that the first overall medical expense is less than or equal to the DRG standard expense, there is no need to issue a prompt on whether to adjust the first overall medical expense.

[0021] Furthermore, when the comparison result is that the first overall medical expense is greater than the DRG standard expense, after the step of issuing a prompt whether to adjust the first overall medical expense, the method further includes:

[0022] determining whether an instruction to adjust the first overall medical expense has been received;

[0023] If so, the first overall medical expense is adjusted according to a preset algorithm;

[0024] If not, there is no need to adjust the first overall medical expense.

[0025] Furthermore, the step of adjusting the first overall medical expenses according to a preset algorithm includes:

[0026] Acquire historical surgery information in which the historical overall consumables cost is less than the first overall consumables cost, wherein the similarity between the condition information in the historical surgery information and the condition information in the surgery plan reaches a preset condition threshold;

[0027] Determining whether all surgical consumables used in the historical surgery exist in the consumables library;

[0028] If not, it is reminded that there is no suitable history of surgery;

[0029] If so, all the surgical consumables corresponding to the historical surgery are used as the surgical consumables used in the surgical plan to complete the adjustment of the first overall medical expenses.

[0030] Furthermore, the step of adjusting the first overall medical expenses according to a preset algorithm includes:

[0031] Obtaining functional parameters and / or key indicators of the first single consumable;

[0032] Screening out from the consumables library a second single consumable whose similarity to the functional parameter and / or key indicator reaches a preset parameter threshold and whose unit price is lower than that of the first single consumable;

[0033] The second single consumable is used to replace the first single consumable, thereby completing the adjustment of the first overall medical expenses.

[0034] Furthermore, the step of adjusting the first overall medical expenses according to a preset algorithm includes:

[0035] Analyze various performance characteristics of each of the first single consumables of different types expected to be used in the surgical plan, and establish a performance characteristic model;

[0036] Retrieving from the consumables library a second single consumable whose matching degree with the performance characteristic model reaches a preset range;

[0037] Screening out the second single consumable whose unit price is less than that of the first single consumable;

[0038] The screened second single consumable is used to replace the first single consumable, thereby completing the adjustment of the first overall medical expenses.

[0039] Furthermore, the step of adjusting the first overall medical expenses according to a preset algorithm includes:

[0040] Constructing a cost prediction model, wherein the cost prediction model is trained based on the correlation between the first overall consumables formed by different single consumable combinations in different surgeries and the overall medical expenses;

[0041] When selecting the second overall consumable, the candidate second single consumable and the key elements in the surgical plan are input into the cost prediction model to obtain the predicted second overall medical expenses in real time;

[0042] When the second overall medical expenses are less than the DRG standard expenses, the second overall consumables corresponding to the second overall medical expenses are used as the consumables expected to be used in the surgical plan to complete the adjustment of the first overall medical expenses.

[0043] A second aspect of the present invention provides a computer device, comprising a memory and a processor, wherein the memory stores a computer program, and when the processor executes the computer program, the steps of the patient expense reminder method as described in any one of the above items are implemented.

[0044] A third aspect of the present invention provides a computer-readable storage medium having a computer program stored thereon, wherein when the computer program is executed by a processor, the steps of the patient expense reminder method as described in any one of the above items are implemented.

[0045] Beneficial effects:

[0046] The present invention provides a patient expense reminder method, device and medium, wherein the method first obtains the patient's DRG standard expense and obtains the patient's first overall medical expense. Afterwards, the first overall medical expense is compared with the DRG standard expense. If the first overall medical expense is greater than the DRG standard expense, it may be necessary to take measures to adjust it, and then give corresponding reminder information; if it is less than or equal to, it means that the current expense plan is reasonable, and of course, corresponding reminder information will be given. Finally, a corresponding prompt is issued according to the comparison result. In this way, the present invention enables doctors to have a general understanding of the patient's overall medical expenses before surgery, avoiding the overall medical expenses exceeding the DRG standard expense due to improper use of consumables. Doctors can adjust the use of consumables in the surgical plan in a timely manner according to the prompts, which helps to reasonably control medical expenses and reduce the economic pressure that hospitals and doctors may face. It also helps to reasonably use medical insurance funds and ensure the sustainability of the medical insurance system. BRIEF DESCRIPTION OF THE DRAWINGS

[0047] Figure 1 A flowchart of a patient expense reminder method according to an embodiment of the invention;

[0048] Figure 2 A flowchart of whether to issue a reminder and whether to adjust the first overall medical expenses according to an embodiment of the invention;

[0049] Figure 3 A flowchart of a patient expense reminder method according to an embodiment of the invention;

[0050] Figure 4The figure is a schematic diagram of the structure of a computer device according to an embodiment of the invention.

