CN109308793A - The exceeded method for early warning of drug expenditure and device based on data processing - Google Patents

The exceeded method for early warning of drug expenditure and device based on data processing Download PDF

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Publication number
CN109308793A
CN109308793A CN201811228742.4A CN201811228742A CN109308793A CN 109308793 A CN109308793 A CN 109308793A CN 201811228742 A CN201811228742 A CN 201811228742A CN 109308793 A CN109308793 A CN 109308793A
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China
Prior art keywords
medical institutions
monitored
drug
drug expenditure
mentioned
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CN201811228742.4A
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Chinese (zh)
Inventor
袁刚
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Ping An Medical and Healthcare Management Co Ltd
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Ping An Medical and Healthcare Management Co Ltd
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Application filed by Ping An Medical and Healthcare Management Co Ltd filed Critical Ping An Medical and Healthcare Management Co Ltd
Priority to CN201811228742.4A priority Critical patent/CN109308793A/en
Publication of CN109308793A publication Critical patent/CN109308793A/en
Priority to PCT/CN2019/095030 priority patent/WO2020082797A1/en
Pending legal-status Critical Current

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    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B31/00—Predictive alarm systems characterised by extrapolation or other computation using updated historic data
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

The embodiment of the present application discloses a kind of exceeded method for early warning of the drug expenditure based on data processing and device, this method comprises: obtain medical institutions to be monitored uses effective prescription；Above-mentioned medicine information included in effective prescription is obtained, and determines the average daily drug expenditure of above-mentioned medical institutions to be monitored according to above-mentioned medicine information；Determine whether above-mentioned average daily drug expenditure is more than or equal to the corresponding average daily drug expenditure threshold value of above-mentioned medical institutions to be monitored；If above-mentioned average daily drug expenditure is more than or equal to above-mentioned average daily drug expenditure threshold value, the exceeded warning information of drug expenditure is sent to medical institutions to be monitored.Using the embodiment of the present application, the timeliness of the medication monitoring to medical institutions can be improved, enhance the reliability of the medication monitoring to medical institutions, improve the effective rate of utilization of medical resource, strong applicability.

Description

The exceeded method for early warning of drug expenditure and device based on data processing
Technical field
This application involves field of medical technology more particularly to a kind of exceeded method for early warning of drug expenditure based on data processing And device.
Background technique
Currently for the medication standard of each medical institutions of specification, evade big prescribing behaviour, to avoid the abuse of drug And waste, the purpose rationally treated is played, miscellaneous medication monitoring mechanism comes into being.Miscellaneous medication monitoring equipment System is for carrying out medication monitoring, including but not limited to each hospital, the department of each hospital, each clinic to each medical institutions Or even the medical institutions such as each doctor (or representative of medical institutions) carry out medication monitoring.
In the prior art, time equal prescription standard is mainly used for the evaluation of the medication standard of each medical institutions, Medication evaluation criterion exactly by the prescription average cost calculated every time (referred to as time equal prescription expenditure) as each medical institutions. Wherein, the medication evaluation criterion of above-mentioned time prescription expenditure is calculated in such a way that prescription total value is divided by prescription number It arrives.The prior art using time prescription expenditure as the medication evaluation criterion of each medical institutions cause each medical institutions in order to Evade big prescribing behaviour to be examined, it will usually lower time equal prescription expenditure using reduction prescription number of days, or by decomposition The biggish big prescription of single prescription total value is decomposed into the modes such as multiple lesser small prescriptions of single prescription total value by the mode of side Time equal prescription expenditure is reduced, to evade the monitoring of big prescription.The implementation of the prior art makes the use of each medical institutions The loophole of medicine monitoring is larger, low to the medication monitoring accuracy rate of each medical institutions, poor for applicability.
Summary of the invention
The embodiment of the present application provides a kind of exceeded method for early warning of the drug expenditure based on data processing and device, operation letter It is single, the timeliness of the medication monitoring to medical institutions can be improved, enhance the reliability of the medication monitoring to medical institutions, improve doctor The effective rate of utilization of resource is treated, applicability is stronger.
In a first aspect, the embodiment of the present application provides a kind of exceeded method for early warning of the drug expenditure based on data processing, it should Method includes:
Obtain medical institutions to be monitored uses effective prescription；
Above-mentioned medicine information included in effective prescription is obtained, and above-mentioned doctor to be monitored is determined according to above-mentioned medicine information Treat the average daily drug expenditure of unit；
Determine whether above-mentioned average daily drug expenditure is more than or equal to the corresponding average daily drug of above-mentioned medical institutions to be monitored Cost threshold；
If above-mentioned average daily drug expenditure is more than or equal to above-mentioned average daily drug expenditure threshold value, to above-mentioned medical treatment to be monitored Unit sends the exceeded warning information of drug expenditure.
With reference to first aspect, in a kind of possible embodiment, the above-mentioned exceeded warning information of drug expenditure includes drug The exceeded early warning mark of expense；
It is above-mentioned to include: to above-mentioned medical institutions' transmission exceeded warning information of drug expenditure to be monitored
The output exceeded early warning of drug expenditure is identified to doctor's evolution tool homepage of above-mentioned medical institutions to be monitored, based on upper The exceeded early warning mark of the above-mentioned drug expenditure shown in doctor's evolution tool homepage is stated, to the doctor of above-mentioned medical institutions to be monitored The exceeded early warning of drug expenditure is issued, to prompt the doctor of above-mentioned medical institutions to be monitored to control evolution medication to prevent drug expenditure It is exceeded.
With reference to first aspect, in a kind of possible embodiment, above-mentioned with effective prescription includes that above-mentioned medical treatment to be monitored is single All effective prescription is used within the currently examination period in position；
It is above-mentioned to include: to above-mentioned medical institutions' transmission exceeded warning information of drug expenditure to be monitored
Determine above-mentioned medical institutions to be monitored upper according to above-mentioned average daily drug expenditure and above-mentioned average daily drug expenditure threshold value State the exceeded data of drug expenditure in the current examination period；
The exceeded warning information of drug expenditure is sent to above-mentioned medical institutions to be monitored according to the exceeded data of above-mentioned drug expenditure, Control evolution medication is sent to prevent current to above-mentioned medical institutions to be monitored based on the exceeded warning information of above-mentioned drug expenditure The exceeded early warning of average daily drug expenditure in one or more examination period after the examination period；
Wherein, the exceeded warning information of above-mentioned drug expenditure include one of instant communication information, mail or bulletin or Person's much information type.
