Phân tích chi phí điều trị bệnh nhân tâm thần tại bệnh viện tâm thần tiền giang năm 2020

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Tác giả: Thị Giàu Nguyễn, Thị Ngọc Vân Nguyễn, Thị Tuyết Phụng Trần

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Y Dược học Cần Thơ 2021

Mô tả vật lý: 133-138

Bộ sưu tập: Metadata

ID: 393994

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Tóm tắt
Chủ đề

Gần 3 triệu người Việt Nam mắc các rối loạn tâm thần nghiêm trọng điển hình như tâm thần phân liệt, trầm cảm, rối loạn lưỡng cực và các biểu hiện nghiêm trọng khác về lo âu và trầm cảm, chi phí điều trị kéo dài gây nhiều khó khăn cho bệnh nhân. Mục tiêu nghiên cứu: 1. Xác định cơ cấu chi phí khám, điều trị và cơ cấu chi phí bị từ chối thanh toán trong điều trị
2.Tìm hiểu một số lý do liên quan đến chi phí bị từ chối thanh toán, chi phí 10 bệnh tâm thần thường gặp tại Bệnh viện Tâm thần Tiền Giang. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 2288 hồ sơ bệnh án nội trú, đơn thuốc ngoại trú, biên bản làm việc của Tổ giám định bảo hiểm y tế (BHYT) tại Bệnh viện Tâm thần Tiền Giang. Kết quả: Tổng chi phí khám chữa bệnh (KCB) là 14,94 tỷ đồng, trung bình 6.872.720 đồng/đợt điều trị, chủ yếu là giường bệnh và thuốc uống, bệnh nội trú và ngoại trú có chi phí điều trị trung bình một đợt cao nhất: tâm thần phân liệt, bệnh động kinh. Tổng chi phí từ chối thanh toán BHYT là 33.089.471 đồng. Lý do từ chối thanh toán: chỉ định thuốc động kinh không phù hợp chẩn đoán, mã số bác sĩ trên phần mềm không đúng với hồ sơ bệnh án, vượt định mức bàn khám, khám chữa bệnh trái tuyến. Kết luận: Bệnh tâm thần có chi phí điều trị khá cao, tâm thần phân liệt gây thiệt hại về kinh tế nặng nề nhất. Lý do từ chối thanh toán BHYT chủ yếu là do chưa thực hiện đúng quy định, Tóm tắt tiếng anh, Nearly 3 million Vietnamese suffer from the typical serious mental disorders such as schizophrenia, depression, bipolar disorder and other serious manifestations of anxiety and depression, resulting in the cost of many difficulties for the patient. Objectives: 1. Determining the structure of costs for examination and treatment and the structure of expenses that is refused payment during treatment
2. Find out some reasons to denied cost, the cost of 10 common mental illnessesat Tien Giang Psychiatric Hospital. Materials and methods: A cross-sectional study carried on 2288 inpatient medical records, outpatient prescriptions, working minutes of the health insurance assessment team at Tien Giang Mental Hospital. Results: The total cost of medical treatment is 14.94 billion VND, an average of 6.872.720 VND/treatment session, mainly hospitalbeds and oral drugs, inpatient and outpatient diseases with the highest average cost of treatment: schizophrenia paralysis, epilepsy. The total cost ofrefusing to pay for health insurance is 33.089.471 VND. The reasons for refusal to pay: the prescription of epilepsy drugs is not suitable for diagnosis, the doctor's number code on the software is not consistent with the medical record, exceeds the norm of examination and treatment desks against the line. Conclusion: Mental illness has high treatment costs, schizophrenia causes the heaviest economic losses. The reason for refusing to pay health insurance is mainly due to not complying with regulations.

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