[0051] The realization of the purpose, functional features and advantages of the present invention will be further explained in conjunction with embodiments and with reference to the accompanying drawings. DETAILED DESCRIPTION

[0052] In order to make the purpose, technical solution and advantages of the present application more clearly understood, the present application is further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present application and are not used to limit the present application.

[0053] It will be understood by those skilled in the art that, unless expressly stated, the singular forms "a", "an", "above", and "the" used herein may also include plural forms. It should be further understood that the term "comprising" used in the specification of the present invention refers to the presence of features, integers, steps, operations, elements, modules, modules and / or components, but does not exclude the presence or addition of one or more other features, integers, steps, operations, elements, modules, modules, components and / or groups thereof. It should be understood that when we refer to an element as being "connected" or "coupled" to another element, it may be directly connected or coupled to the other element, or there may be an intermediate element. In addition, the "connection" or "coupling" used herein may include wireless connection or wireless coupling. The term "and / or" used herein includes all or any module and all combinations of one or more associated listed items.

[0054] It will be understood by those skilled in the art that, unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as generally understood by those skilled in the art in the art to which the present invention belongs. It should also be understood that terms such as those defined in general dictionaries should be understood to have meanings consistent with the meanings in the context of the prior art, and will not be interpreted with idealized or overly formal meanings unless specifically defined as herein.

[0055] Reference Figure 1 The embodiment of the present invention provides a patient expense reminder method, comprising the steps of:

[0056] S1. Obtain the patient's DRG standard fee; and

[0057] S2. obtaining the first overall medical expenses estimated for the patient;

[0058] S3. Issue a cost reminder message based on the first overall medical expenses and the DRG standard expenses.

[0059] As in the above steps S1-S3, first, obtain the patient's DRG standard fee, which is the standard medical fee amount for the disease set by the medical insurance department based on the disease diagnosis-related grouping. Then obtain the patient's estimated first overall medical expenses, which mainly include treatment service fees and surgical consumables costs. Please refer to the specific description below. Afterwards, compare the first overall medical expenses with the DRG standard expenses. If the first overall medical expenses are greater than the DRG standard expenses, measures may need to be taken to adjust them; if they are less than or equal to, it means that the current cost plan is reasonable. Finally, issue corresponding reminder information based on the comparison results, such as reminding doctors to pay attention to the use of consumables when the costs are too high.

[0060] The patient expense reminder method of this application can allow doctors to have a general understanding of the patient's overall medical expenses before surgery, avoiding the overall medical expenses exceeding the DRG standard fees due to improper use of consumables. Doctors can adjust the use of consumables in the surgical plan in a timely manner according to the prompts, which helps to reasonably control medical expenses and reduce the economic pressure that hospitals and doctors may face. It also helps to reasonably use medical insurance funds and ensure the sustainability of the medical insurance system.

[0061] Reference Figure 2 In one embodiment, the first overall medical expenses include treatment service fees and first overall consumables fees; the step S2 of obtaining the first overall medical expenses estimated for the patient includes:

[0062] S21, obtaining the treatment service fee of the patient in the HIS system; and,

[0063] S22, obtaining different types of first single consumables expected to be used in the surgical plan, and the expected usage quantity of each of the first single consumables;

[0064] S23, searching the preset consumables library for the unit price of each of the first single consumables;

[0065] S24, calculating the first overall consumables fee based on the estimated usage quantity of each of the first single consumables and the unit price of each of the first single consumables;

[0066] S25. Calculate the first overall medical expense based on the treatment service fee and the first overall consumables fee.