With reference to first aspect, in a kind of possible embodiment, above-mentioned acquisition medical institutions to be monitored use effective prescription Include:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes above-mentioned medical institutions to be monitored in the individually examination period with effective prescription It is interior it is all use effective prescription, the cycle duration in above-mentioned single examination period includes odd-numbered day or more days.
With reference to first aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription All within the single examination period in odd-numbered day of above-mentioned medical institutions to be monitored use effective prescription；
The above-mentioned medicine information included in effective prescription of above-mentioned acquisition, and determined according to above-mentioned medicine information above-mentioned wait supervise Control medical institutions average daily drug expenditure include:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug Expense.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days.
With reference to first aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription All within more days single examination periods of above-mentioned medical institutions to be monitored use effective prescription；
It is described to obtain above-mentioned medicine information included in effective prescription, and determined according to above-mentioned medicine information above-mentioned wait supervise Control medical institutions average daily drug expenditure include:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days Product use the summation of number of days.
With reference to first aspect, in a kind of possible embodiment, it is above-mentioned according to above-mentioned medical institutions to be monitored above-mentioned The odd-numbered day average daily drug expenditure and drug of single examination period Nei Ge determines above-mentioned medical institutions to be monitored using total number of days Daily drug expenditure includes:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise Control the average daily drug expenditure of medical institutions.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.
Optionally, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=period drug total value/period drug uses total number of days；
Wherein, it can be the drug of all drugs of all prescriptions in the single examination period in above-mentioned period drug total value The total amount of the cumulative obtained all drugs of the amount of money, above-mentioned period drug can be the institute in the single examination period using total number of days There is the drug of each drug in drug to use the accumulated value of number of days.
With reference to first aspect, in a kind of possible embodiment, the above method further include:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored Cost threshold；
Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of.
Second aspect, the embodiment of the present application provide a kind of exceeded prior-warning device of the drug expenditure based on data processing, should Medication monitoring device includes:
Data capture unit uses effective prescription for obtain medical institutions to be monitored；
Medicine information processing unit, it is above-mentioned with included in effective prescription for obtain that above-mentioned data capture unit obtains Medicine information, and determine according to above-mentioned medicine information the average daily drug expenditure of above-mentioned medical institutions to be monitored；
Drug expenditure monitoring unit, the above-mentioned average daily drug expenditure for determining that above-mentioned medicine information processing unit determines are It is no to be more than or equal to the corresponding average daily drug expenditure threshold value of above-mentioned medical institutions to be monitored；
The exceeded prewarning unit of drug expenditure, for determining that above-mentioned average daily drug expenditure is big in above-mentioned drug expenditure monitoring unit When above-mentioned average daily drug expenditure threshold value, the exceeded early warning letter of drug expenditure is sent to above-mentioned medical institutions to be monitored Breath.
In conjunction with second aspect, in a kind of possible embodiment, the above-mentioned exceeded warning information of drug expenditure includes drug The exceeded early warning mark of expense；
The above-mentioned exceeded prewarning unit of drug expenditure is used for:
The output exceeded early warning of drug expenditure is identified to doctor's evolution tool homepage of above-mentioned medical institutions to be monitored, based on upper The exceeded early warning mark of the above-mentioned drug expenditure shown in doctor's evolution tool homepage is stated, to the doctor of above-mentioned medical institutions to be monitored The exceeded early warning of drug expenditure is issued, to prompt the doctor of above-mentioned medical institutions to be monitored to control evolution medication to prevent drug expenditure It is exceeded.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned with effective prescription includes that above-mentioned medical treatment to be monitored is single All effective prescription is used within the currently examination period in position；
The above-mentioned exceeded prewarning unit of drug expenditure is used for:
Determine above-mentioned medical institutions to be monitored upper according to above-mentioned average daily drug expenditure and above-mentioned average daily drug expenditure threshold value State the exceeded data of drug expenditure in the current examination period；
The exceeded warning information of drug expenditure is sent to above-mentioned medical institutions to be monitored according to the exceeded data of above-mentioned drug expenditure, Control evolution medication is sent to prevent current to above-mentioned medical institutions to be monitored based on the exceeded warning information of above-mentioned drug expenditure The exceeded early warning of average daily drug expenditure in one or more examination period after the examination period；
Wherein, the exceeded warning information of above-mentioned drug expenditure include one of instant communication information, mail or bulletin or Person's much information type.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned data capture unit is used for:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes above-mentioned medical institutions to be monitored in the individually examination period with effective prescription It is interior it is all use effective prescription, the cycle duration in above-mentioned single examination period includes odd-numbered day or more days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription All within the single examination period in odd-numbered day of above-mentioned medical institutions to be monitored use effective prescription；
Above-mentioned medicine information processing unit is used for:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug Expense.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription All within more days single examination periods of above-mentioned medical institutions to be monitored use effective prescription；
Above-mentioned medicine information processing unit is used for:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days Product use the summation of number of days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise Control the average daily drug expenditure of medical institutions；
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned drug expenditure monitoring unit is used for:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored Cost threshold；
Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of.
The third aspect, the embodiment of the present application provide a kind of terminal device, the terminal device include transceiver, processor and Memory, the transceiver and processor and memory are connected with each other.The memory supports the terminal device to execute for storing The computer program of the method for first aspect and/or any possible implementation offer of first aspect, the computer journey are provided Sequence includes program instruction, and the transceiver and processor are configured for calling above procedure instruction, execute above-mentioned first aspect and/ Or method provided by any possible embodiment of first aspect.
Fourth aspect, the embodiment of the present application provide a kind of computer readable storage medium, which deposits Computer program is contained, which includes program instruction, which makes the processor when being executed by a processor Execute method provided by above-mentioned first aspect and/or any possible embodiment of first aspect.
The embodiment of the present application can be determined based on medical institutions to be monitored medicine information included in effective prescription wait supervise The average daily drug expenditure of medical institutions is controlled, and then can determine medical treatment to be monitored based on the average daily drug expenditure of medical institutions to be monitored Whether the average daily drug expenditure of unit is more than or equal to average daily drug expenditure threshold value, and then can be in the day of medical institutions to be monitored When equal drug expenditure is more than or equal to average daily drug expenditure threshold value, the exceeded early warning of drug expenditure is sent to medical institutions to be monitored Information, to prompt medical institutions' control evolution medication to be monitored, to avoid the drug wasting of resources of medical institutions to be monitored, operation Simply.It is simple to the medication policer operation of each medical institutions based on method provided by the embodiments of the present application realization, it can be improved to doctor The timeliness for treating the medication monitoring of unit improves the reliability of the medication monitoring to medical institutions, improves the effective of medical resource Utilization rate, applicability are stronger.
