Chi phí điều trị nội trú bệnh viêm tiểu phế quản tại Khoa hô hấp Bệnh viện Nhi Đồng 1 năm 2019

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Tác giả: Binh Bao Tinh Le, Quynh Anh Nguyen

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2020

Mô tả vật lý: tr.40-48

Bộ sưu tập: Metadata

ID: 320830

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Xác định chi phí đầy đủ của điều trị nội trú bệnh viêm tiểu phế quản tại bệnh viện Nhi Đồng 1 TPHCM năm 2019. Phương pháp nghiên cứu: Thiết kế nghiên cứu mô tả cắt ngang trên 254 bệnh nhi viêm tiểu phế quản điều trị nội trú tại khoa Hô hấp bệnh viện Nhi đồng 1. Kết quả: Tổng chi phí đầy đủ trung bình cho 1 đợt điều trị nội trú viêm tiểu phế quản là 4.967.049 đồng, trung bình cho một ngày điều trị là 904.090 đồng, trong đó chi phí trực tiếp chiếm tỷ trọng chính, 95,56% (863.937/ngày/bệnh nhân), chi phí gián tiếp chỉ chiếm tỷ trọng nhỏ 4,44% (40.153/ngày/bệnh nhân). Trong thành phần chi phí trực tiếp, chi phí y tế (viện phí) trung bình một ngày là 483.410 đồng, chi phí tiền giường chiếm tỷ lệ cao nhất (37,5, kế đến là chi phí xét nghiệm (18,5%) và thuốc (16,6%). Chi phí trực tiếp khác là 380.527/ngày, trong đó chi phí cho nhân lực y tế chiếm đa số. Chi phí y tế trực tiếp, viện phí, bệnh viện thu về từ 1 ca điều trị nội trú bệnh viêm tiểu phế quản hiện nay bằng 53,5% chi phí mà bệnh viện chi bỏ ra khi tính theo 8 cấu phần chi phí. Kết luận: Tổng chi phí đầy đủ trung bình cho một đợt điều trị nội trú viêm tiểu phế quản tại khoa Hô hấp BVNĐ1 là 4.967.049 đồng. Chi phí giường bệnh chiếm tỷ lệ cao nhất trong viện phí (37,5%). Do vậy, cần tăng cường xây dựng và kết hợp nhiều giải pháp nhằm giảm thời gian nằm viện, từ đó giảm chi phí điều trị. Trung bình một ca điều trị nội trú bệnh viêm tiểu phế quản số thu viện phí hiện nay bằng 53,5% tổng số chi nếu tính đủ 8 yếu tố cấu thành của chi phí. Thời gian tới, khi Bệnh viện tự chủ hoàn toàn về tài chính, cơ cấu giá dịch vụ y tế nên được tính đủ 8 cấu phần.Object: Determine full cost of bronchiolitis inpatient treatment at Children’s hospital No 1 in 2019. Methods: Cross-sectional descriptive study with 254 cases of bronchiolitis inpatient treatment at Respiratory department in Children‘s hospital No 1 in 2019. Results: The study results showed that the average cost for one inpatient with bronchiolitis was VND 4,967,049, the average cost for one day was VND 904,090, of which the direct cost accounted for 95.56% (equivalent to VND 863,937 per day), indirect costs accounted for 4.44% (40,153 per day). Regarding direct cost, the average medical cost (hospital fee) for one day of treatment is VND 483,410, of which hospital beds’ cost accounted for the highest proportion (37.5%), followed by complementary test’s costs (18.5%) and cost for drugs (16.6%). Other direct costs were VND 380,527 per day, of which cost of human resources accounted for the majority. The medical direct cost or hospital free - the amount of hospital revenues obtained from inpatient treatment for child with bronchiolitis was only 53.5% of the total cost incurred by the hospital (with eight cost components included). Conclusion: Average total cost for an inpatient bronchiolitis treatment at Respiratory Department Children’s hospital No1 is VND 4,967,049. Hospital bed costs account for the highest proportion in hospital fees (37.5%). It is necessary to strengthen the construction and incorporate many solutions to reduce the length of hospital stay, thereby reducing treatment costs. On average: In one case of inpatient treatment of bronchitis, the current hospital fee is equal to 53.5%, the total expenditure if all 8 components of cost are calculated. Next time, when the Hospital is fully financially autonomous, the medical service price structure should be calculated fully 8 components.

1. Đọc trực tuyến

1. Đọc trực tuyến

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