[0067] As described in the above steps S21-S25, first, the patient's treatment service fee is obtained from the hospital's HIS (hospital information system). The treatment service fee here includes various expenses such as hospitalization fees, surgical fees, anesthesia fees, rehabilitation fees, material fees, and treatment fees. These fees are relatively fixed in the treatment of the same disease. Then, the first overall consumables fee expected to be used in the patient's surgical plan is obtained. This requires first determining the different types of first single consumables expected to be used in the surgical plan and their expected usage quantities, and then searching the unit price of each first single consumable in the preset consumable library, and finally calculating the first overall consumables fee based on the quantity and unit price. By adding the treatment service fee and the first overall consumables fee, the patient's first overall medical expenses can be estimated. Specifically, in the process of determining the first overall consumables fee expected to be used in the surgical plan, it is necessary to understand in detail which different types of first single consumables will be used in the surgical plan and their respective expected usage quantities. For example, in a heart surgery plan, multiple consumables such as heart stents, catheters, guidewires, etc. may be used, and it is necessary to clarify how many of each consumable are needed. Then, go to the consumables library pre-set by the hospital to find the unit price of these single consumables. This consumables library is where the hospital manages and records the prices of various consumables. By obtaining the quantity and unit price, using multiplication operations, that is, multiplying the quantity of each consumable by its unit price, and then adding up the costs of all single consumables, you can accurately calculate the first overall consumable cost expected to be used in the surgical plan. This calculation method is both accurate and reasonable, and can provide an accurate data basis for subsequent judgments on whether the overall medical expenses are reasonable.

[0068] Accurately calculating the first overall consumables cost in the surgical plan provides key data for estimating the overall medical costs. Doctors can clearly understand the impact of different consumables on costs, so they can be more cautious when choosing consumables, which helps to reasonably control medical costs. At the same time, it also makes it easier for hospitals to manage and monitor the use and costs of consumables, thereby improving hospital management efficiency.

[0069] Reference Figure 3 In one implementation, the step S3 of generating fee reminder information based on the first overall medical expenses and the DRG standard expenses includes:

[0070] S31, comparing the first overall medical expenses with the DRG standard expenses;

[0071] S32, when the comparison result is that the first overall medical expense is greater than the DRG standard expense, issuing a prompt whether to adjust the first overall medical expense;

[0072] S33. When the comparison result is that the first overall medical expense is less than or equal to the DRG standard expense, there is no need to issue a prompt on whether to adjust the first overall medical expense.

[0073] The comparison between the first overall medical expenses and the DRG standard expenses can be the first overall medical expenses minus the DRG standard expenses, and whether the first overall medical expenses are greater than the DRG standard expenses can be determined based on the positive or negative difference. For example, if the difference is positive, it means that the first overall medical expenses are greater than the DRG standard expenses; it can also be the first overall medical expenses divided by the DRG standard expenses, and whether the first overall medical expenses are greater than the DRG standard expenses can be determined based on whether the quotient is greater than 1. For example, if the quotient is greater than 1, it means that the first overall medical expenses are greater than the DRG standard expenses. After the comparison between the first overall medical expenses and the DRG standard expenses is completed, if it is found that the first overall medical expenses are greater than the DRG standard expenses, a corresponding prompt needs to be issued. What is issued here is a prompt on whether to adjust the first overall medical expenses. This prompt will be displayed on the relevant system interface used by the doctor. For example, when the doctor is checking the cost of the surgical plan, if he sees this prompt, he will know that the current use of consumables may cause the cost to exceed the standard, and he needs to consider whether to adjust the first overall consumables. The doctor can decide whether to accept this prompt and take action based on the specific situation of the patient, the complexity of the operation and his own professional experience.

[0074] Prompts to adjust consumables are issued in a timely manner so that doctors can be informed of excessive costs at the first time, giving doctors the opportunity to adjust consumables to avoid economic losses to hospitals and doctors due to excessive costs. It also helps to reasonably control patients' medical expenses to make them meet the requirements of DRG standard fees.

[0075] Reference Figure 3 In one embodiment, after the step S32 of issuing a prompt whether to adjust the first overall medical expenses when the comparison result is that the first overall medical expenses are greater than the DRG standard expenses, the following steps are included:

[0076] S34, determining whether an instruction to adjust the first overall medical expenses has been received;

[0077] S35. If yes, adjusting the first overall medical expenses according to a preset algorithm;

[0078] S36. If not, there is no need to adjust the first overall medical expenses.