Detailed description of the invention
Technical solution in ord to more clearly illustrate embodiments of the present application, below will be to needed in embodiment description Attached drawing is briefly described, it should be apparent that, the accompanying drawings in the following description is some embodiments of the present application, general for this field For logical technical staff, without creative efforts, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is the process signal of the exceeded method for early warning of the drug expenditure based on data processing provided by the embodiments of the present application Figure；
Fig. 2 is that another process of the exceeded method for early warning of the drug expenditure based on data processing provided by the embodiments of the present application is shown It is intended to；
Fig. 3 is the example structure of the exceeded prior-warning device of the drug expenditure based on data processing provided by the embodiments of the present application Schematic diagram；
Fig. 4 is a kind of example structure schematic diagram of terminal device provided by the embodiments of the present application.
Specific embodiment
Below in conjunction with the attached drawing in the embodiment of the present application, technical solutions in the embodiments of the present application carries out clear, complete Site preparation description, it is clear that described embodiment is some embodiments of the present application, instead of all the embodiments.Based on this Shen Please in embodiment, every other implementation obtained by those of ordinary skill in the art without making creative efforts Example, shall fall in the protection scope of this application.
The embodiment of the present application provides a kind of exceeded method for early warning of the drug expenditure based on data processing, can be based on each doctor The medical institutions such as institute, the department of each hospital, each clinic or even each doctor (or medical institutions representative (or group Team)) average daily drug expenditure evaluate whether the medication of each medical institutions (including hospital, department, clinic or doctor) surpasses Mark (or unreasonable), and can the medicining condition based on medical institutions to medical institutions to be monitored send the exceeded early warning of drug expenditure Information prevents the drug expenditure of medical institutions to be monitored from continuing exceeded to issue control evolution medication to medical institutions to be monitored Early warning, avoid the waste of the medical resources such as the drug of medical institutions to be monitored.It optionally, can be based on the medication feelings of medical institutions Condition refuses the drug expenditure reimbursement request of medical institutions submission when the drug expenditure of medical institutions is exceeded and/or Claims Resolution is asked It asks, to realize the early warning exceeded to the drug expenditure of the medical institutions, medical institutions is reminded to control ethical goods expense, Avoid the waste of medical resource.For convenience of description, above-mentioned each hospital, the department of each hospital, each clinic or even each doctor Examination dimension represented by the representing of teacher etc. medical institutions or medical institutions by with this examination dimension of medical institutions as Example is illustrated, and is repeated no more below.
The provided effective prescription of the embodiment of the present application may include each doctor of each medical institutions for each sufferer The prescription issued of illness or the prescription issued for the illness of each sufferer of each doctor or prescription etc., This is with no restrictions.For convenience of description, will be illustrated by taking prescription as an example below.Generally, each doctor of each medical institutions It may include but be not limited to prescription in the prescription that teacher is issued and issue time, prescription number, department's number, sufferer personal information, medicine Product details and doctor's signature, can specifically determine, herein with no restrictions according to practical application scene.In other words, either singly A biggish big prescription of prescription total value, or the place of the single lesser small prescription of prescription total value or other more forms of expression It is square, the drug details that medical institutions issue, including but not limited to nomenclature of drug, Sales Volumes, drug are had in each prescription Usage mode and drug use number of days etc..Therefore either big prescription or small prescription or other, too busy to get away drug is detailed Feelings.Therefore, the average daily drug expenditure based on each medical institutions realizes the drug expenditure evaluation to each medical institutions to real Now the medications of each medical institutions is monitored, it is easy to operate and can cover preferably, more fully hereinafter to medical institutions The medication of each prescription monitors.The average daily drug expenditure based on medical institutions realizes that the medication to each medical institutions monitors simultaneously More accurately in place, so that the accuracy rate of the monitoring of the medication to each medical institutions, the day based on each medical institutions can be improved Equal drug expenditure is realized compared with average daily drug expenditure threshold value to the exceeded early warning of the drug expenditure of medical institutions, can be improved to each The timeliness of the medication monitoring of a medical institutions, and then it is single to each medical treatment that the medicining condition based on each medical institutions can be improved Position carries out the reliability of the exceeded early warning of drug cost, so that the effective rate of utilization of medical resource can be improved, applicability is higher.
In some possible embodiments, the average daily drug expenditure based on medical institutions carries out medication prison to medical institutions The medicining condition of medical supply unit can be monitored daily when controlling (or drug expenditure monitoring), and then can be settled accounts daily medical single The average daily drug expenditure of position, is monitored the medicining condition of medical institutions based on daily average daily drug expenditure.Optionally, base While daily average daily drug expenditure carries out medication monitoring to medical institutions, it may be based on the medication for adding up more days monitoring feelings Condition carries out the overall merit etc. of medicining condition, such as a week, one month, a season or 1 year etc. to medical institutions, It can specifically be determined according to practical application scene, herein with no restrictions.It, below will be with any day (for convenience of description for convenience of description To be illustrated by taking the odd-numbered day as an example below) average daily drug expenditure calculating and based on daily average daily drug expenditure to medical treatment For the medicining condition of unit is monitored and/or evaluates, the drug provided by the embodiments of the present application based on data processing is taken It is described with exceeded method for early warning.
The exceeded method for early warning of drug expenditure provided by the embodiments of the present application based on data processing can be single by medical treatment to be monitored Position, Drug Administration, board of health, health and the healthy committee and the medical medications such as unit of settling a claim monitor unit institute Associated terminal device executes, herein with no restrictions.For example, when above-mentioned medication monitoring unit is medical institutions to be monitored itself When, above-mentioned terminal device can be medical institutions to be monitored and carry out drug expenditure prison for the evolution medicining condition to each doctor The tool, such as doctor's evolution tool etc. of control and the exceeded early warning of drug expenditure, herein with no restrictions.When above-mentioned medication monitors list When position is the other unit except medical institutions to be monitored, above-mentioned terminal device be can be for using each medical institutions The client of medicine monitoring and/or human-computer interaction device etc., herein with no restrictions.For convenience of description, will be with terminal device below Example is illustrated.
Embodiment one:
Referring to one that Fig. 1, Fig. 1 are the exceeded method for early warning of the drug expenditure based on data processing provided by the embodiments of the present application Flow diagram.The exceeded method for early warning of drug expenditure provided by the embodiments of the present application based on data processing, can be by walking as follows Rapid S11 implementation provided by each step into S14 is illustrated.