[0079] As described above, after issuing a prompt on whether to adjust the first overall medical expenses, the system will wait for the doctor's feedback to determine whether the instruction to adjust the first overall medical expenses has been received. For example, if the doctor decides to adjust, then it is necessary to select a suitable second single consumable in the consumable library to replace the corresponding first single consumable. When selecting the second single consumable, it is necessary to ensure that it has the same function as the first single consumable. For example, if the first single consumable is a specific model of orthopedic implant, then the selected second single consumable should also be an implant that can play the same supporting and fixing role. Then the selected second single consumable replaces the corresponding first single consumable in the surgical plan to obtain a new surgical plan. In this process, it is necessary to continuously evaluate whether the second overall medical expenses after replacement are less than or equal to the DRG standard fee. The judgment can be made by recalculating the second overall medical expenses, that is, re-obtaining the treatment service fee and the second overall consumable fee after replacing the second single consumable, adding them together to obtain the second overall medical expenses and comparing them with the DRG standard fee. It should be noted that when selecting the second single consumable, the doctor can make manual adjustments as needed, or it can be automatically adjusted based on a preset method. When making adjustments, we are not limited to selecting only the second single consumable whose price is lower than the first single consumable. It is also possible that the price of a second single consumable is higher than the first single consumable, as long as the final second overall medical expenses are less than or equal to the DRG standard expenses.

[0080] When doctors decide to adjust consumables, they can effectively reduce overall medical expenses by selecting a suitable second single consumable to replace the first single consumable, so that it meets the requirements of DRG standard expenses. At the same time, it ensures that the second single consumable has the same function as the first single consumable, will not affect the effect and quality of the operation, and ensures the patient's treatment effect.

[0081] In one embodiment, step S35 of adjusting the first overall medical expenses according to a preset algorithm includes:

[0082] S3511, obtaining historical surgery information in which the historical overall consumables cost is less than the first overall consumables cost, wherein the similarity between the condition information in the historical surgery information and the condition information in the surgery plan reaches a preset condition threshold;

[0083] S3512, determining whether all surgical consumables used in historical surgeries exist in the consumables library;

[0084] S3513, if not, then remind that there is no suitable history of surgery;

[0085] S3514: If yes, then all the surgical consumables corresponding to the historical surgery are used as the surgical consumables used in the surgical plan to complete the adjustment of the first overall medical expenses.

[0086] As described in S3511-S3514 above, adjusting the first overall medical expenses is to adjust the first overall consumables in the surgical plan. First, the similarity between the condition information in the historical surgical information and the condition information in the surgical plan is calculated; the condition information may include the patient's basic information (such as name, age, gender, occupation, etc.), medical history (past medical history, family medical history, allergy history), symptoms (type, degree, onset time, duration, aggravating or alleviating factors and accompanying symptoms of the main symptoms) and related examination results (such as laboratory test data, imaging examination reports, etc.), treatment process (past treatment plans, treatment effects, medication conditions, etc.) and other information; the method for calculating the similarity can choose any calculation method in the prior art, such as calculating the cosine similarity of symptom vectors, symptom matching ratio, comprehensive score comparison based on symptom weights, or using disease classification code matching, semantic similarity analysis of condition text, etc., and selecting historical surgeries with similarity greater than a preset condition threshold, the preset condition threshold can be 95%, etc. Because the similarity between the condition information in the historical surgery and the condition information in the surgical plan reaches the preset condition threshold, it means that the surgical plan corresponding to the historical surgery can be used to treat the condition corresponding to the surgical plan. For example, in a knee replacement surgery, the historical consumables in the historical surgery only have a certain joint prosthesis that is different from the joint prosthesis in the surgical plan (for example, the price and brand are different), but the function and quantity are the same, but the cost of a certain joint prosthesis used in the historical surgery is lower than the cost of the joint prosthesis used in the current plan, and the overall cost meets the requirements. At this time, it can be determined whether there are all the surgical consumables used in the historical surgery in the consumable library. In another case, if the cost of the joint prosthesis in the knee replacement surgery is slightly higher than the cost of the joint prosthesis used in the current plan, but the cost of other consumables such as bone cement is lower than the cost of other consumables such as bone cement used in the current plan, it can be determined whether there are all the surgical consumables used in the historical surgery in the consumable library. In the above two cases, if there are all the surgical consumables used in the historical surgery, all the surgical consumables corresponding to the historical surgery can be directly used as the surgical consumables used in this surgical plan, that is, the surgical plan of the historical surgery is replaced as a whole. The advantage of doing this is that you can learn from past successful experiences and quickly find a replacement plan that meets the requirements, which saves time and guarantees costs and effects.

[0087] By referring to historical surgical information, it is possible to quickly find the second overall consumables that meet the requirements, saving time and energy in selecting the second overall consumables. At the same time, because it is based on previous successful cases, it can ensure that the cost meets the requirements, and the surgical effect can also be guaranteed, the surgical plan is determined, and then the adjustment of the first overall medical expenses is completed.

[0088] In one embodiment, the step S35 of adjusting the first overall medical expenses according to a preset algorithm includes:

[0089] S3521. Obtaining functional parameters and / or key indicators of the first single consumable;

[0090] S3522, screening out from the consumables library a second single consumable whose similarity with the functional parameter and / or key indicator reaches a preset parameter threshold and whose unit price is lower than that of the first single consumable;

[0091] S3523. Replace the first single consumable with the second single consumable to complete the adjustment of the first overall medical expenses.

[0092] As described in the above steps S3521-S3523, the functional parameters and / or key indicators of the first single consumable are first obtained, and then the second single consumable whose similarity with the functional parameters and / or key indicators reaches the preset parameter threshold and whose unit price is less than that of the first single consumable is screened out in the consumable library. That is to say, the functional parameters and / or key indicators of the second single consumable and the corresponding first single consumable may not be exactly the same, but the familiarity of the functional parameters and / or key indicators of the two shall be greater than or equal to the preset parameter threshold, such as the preset parameter threshold may be 97%, etc. The method for calculating the similarity may be any calculation method in the prior art, such as the calculation method of cosine similarity, etc. Specifically, the second single consumable may be selected from the consumable library only based on the functional parameters of the first single consumable; the second single consumable may be selected from the consumable library only based on the key indicators of the first single consumable; the second single consumable may also be selected from the consumable library based on both the functional parameters and key indicators of the first single consumable. By selecting different parameters (functional parameters and / or key indicators), the obtained set of second single consumables may be different. For example, when the second single consumable is screened in the consumable library based on the functional parameters and key indicators of the first single consumable, the number of second single consumables in the obtained set of second single consumables will be smaller, but the compatibility of each second single consumable with the surgery will be higher. For example, for a pacemaker, its functional parameters may include pacing frequency, battery life, etc., and key performance indicators may include reliability, safety, etc. Then, a set of second single consumables with an overall similarity threshold with the functional parameters and key performance indicators of the first single consumable that reaches a preset parameter threshold is screened out in the consumable library. For example, when screening the second single consumables of pacemakers, those pacemakers with the same pacing frequency and battery life and whose reliability and safety meet the requirements will be found. Next, the applicability score of each second single consumable in the set of second single consumables is estimated. The system will score based on pre-set algorithms and rules. These rules generally consider the following factors: First, the compatibility with the patient's condition. The system will analyze the applicability of each second single consumable under the patient's condition based on the patient's medical records, including age, gender, medical history, current disease severity, etc. For example, for older patients with multiple underlying diseases, the system will be more inclined to choose second single consumables that put less burden on the body and give higher scores accordingly. The second is the adaptability to the surgical operation. The system will evaluate the ease of use and compatibility of the second single consumable during the operation based on the specific operating steps and requirements in the surgical plan. For example, for some complex surgical operations, it is necessary to use second single consumables that are easy to operate and work well with other surgical instruments. The system will give scores based on these factors.Finally, based on the reference of past clinical data, the system will analyze the clinical cases in which the second single consumable was used in the past, and collect statistics on its success rate, complication rate and other data. Based on these data, the system will evaluate its applicability and give a corresponding score. Sort the second single consumables from high to low according to the applicability score. Finally, select the second single consumable that ranks high and has a unit price lower than the first single consumable to ensure that the second overall medical expenses corresponding to the surgical plan after replacing the second single consumable are less than or equal to the DRG standard fee. This ensures that the replaced second single consumable can meet the surgical requirements while controlling costs.

[0093] The system automatically conducts detailed evaluation and screening of the second single consumables, and can more objectively and accurately select the most suitable second single consumables for replacement, which not only ensures the effect and quality of the surgery, but also effectively controls medical expenses to meet the requirements of DRG standard expenses. At the same time, it reduces the workload of doctors and improves work efficiency.