S11, obtain medical institutions to be monitored uses effective prescription.
In some possible embodiments, above-mentioned medical institutions to be monitored can monitor any that unit monitors by medication Medical institutions can specifically determine, herein with no restrictions according to practical application scene.In other words, any medical institutions all may By medication monitoring unit as monitored object, therefore selected monitored object then can be medical institutions to be monitored.It retouches for convenience It states, will be illustrated by taking medical institutions to be monitored as an example below.
In some possible embodiments, above-mentioned medical institutions may include medical institutions to be monitored in list with effective prescription It is all caused by a few days to use effective prescription.For convenience of description, generated institute within the odd-numbered day of above-mentioned medical institutions to be monitored is useful Effective prescription can be illustrated by taking odd-numbered day prescription as an example.The odd-numbered day prescription of above-mentioned medical institutions can refer to any day of medical institutions All prescriptions issued, all prescriptions, the list that all doctors of all departments of hospital are issued including but not limited in the odd-numbered day All prescriptions that in a few days all doctors of some department of hospital are issued or in the odd-numbered day some department of hospital certain Any situation in all prescriptions that one doctor is issued.Wherein, concrete condition represented by above-mentioned odd-numbered day prescription according to In practical application scene to medical institutions carry out medication monitoring examination dimension (such as medical institutions carry out medication monitoring, Some doctor of medication monitoring or some department for medical institutions is carried out for some department of medical institutions Carry out medication monitoring etc.) it determines, herein with no restrictions.For convenience of description, will own below with all departments of hospital in the odd-numbered day It is illustrated for all prescriptions that doctor is issued, hereinafter referred to as odd-numbered day prescription.
In some possible embodiments, the odd-numbered day prescription of above-mentioned medical institutions to be monitored can be for to be monitored Medical institutions carry out the prescription of the exceeded early warning of real-time drug expenditure, this part prescription can be each in medical institutions' odd-numbered day to be monitored It is all or part of in the prescription that a doctor is issued.Here, exceeded pre- to the real-time drug expenditure of medical institutions to be monitored The alert average daily drug expenditure that can be in medical institutions to be monitored comes the exceeded critical point of average daily drug expenditure (i.e. average daily drug Expense be more than or equal to average daily drug expenditure threshold value) when generate, for informing that the doctor of medical institutions to be monitored connects down in real time Prescription to issue may result in the exceeded prescription of average daily drug expenditure of medical institutions to be monitored, so that doctor determines whether Continue prescription.Optionally, the odd-numbered day prescription of above-mentioned medical institutions to be monitored is also possible to for medical institutions to be monitored The prescription of the exceeded early warning of later period drug expenditure is carried out, this part prescription can be each doctor institute in medical institutions' odd-numbered day to be monitored All prescriptions issued.Here, the exceeded early warning of later period drug expenditure, which can be, is currently examining week based on medical institutions to be monitored The odd-numbered day prescription of phase (such as some day) determines the average daily drug expenditure of medical institutions to be monitored, and exceeded (i.e. average daily drug expenditure is big In average daily drug expenditure threshold value) when generate, and determining medical institutions to be monitored currently examination the period average daily drug expenditure The exceeded early warning of drug expenditure is issued to medical institutions to be monitored when exceeded, to prompt medical institutions to be monitored to pay attention to subsequent examination week The control of average daily drug expenditure in phase with prevent from occurring again average daily drug expenditure it is exceeded and by drug expenditure refuse submit an expense account And/or the punishment such as refusal Claims Resolution.Wherein, the specific manifestation form of the odd-numbered day prescription of above-mentioned medical institutions to be monitored can be according to reality Application scenarios (in real time or later period) demand of the exceeded early warning of drug expenditure in application scenarios is determining, herein with no restrictions.For side Just describe, below odd-numbered day prescription will be illustrated by taking the prescription got in real time as an example, including but not limited to medical institutions is each It is all or part of in the prescription that each doctor of a department is issued.
In some possible embodiments, terminal device can be docked with the data system of medical institutions to be monitored, be obtained The data system access qualification of medical institutions to be monitored, so can the data system access qualification based on medical institutions to be monitored from It is obtained in the data system of medical institutions to be monitored at the prescription of medical institutions to be monitored, such as the odd-numbered day of medical institutions to be monitored Side etc..Optionally, terminal device may be based on medical institutions to be monitored and provide medical treatment Claims Resolution data, from medical treatment Claims Resolution data Middle screening obtains the prescription datas such as the odd-numbered day prescription of medical institutions to be monitored.Optionally, terminal device may be based on big data point Analysis, screening obtains the prescription datas such as the odd-numbered day prescription of medical institutions to be monitored from the sufferer diagnosis records of each medical institutions, Etc..It is single that terminal device can acquire medical treatment to be monitored based on any data to acquisite approachs except above-mentioned data acquiring mode The odd-numbered day prescription of position can specifically determine, herein with no restrictions according to practical application scene.
It is opened in the prescription it is appreciated that may each comprise on any prescription in the odd-numbered day prescription of medical institutions to be monitored here The drug details of drug, including but not limited to nomenclature of drug, Sales Volumes, drug usage mode (or drug takes mode etc.) And drug uses number of days, can specifically be determined according to practical application scene, herein with no restrictions.
S12 obtains above-mentioned medicine information included in effective prescription, and determining described wait supervise according to above-mentioned medicine information Control the average daily drug expenditure of medical institutions.
In some possible embodiments, medical treatment to be monitored can be determined based on the odd-numbered day prescription of medical institutions to be monitored The medicine information of each drug included by all prescriptions in the odd-numbered day prescription of unit, wherein include in the medicine information of any drug But it is not limited to Sales Volumes and drug and uses number of days.All prescriptions are wrapped in odd-numbered day prescription based on above-mentioned medical institutions to be monitored The medicine information of each drug included can determine drug sum included in the odd-numbered day prescription of medical institutions to be monitored, drug total value And drug uses total number of days etc..Wherein, the Sales Volumes of any of the above-described drug are that the unit price of any drug is multiplied with quantity Obtain the price of single drug.After above-mentioned drug sum indicates that drug used in all prescriptions is cumulative in odd-numbered day prescription Drug sum.Above-mentioned drug total value is that the unit price based on each drug included in odd-numbered day prescription is multiplied to obtain individually with quantity The Sales Volumes of drug and then the Sales Volumes of all drugs included in odd-numbered day prescription are added up to obtain all medicines The drug total price (i.e. drug total value) of product.Above-mentioned drug is the medicine of each drug in all drugs in odd-numbered day prescription using total number of days Product use the accumulated value of number of days.The average daily drug expenditure of the odd-numbered day prescription of medical institutions to be monitored indicates that medical institutions to be monitored are single The average cost of included all drugs in day prescription, here can average daily drug expenditure be illustrated.Wherein, above-mentioned wait supervise The average daily drug expenditure for controlling the odd-numbered day prescription of medical institutions can be calculated based on following formula:
Average daily drug expenditure=drug total value/drug uses total number of days (1)
Wherein, the Sales Volumes of all drugs are cumulative in drug total value, that is, odd-numbered day prescription in above-mentioned formula (1) obtains The total price of all drugs, above-mentioned drug use number of days using the drug of each drug in all drugs in total number of days, that is, odd-numbered day prescription Accumulated value.