[0094] In one embodiment, the step S35 of adjusting the first overall medical expenses according to a preset algorithm includes:

[0095] S3531, analyzing various performance characteristics of the first single consumables of different types expected to be used in the surgical plan, and establishing a performance characteristic model;

[0096] S3532, retrieving from the consumables library a second single consumable whose matching degree with the performance characteristic model reaches a preset range;

[0097] S3533, screening out the second single consumable whose unit price is less than that of the first single consumable;

[0098] S3534. Replace the first single consumable with the screened second single consumable to complete the adjustment of the first overall medical expenses.

[0099] As described in the above steps S3531-S3534, first, the various performance characteristics of the first single consumable are deeply analyzed. For example, for an orthopedic implant, its material characteristics, structural strength, biocompatibility and other performance characteristics are analyzed, and then a performance characteristic model is established based on these characteristics. Next, a second single consumable whose matching degree with the performance characteristic model reaches a preset range is retrieved in the consumable library. For example, if the preset matching degree is not less than 80%, then the second single consumables whose similarity with the first single consumable in terms of material characteristics, structural strength, biocompatibility, etc. is at least 80% are screened out. After that, the cost data of these second single consumables and the parameters of the adaptability to the patient's condition are obtained. The cost data can be directly obtained from the consumable library, and the adaptability parameters can be determined in combination with factors such as the patient's age, physical condition, and severity of the condition. Finally, a comprehensive evaluation is performed based on the cost data and the adaptability parameters. For example, if a second single consumable has a low cost and a high adaptability to the patient's condition, then its evaluation value will be higher. The second single consumable having a high evaluation value and a unit price lower than that of the first single consumable is screened out, so that the second overall medical expenses corresponding to the surgical plan after replacing the second single consumable are less than or equal to the DRG standard expenses.

[0100] By establishing a performance characteristic model for screening and evaluation, it is possible to more accurately find the second single consumable that meets the requirements. It not only takes into account the matching degree of the consumable performance with the first single consumable, but also takes into account the cost and the suitability of the patient's condition, so as to effectively control medical expenses while ensuring the surgical effect and the patient's treatment quality.

[0101] In one embodiment, the step S35 of adjusting the first overall medical expenses according to a preset algorithm includes:

[0102] S3541, constructing a cost prediction model, wherein the cost prediction model is trained based on the correlation between the first overall consumables formed by different single consumable combinations in different surgeries and the overall medical expenses;

[0103] S3542, when selecting the second overall consumable, inputting the candidate second single consumable and the key elements in the surgical plan into the cost prediction model to obtain the predicted second overall medical expenses in real time;

[0104] S3543. When the second overall medical expense is less than the DRG standard expense, the second overall consumables corresponding to the second overall medical expense are used as the consumables expected to be used in the surgical plan, thereby completing the adjustment of the first overall medical expense;

[0105] S3544. When the second overall medical expenses are greater than or equal to the DRG standard expenses, repeat the above steps 3542 and S3544.

[0106] As described in the above steps S3541-S3544, a multivariate linear regression model is used as the basic model to construct a cost prediction model. First, the system collects a large amount of historical surgical data, including different single consumable combinations used in different operations and the corresponding, actual overall medical expenses. At the same time, other factors related to the operation are also recorded, such as the patient's age, gender, severity of the disease, surgical method, duration of the operation, etc. For each surgical case, different single consumable combinations and other related factors are used as independent variables, and the actual medical expenses are used as dependent variables. Then, the multivariate linear regression algorithm is used to analyze and train these data. By continuously adjusting the parameters of the model, the model can accurately fit the relationship between the consumable combination and other factors and medical expenses, thereby constructing a cost prediction model.

[0107] When selecting the second overall consumable, the system will automatically obtain the candidate second single consumable and other elements in the surgical plan. For the candidate second single consumable, the system will identify its type, specification, quantity and other information. For key elements in the surgical plan, such as the patient's age, gender, severity of the disease, surgical method, duration of surgery and other information, the system will obtain it from the hospital's information system (such as the HIS system). Then, this information is used as input into the constructed cost prediction model. The cost prediction model will calculate and output the predicted second overall medical expenses in real time according to the input information, its internal algorithms and parameters. If the predicted second overall medical expenses are greater than the DRG standard expenses, the system will automatically adjust the selection strategy of the candidate second single consumable. For example, if the current candidate second single consumable is a high-cost consumable, the system may try to replace it with other low-cost consumables of the same type, or reduce the number of current candidate second single consumables used, while increasing the use of other auxiliary consumables to achieve the purpose of reducing costs. Then, the system will re-enter the adjusted candidate second single consumables and other elements in the surgical plan into the cost prediction model, and obtain the predicted second overall medical expenses again, and repeat this process until a second single consumable combination that makes the second overall medical expenses less than or equal to the DRG standard expenses is obtained. When a second single consumable combination that meets the requirements is found, the system will apply the determined second single consumable combination to the surgical plan to complete the adjustment of the first overall medical expenses.

[0108] By automatically building a cost prediction model and performing related operations, the system can more accurately predict the overall medical expenses when using different second single consumables. By continuously adjusting the selection strategy, it can find a second single consumable combination that meets the cost requirements, effectively control medical expenses, and at the same time ensure the rationality and feasibility of the surgical plan, which helps to improve the rational use of medical resources and the quality of medical services. In addition, the entire process does not require the participation of doctors, which greatly reduces the workload of doctors and improves work efficiency.

[0109] Reference Figure 4 The embodiment of the present invention further provides a computer device, the internal structure of which can be as follows Figure 4 As shown. The computer device includes a processor, a memory, a network interface and a database connected via a system bus. Among them, the processor designed for the computer device is used to provide computing and control capabilities. The memory of the computer device includes a non-volatile storage medium and an internal memory. The non-volatile storage medium stores an operating device, a computer program and a database. The internal memory provides an environment for the operation of the operating system and the computer program in the non-volatile storage medium. The database of the computer device is used to store surgical plans, etc. The network interface of the computer device is used to communicate with an external terminal via a network connection. Furthermore, the above-mentioned computer device may also be provided with an input device and a display screen, etc. When the above-mentioned computer program is executed by the processor to implement a patient expense reminder method, the method includes the following steps: obtaining the patient's DRG standard expense; and obtaining the patient's estimated first overall medical expense; issuing expense reminder information based on the first overall medical expense and the DRG standard expense. Those skilled in the art can understand that Figure 4 The structure shown in is merely a block diagram of a portion of the structure related to the present application solution and does not constitute a limitation on the computer device to which the present application solution is applied.

[0110] An embodiment of the present application also provides a computer-readable storage medium on which a computer program is stored. When the computer program is executed by a processor, a patient expense reminder method is implemented, including the following steps: obtaining the patient's DRG standard expense; and obtaining the patient's estimated first overall medical expense; and issuing expense reminder information based on the first overall medical expense and the DRG standard expense. It can be understood that the computer-readable storage medium in this embodiment can be a volatile readable storage medium or a non-volatile readable storage medium.

[0111] Those of ordinary skill in the art can understand that all or part of the processes in the above-mentioned embodiment methods can be completed by instructing the relevant hardware through a computer program, and the computer program can be stored in a non-volatile computer-readable storage medium. When the computer program is executed, it can include the processes of the embodiments of the above-mentioned methods. Among them, any reference to memory, storage, database or other media provided in this application and used in the embodiments may include non-volatile and / or volatile memory. Non-volatile memory may include read-only memory (ROM), programmable ROM (PROM), electrically programmable ROM (EPROM), electrically erasable programmable ROM (EEPROM) or flash memory. Volatile memory may include random access memory (RAM) or external cache memory. By way of illustration and not limitation, RAM is available in a variety of forms, such as static RAM (SRAM), dynamic RAM (DRAM), synchronous DRAM (SDRAM), double data rate SDRAM (SSRSDRAM), enhanced SDRAM (ESDRAM), synchronous link (Synchlink) DRAM (SLDRAM), memory bus (Rambus) direct RAM (RDRAM), direct memory bus dynamic RAM (DRDRAM), and memory bus dynamic RAM (RDRAM), etc.

[0112] It should be noted that, in this article, the terms "include", "comprises" or any other variations thereof are intended to cover non-exclusive inclusion, so that a process, device, article or method including a series of elements includes not only those elements, but also includes other elements not explicitly listed, or also includes elements inherent to such process, device, article or method. In the absence of further restrictions, an element defined by the sentence "includes a ..." does not exclude the presence of other identical elements in the process, device, article or method including the element.

[0113] The above description is only a preferred embodiment of the present invention, and does not limit the patent scope of the present invention. Any equivalent structure or equivalent process transformation made by using the contents of the present invention specification and drawings, or directly or indirectly applied in other related technical fields, are also included in the patent protection scope of the present invention.