It is corresponding average daily to determine whether above-mentioned average daily drug expenditure is more than or equal to above-mentioned medical institutions to be monitored by S13 Drug expenditure threshold value.
In some possible embodiments, it when carrying out medication monitoring for different medical unit, can preset each The medication Standard of Monitoring of medical institutions and/or the performance assessment criteria threshold value of medication evaluation criterion.Wherein, above-mentioned performance assessment criteria threshold value can For upper limit up to standard of average daily drug expenditure threshold value, such as average daily drug expenditure, or the average daily drug expenditure upper limit etc..For example, needle When carrying out medication monitoring to medical institutions to be monitored, it can be used based on the history medication record or drug of medical institutions to be monitored The corresponding average daily drug expenditure upper limit of the information settings such as policy medical institutions to be monitored, and then can be based on the to be monitored of above-mentioned determination The average daily drug expenditure of medical institutions, in conjunction with corresponding performance assessment criteria threshold value (the i.e. average daily drug expenditure of the medical institutions to be monitored The upper limit) determine whether the medication of the medical institutions is exceeded.In other words, as the average daily drug expenditure of the medical institutions to be monitored Whether its corresponding average daily drug expenditure upper limit is greater than.If the average daily drug expenditure of the medical institutions to be monitored is less than or equal to Its corresponding average daily drug expenditure upper limit then can determine that the medication of medical institutions to be monitored is up to standard, i.e., medical treatment list to be monitored The medication of position is not exceeded.If the average daily drug expenditure of medical institutions to be monitored is greater than its corresponding average daily drug expenditure upper limit, Can determine medical institutions to be monitored medication be it is exceeded, i.e., the drug cost of medical institutions to be monitored is exceeded.
S14, if above-mentioned average daily drug expenditure is more than or equal to above-mentioned average daily drug expenditure threshold value, to above-mentioned to be monitored Medical institutions send the exceeded warning information of drug expenditure.
In some possible embodiments, the exceeded early warning of real-time drug expenditure is being carried out for medical institutions to be monitored In application scenarios, if determining medical institutions to be monitored in the prescription that currently the examination period has issued based on medical institutions to be monitored Medication standard it is exceeded.It is greater than its corresponding average daily drug expenditure threshold value in the average daily drug expenditure of medical institutions to be monitored When, when the evolution request that any doctor that terminal device gets medical institutions to be monitored submits, exportable drug expenditure is super Mark early warning is identified to doctor's evolution tool homepage of medical institutions to be monitored, based on the drug shown in doctor's evolution tool homepage The exceeded early warning mark of expense, issues the exceeded early warning of drug expenditure to the doctor of medical institutions to be monitored, to prompt medical treatment to be monitored The doctor of unit controls evolution medication to prevent drug expenditure exceeded.For example, when terminal device gets medical institutions to be monitored Any doctor submit evolution request when, can be in evolution tool homepage (such as user's operation circle of evolution tool of the doctor Face) on export the exceeded early warning of drug expenditure mark (such as red exclamation mark etc.) or the exceeded early warning of drug expenditure voice letter The exceeded warning information of drug expenditures such as breath.The doctor of medical institutions to be monitored is prompted based on the exceeded warning information of above-mentioned drug expenditure Teacher, medical institutions to be monitored currently examine the corresponding average daily drug expenditure of the prescription in period to have arrived at the upper limit up to standard (i.e. wait supervise Prescription corresponding average daily drug expenditure of the control medical institutions within the currently examination period has been above or is equal to average daily drug expense With threshold value), drug expenditure brought by next prescription that doctor issues may result in medical institutions to be monitored and examine currently Drug expenditure is exceeded in nuclear cycle, so that doctor determines whether to continue evolution etc..It can be prompted based on above-mentioned implementation to be monitored The doctor of medical institutions controls evolution medication to prevent drug expenditure exceeded, so that the drug for treating monitoring medical institutions can be realized The exceeded early warning of expense.
Optionally, in some possible embodiments, exceeded in the later period drug expenditure for medical institutions to be monitored During the application scenarios of early warning converge, when the drug expenditure of above-mentioned medical institutions to be monitored is exceeded, such as the average daily drug of medical institutions When expense is greater than average daily drug expenditure threshold value, it may be determined that exceed average daily medicine in the average daily drug expenditure of above-mentioned medical institutions to be monitored The average daily drug expenditure difference (i.e. the exceeded data of drug expenditure) of product cost threshold part.According to the exceeded data of above-mentioned drug expenditure The exceeded warning information of drug expenditure is sent to medical institutions to be monitored, based on the exceeded warning information of above-mentioned drug expenditure to be monitored It is average daily in one or more examination period after the currently examination period to prevent that medical institutions send control evolution medication The exceeded early warning of drug expenditure.Wherein, the exceeded warning information of above-mentioned drug expenditure includes instant communication information, mail or bulletin One or more of information type.For example, terminal device can take above-mentioned average daily drug expenditure and above-mentioned average daily drug Publicity is carried out with difference, average daily drug expenditure and above-mentioned average daily drug expenditure difference prompt medical treatment to be monitored based on publicity are single The doctor of position controls the medication of evolution, and the doctor of the medical institutions to be monitored random medication during evolution is avoided to cause drug The waste of equal medical resources, realizes the risk control exceeded with effective prescription to medical institutions to be monitored.Optionally, based on above-mentioned Average daily drug expenditure and above-mentioned average daily drug expenditure difference can announce interface (example in the unit hall of the medical institutions to be monitored As the message in unit hall announces display screen) on carry out publicity or monitored in medication supervision medical institutions' medication that unit went out Publicity is carried out on daily paper, to control the medication of medical institutions to be monitored and its each doctor's evolution, avoids medical institutions to be monitored The average daily drug expenditure with effective prescription continue the waste of exceeded bring medical resource, realize the medicine to the medical institutions to be monitored The exceeded early warning of product expense.Optionally, it can also be waited at this based on above-mentioned average daily drug expenditure and above-mentioned average daily drug expenditure difference It monitors and carries out publicity on the information bulletin interface of each department of medical institutions, and/or in each of the medical institutions to be monitored Publicity etc. is carried out in the homepage of the evolution tool of doctor, can specifically be determined according to practical application scene, herein with no restrictions.