Claims

1. A patient expense reminder method, characterized in that: Includes steps: Obtain the patient's DRG standard fee; as well as, Obtaining a first overall medical expense estimated for the patient; Based on the first overall medical expenses and the DRG standard expenses, a cost reminder message is issued.

2. The patient expense reminder method according to claim 1, characterized in that: The first overall medical expenses include treatment service fees and first overall consumables fees; The step of obtaining the first overall medical expenses estimated for the patient comprises: Obtaining the treatment service fee of the patient on the HIS system; and, Acquire different types of first single consumables expected to be used in the surgical plan, and the expected usage quantity of each of the first single consumables; Go to the preset consumables library to search for the unit price of each of the first single consumables; Calculate the first overall consumables fee based on the estimated usage quantity of each of the first single consumables and the unit price of each of the first single consumables; The first overall medical expense is calculated based on the treatment service fee and the first overall consumables fee.

3. The patient expense reminder method according to claim 2, characterized in that: The step of issuing fee reminder information according to the first overall medical expenses and the DRG standard expenses includes: comparing the first overall medical expenses with the DRG standard expenses; When the comparison result shows that the first overall medical expense is greater than the DRG standard expense, a prompt is issued to ask whether to adjust the first overall medical expense; When the comparison result is that the first overall medical expense is less than or equal to the DRG standard expense, there is no need to issue a prompt on whether to adjust the first overall medical expense.

4. The patient expense reminder method according to claim 3, characterized in that: After the step of issuing a prompt whether to adjust the first overall medical expenses when the comparison result is that the first overall medical expenses are greater than the DRG standard expenses, the method includes: determining whether an instruction to adjust the first overall medical expense has been received; If so, the first overall medical expense is adjusted according to a preset algorithm; If not, there is no need to adjust the first overall medical expense.

5. The patient expense reminder method according to claim 4, characterized in that: The step of adjusting the first overall medical expenses according to a preset algorithm comprises: Acquire historical surgery information in which the historical overall consumables cost is less than the first overall consumables cost, wherein the similarity between the condition information in the historical surgery information and the condition information in the surgery plan reaches a preset condition threshold; Determining whether all surgical consumables used in the historical surgery exist in the consumables library; If not, it is reminded that there is no suitable history of surgery; If so, all the surgical consumables corresponding to the historical surgery are used as the surgical consumables used in the surgical plan to complete the adjustment of the first overall medical expenses.

6. The patient expense reminder method according to claim 4, characterized in that: The step of adjusting the first overall medical expenses according to a preset algorithm comprises: Obtaining functional parameters and / or key indicators of the first single consumable; Screening out from the consumables library a second single consumable whose similarity with the functional parameter and / or key indicator reaches a preset parameter threshold and whose unit price is lower than that of the first single consumable; The second single consumable is used to replace the first single consumable, thereby completing the adjustment of the first overall medical expenses.

7. The patient expense reminder method according to claim 4, characterized in that: The step of adjusting the first overall medical expenses according to a preset algorithm comprises: Analyze various performance characteristics of each of the first single consumables of different types expected to be used in the surgical plan, and establish a performance characteristic model; Retrieving from the consumables library a second single consumable whose matching degree with the performance characteristic model reaches a preset range; Screening out the second single consumable whose unit price is less than that of the first single consumable; The screened second single consumable is used to replace the first single consumable, thereby completing the adjustment of the first overall medical expenses.

8. The patient expense reminder method according to claim 4, characterized in that: The step of adjusting the first overall medical expenses according to a preset algorithm comprises: Constructing a cost prediction model, wherein the cost prediction model is trained based on the correlation between the first overall consumables formed by different single consumable combinations in different surgeries and the overall medical expenses; When selecting the second overall consumable, the candidate second single consumable and the key elements in the surgical plan are input into the cost prediction model to obtain the predicted second overall medical expenses in real time; When the second overall medical expenses are less than the DRG standard expenses, the second overall consumables corresponding to the second overall medical expenses are used as the consumables expected to be used in the surgical plan to complete the adjustment of the first overall medical expenses.

9. A computer device comprising a memory and a processor, wherein a computer program is stored in the memory, wherein: When the processor executes the computer program, the steps of the patient expense reminder method according to any one of claims 1 to 8 are implemented.

10. A computer-readable storage medium having a computer program stored thereon, characterized in that: When the computer program is executed by a processor, the steps of the patient expense reminder method according to any one of claims 1 to 8 are implemented.

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