The embodiment of the present application can be determined based on medical institutions to be monitored medicine information included in effective prescription wait supervise The average daily drug expenditure of medical institutions is controlled, and then can judge medical treatment to be monitored based on the average daily drug expenditure of medical institutions to be monitored Whether the average daily drug expenditure of unit is more than or equal to average daily drug expenditure threshold value, and then can be in the day of medical institutions to be monitored When equal drug expenditure is more than or equal to average daily drug expenditure threshold value, the exceeded early warning of drug expenditure is sent to medical institutions to be monitored Information, to prompt medical institutions' control evolution medication to be monitored, to avoid the drug wasting of resources of medical institutions to be monitored, operation Simply.It is simple to the medication policer operation of each medical institutions based on method provided by the embodiments of the present application realization, it can be improved to doctor The accuracy for treating the medication monitoring of unit, improves the timeliness to the exceeded early warning of the drug expenditure of medical institutions, and then can be improved Medicining condition based on each medical institutions carries out the reliability of the exceeded early warning of drug expenditure to the prescription of each medical institutions, mentions The medication controllability of high medical institutions' evolution, so that the effective rate of utilization of medical resource can be improved, applicability is stronger.
Embodiment two:
Referring to fig. 2, Fig. 2 is the another of the exceeded method for early warning of the drug expenditure based on data processing provided by the embodiments of the present application One flow diagram.The exceeded method for early warning of drug expenditure provided by the embodiments of the present application based on data processing, which can be realized, treats prison Medicining condition of the control medical institutions within the individually examination period is monitored, this method can as follows S21 it is each into S25 Implementation provided by a step is illustrated.
S21, obtain medical institutions to be monitored uses effective prescription.
In some possible embodiments, the implementation with effective prescription of above-mentioned acquisition medical institutions to be monitored can join See implementation provided by step S11 in above-described embodiment, details are not described herein.
Optionally, in some possible embodiments, above-mentioned medical institutions with effective prescription may also include doctor to be monitored Treat unit generated within the individually examination period it is all with effective prescription, wherein the above-mentioned single examination period greater than one day, such as one A week, one month, a season or 1 year etc., herein with no restrictions.For convenience of description, above-mentioned medical institutions to be monitored exist Generated all can singly be examined for period prescription with effective prescription is illustrated in the single examination period.
Optionally, single examination period prescription of above-mentioned medical institutions can refer to institute in any examination period of medical institutions All prescriptions issued, all places that including but not limited to individually all doctors of all departments of hospital are issued in the examination period All prescriptions that all doctors of some department of hospital are issued in side, single examination period, or single examination period Any situation in all prescriptions that some doctor of some department of interior hospital is issued.Wherein, above-mentioned individually to examine Concrete condition represented by nuclear cycle prescription is according to the examination dimension that in practical application scene medical institutions are carried out with medication monitoring (such as medication monitoring is carried out for medical institutions, for some department progress medication monitoring of medical institutions or for doctor Some doctor for treating some department of unit carries out medication monitoring etc.) it determines, herein with no restrictions.For convenience of description, under Face will be illustrated by taking all prescriptions for individually examining all doctors of all departments of hospital in the period to be issued as an example, simple below Claim single examination period prescription.
It is appreciated that can be wrapped on any prescription included in single examination period prescription of medical institutions to be monitored here Include the drug details of write a prescription product in the prescription, including but not limited to nomenclature of drug, Sales Volumes, drug usage mode and medicine Product use number of days, can specifically be determined according to practical application scene, herein with no restrictions.
S22 obtains above-mentioned medicine information included in effective prescription, and determining described wait supervise according to above-mentioned medicine information Control the average daily drug expenditure of medical institutions.
In some possible embodiments, the above-mentioned letter of the drug included by effective prescription based on medical institutions to be monitored Breath determines that the specific implementation of the average daily drug expenditure of medical institutions to be monitored can be found in step S12 in above-described embodiment and be mentioned The implementation of confession, details are not described herein.
Optionally, in some possible embodiments, average daily with effective prescription based on above-mentioned medical institutions to be monitored Drug expenditure can also handle to obtain the average daily drug expenditure of medical institutions to be monitored in designated time period, for example, a week, one A month, the average daily drug expenditure etc. in a season or 1 year.For convenience of description, can be examined below using a week as one Period is illustrated by taking the average daily drug expenditure in a week as an example, the average daily drug expenditure of referred to as single examination period prescription.
Optionally, the average daily drug expenditure of single examination period prescription can meet following formula:
Average daily drug expenditure=period drug total value/period drug uses total number of days (2)
Wherein, period drug total value can be and be wrapped in all prescriptions in the single examination period in above-mentioned formula (2) The total amount of the cumulative obtained all drugs of the Sales Volumes of all drugs included, above-mentioned period drug can be using total number of days The drug of each drug uses the accumulated value of number of days in all drugs included by single examination period prescription.
Optionally, in some possible embodiments, institute in single examination period prescription based on medical institutions to be monitored Including medicine information, can obtain any day in the single examination period use effective prescription (for convenience of description, below will be with any list It is illustrated for daily effective prescription), and the medicine information of each drug included in any odd-numbered day effective prescription is obtained, wherein It include but is not limited to that Sales Volumes and drug use number of days in medicine information.According to each medicine included by any odd-numbered day effective prescription The Sales Volumes and drug of product using number of days determine any day average daily drug expenditure of medical institutions to be monitored (for convenience of describe, It will be illustrated by taking odd-numbered day average daily drug expenditure as an example below).Wherein, any day odd-numbered day day of above-mentioned medical institutions to be monitored Equal drug expenditure can be found in the corresponding implementation of formula in above-described embodiment (1), and details are not described herein.In addition, based on wait supervise The drug of control medical institutions each drug included in daily prescription within the individually examination period can determine daily place using number of days Drug in side uses total number of days, and then the list of medical institutions to be monitored can be determined using total number of days based on the drug of daily prescription The drug of all drugs included in period prescription is examined to use total number of days.Wherein, medical institutions to be monitored are individually examining Any day drug in period uses number of days using the drug that total number of days is each drug included in any odd-numbered day prescription Summation.It is used always according to above-mentioned medical institutions to be monitored in individually the odd-numbered day average daily drug expenditure of examination period Nei Ge and drug Number of days can determine average daily drug expenditure of the medical institutions to be monitored within the individually examination period.
It in some possible embodiments, can according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge Determine that medical institutions to be monitored, can be referred to as single for convenience of description in the accumulated value of the individually odd-numbered day average daily drug expenditure in examination period Day average daily drug expenditure accumulated value.It can determine doctor to be monitored using total number of days according to the drug of above-mentioned single examination period Nei Ge Treat unit individually examination the period in drug use total number of days accumulated value, for convenience of description can abbreviation drug use total number of days Accumulated value.Medical treatment to be monitored is determined using total number of days accumulated value according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug The average daily drug expenditure of unit.
Here, (medical institutions i.e. to be monitored are within the individually examination period for the average daily drug expenditure of medical institutions to be monitored Average daily drug expenditure) following formula can be met:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value (3)
It is assumed that individually the examination period is a week here, then the odd-numbered day average daily drug expenditure in above-mentioned formula (3) is tired The accumulated value of the average daily drug expenditure of each odd-numbered day prescription, above-mentioned public affairs in the value added 7 odd-numbered day prescriptions that can be in a week Drug in formula (3) can be the medicine of each odd-numbered day prescription in 7 odd-numbered day prescriptions in a week using total number of days accumulated value Product use the accumulated value of total number of days.
S23 determines the average daily of above-mentioned medical institutions to be monitored according to the unit attribute information of above-mentioned medical institutions to be monitored Drug expenditure threshold value.
S24, according to the medical institutions to be monitored of the average daily drug expenditure of above-mentioned medical institutions to be monitored and above-mentioned determination Average daily drug expenditure threshold value determines whether the drug expenditure of medical institutions to be monitored is exceeded.
In some possible embodiments, above-mentioned average daily drug expenditure according to medical institutions to be monitored and to be monitored The corresponding average daily drug expenditure threshold value of medical institutions determines the whether exceeded specific implementation of the medication of medical institutions to be monitored It can be found in implementation provided by step S13 in above-described embodiment, details are not described herein.
Optionally, in some possible embodiments, it when carrying out medication monitoring for different medical unit, can also be based on The unit attribute information of each medical institutions determines the medication Standard of Monitoring of each medical institutions and/or examining for medication evaluation criterion Core metrics-thresholds, i.e., average daily drug expenditure threshold value, such as the upper limit up to standard of average daily drug expenditure etc..Wherein, above-mentioned doctor to be monitored Treat unit unit attribute information include flat type, city, unit drugs supply channel locating for region, unit locating for unit with And one of unit sufferer person-time or a variety of, it can specifically be determined according to practical application scene, herein with no restrictions.For example, base The different medical associated by the parameters such as different geographical, different cities, different drugs supply channels or different sufferer amount of flow The performance assessment criteria threshold value of unit, medication monitoring can be not quite similar.For example, medical institutions associated by city higher for price Or the higher associated medical supply unit of cost of drugs valence brought by drugs supply channel, then it can be by its average daily drug expenditure The upper limit up to standard is somewhat higherly settable, i.e. the performance assessment criteria threshold value of its corresponding medication Standard of Monitoring then may be set to higher Performance assessment criteria etc..Cost of drugs brought by medical institutions associated by city lower for price or drugs supply channel The lower associated medical supply unit of valence, then can be more lowerly settable by the upper limit up to standard of its average daily drug expenditure, i.e., its is right The performance assessment criteria threshold value for the medication Standard of Monitoring answered then may be set to lower performance assessment criteria etc..It specifically can be according to practical application field Scape is determining, herein with no restrictions.
In some possible embodiments, based on the average daily drug expenditure of the medical institutions to be monitored of above-mentioned determination, knot Closing the performance assessment criteria threshold value based on determined by the unit attribute information of medical institutions to be monitored (i.e. average daily drug expenditure threshold value) can Determine whether the medication of the medical institutions is exceeded, in other words, as whether the average daily drug expenditure of medical institutions to be monitored is big In its corresponding average daily drug expenditure threshold value.If it is corresponding that the average daily drug expenditure of medical institutions to be monitored is less than or equal to its Average daily drug expenditure threshold value, then can determine that the medication of medical institutions to be monitored is not exceeded, the otherwise medication of the medical institutions is then Exceeded.
S25, if the drug expenditure of above-mentioned medical institutions to be monitored is exceeded, based on the average daily of above-mentioned medical institutions to be monitored Drug expenditure sends the exceeded warning information of drug expenditure to above-mentioned medical institutions to be monitored.
In some possible embodiments, the average daily drug expenditure output drug based on above-mentioned medical institutions to be monitored takes It is identified to doctor's evolution tool homepage of above-mentioned medical institutions to be monitored with exceeded early warning with to the doctor of medical institutions to be monitored The exceeded early warning of drug expenditure is issued, and the average daily drug expenditure difference of the above-mentioned exceeded part of medical institutions to be monitored is carried out public Show, step in above-described embodiment can be found in the implementation of the exceeded early warning of the drug expenditure of medical institutions to be monitored to realize Implementation provided by S14, details are not described herein.
Optionally, in some possible embodiments, exceeded in the later period drug expenditure for medical institutions to be monitored In the application scenarios of early warning, it is based on above-mentioned average daily drug expenditure difference, can also receive what the medical institutions to be monitored submitted It, can be by refusing the drug expenditure reports of the medical institutions to be monitored when drug expenditure reimbursement request or drug expenditure Claims Resolution request Pin request or drug expenditure Claims Resolution request, realize the average daily drug within the currently examination period for the medical institutions to be monitored This exceeded appraisal standards of expense are punished, exceeded pre- with the drug expenditure for carrying out the subsequent examination period to the medical institutions It is alert.It, can be in the day for receiving medical institutions and mentioning report for example, when the average daily drug expenditure of some day of the medical institutions is exceeded Drug expenditure reimbursement and/or request when, to the medical institutions feed back the drug expenditure of this day all prescriptions reimbursement failure.It changes Sentence is talked about, and when the average daily drug expenditure of some day of the medical institutions is exceeded, terminal device receives medical institutions and mentions report When the ethical goods expense reimbursement and/or Claims Resolution request of this day, the ethical goods expense that can the medical institutions be fed back with this day is refused Reimbursement or Claims Resolution absolutely, and then the medical institutions can be prompted to carry out self control to the average daily drug expenditure of daily prescription, it prevents Average daily drug expenditure is exceeded to realize the early warning exceeded to the drug expenditure of the medical institutions in subsequent one day or more days.
Optionally, in some possible embodiments, when the medication standard of medical institutions to be monitored is exceeded, such as medical treatment When the average daily drug expenditure of unit odd-numbered day prescription is greater than average daily drug expenditure threshold value, terminal device can calculate medical institutions to be monitored Average daily drug expenditure and above-mentioned average daily drug expenditure threshold value between difference.When terminal device receives the medical treatment list to be monitored Position drug expenditure reimbursement and/or Claims Resolution request when, then can for the medical institutions to be monitored average daily drug expenditure with it is above-mentioned Difference between average daily drug expenditure threshold value, to difference portion drug in the drug expenditure of medical institutions' odd-numbered day prescription to be monitored The reimbursement of expense refusal is settled a claim so that the medical institutions are carried out with the exceeded early warning of drug expenditure in subsequent examination period.
Optionally, in some possible embodiments, when terminal device determines some examination of medical institutions to be monitored The medication of prescription in period (i.e. currently examination period, such as one day or a week etc.) is exceeded, such as medical treatment to be monitored is single When the average daily drug expenditure of prescription (such as odd-numbered day prescription) in some examination period of position is greater than average daily drug expenditure threshold value, terminal Equipment then can be next after the examination period (the exceeded average daily drug expenditure of odd-numbered day prescription is some day, such as Monday) By the examination period at the beginning of examination period (second day of this exceeded day of average daily drug expenditure of odd-numbered day prescription, such as Tuesday) The exceeded report of average daily drug expenditure pass through one or more of instant communication information, mail and/or bulletin information type It is sent to the medical institutions to be monitored.Wherein, the average daily exceeded report of drug expenditure is for prompting the medical institutions to be monitored to exist The examination period innerlich anwenden is exceeded, and if can remind the medical institutions to be monitored within next examination period or specified time Continuous multiple examination periods in average daily drug expenditure it is still exceeded, then will carry out average daily drug to the medical institutions to be monitored and take With the exceeded early warning of the drug expenditure of exceeded punishment.Wherein, above-mentioned punishment includes exceeded to the medical institutions to be monitored average daily Drug expenditure all perhaps settle a claim or refuse the exceeded part of the average daily drug expenditure of the medical institutions to be monitored by refusal reimbursement Reimbursement or Claims Resolution etc. absolutely.The above-mentioned exceeded report of average daily drug expenditure is for prompting the medical institutions to be monitored to average daily drug expense With self control is carried out to realize to the exceeded early warning of the drug expenditure of the medical institutions to be monitored.
The embodiment of the present application can based on medical institutions to be monitored within the individually examination period with included in effective prescription Medicine information determines average daily drug expenditure of the medical institutions to be monitored within the individually examination period, and individually the examination period wraps here The odd-numbered day is included, also includes the examination period of any duration more than one day.Based on medical institutions to be monitored within the examination period Average daily drug expenditure judges whether the medication of medical institutions to be monitored is exceeded, realizes to the Drug utilization index of medical institutions to be monitored Evaluation, mode of operation multiplicity.The medication policer operation side to each medical institutions is realized based on method provided by the embodiments of the present application The accuracy of the medication monitoring to medical institutions had both can be improved in formula multiplicity, improved the reliability of the medication monitoring to medical institutions, The operating flexibility of the medication monitoring to medical institutions can also be enhanced simultaneously, and then the medication based on each medical institutions can be improved Situation is exceeded to the publicity of the prescription progress exceeded early warning of drug expenditure of each medical institutions, and/or the average daily drug expenditure of refusal The reliability of the exceeded early warning of drug expenditures such as corresponding drug expenditure reimbursement and/or Claims Resolution request, can be improved to medical treatment to be monitored The timeliness of the exceeded early warning of the drug expenditure of unit, so that the effective rate of utilization of medical resource can be improved, applicability is stronger.
Embodiment three:
It is the reality of the exceeded prior-warning device of the drug expenditure based on data processing provided by the embodiments of the present application referring to Fig. 3, Fig. 3 Apply a structural schematic diagram.The exceeded prior-warning device of drug expenditure provided by the embodiments of the present application based on data processing includes:
Data capture unit 31 uses effective prescription for obtain medical institutions to be monitored.
Medicine information processing unit 32, for obtaining above-mentioned being wrapped in effective prescription of the above-mentioned acquisition of data capture unit 31 The medicine information included, and determine according to above-mentioned medicine information the average daily drug expenditure of above-mentioned medical institutions to be monitored.
Drug expenditure monitoring unit 33, the above-mentioned average daily drug expense determined for determining above-mentioned medicine information processing unit 32 With whether being more than or equal to the corresponding average daily drug expenditure threshold value of above-mentioned medical institutions to be monitored.
The exceeded prewarning unit 34 of drug expenditure, for determining that above-mentioned average daily drug takes in above-mentioned drug expenditure monitoring unit 33 When with being more than or equal to above-mentioned average daily drug expenditure threshold value, the exceeded early warning of drug expenditure is sent to above-mentioned medical institutions to be monitored Information.
In some possible embodiments, the exceeded warning information of above-mentioned drug expenditure includes the exceeded early warning mark of drug expenditure Know；
The above-mentioned exceeded prewarning unit 34 of drug expenditure is used for:
The output exceeded early warning of drug expenditure is identified to doctor's evolution tool homepage of above-mentioned medical institutions to be monitored, based on upper The exceeded early warning mark of the above-mentioned drug expenditure shown in doctor's evolution tool homepage is stated, to the doctor of above-mentioned medical institutions to be monitored The exceeded early warning of drug expenditure is issued, to prompt the doctor of above-mentioned medical institutions to be monitored to control evolution medication to prevent drug expenditure It is exceeded.
In some possible embodiments, above-mentioned with effective prescription includes above-mentioned medical institutions to be monitored in current examination week All in phase use effective prescription；
The above-mentioned exceeded prewarning unit 34 of drug expenditure is used for:
Determine above-mentioned medical institutions to be monitored upper according to above-mentioned average daily drug expenditure and above-mentioned average daily drug expenditure threshold value State the exceeded data of drug expenditure in the current examination period；
The exceeded warning information of drug expenditure is sent to above-mentioned medical institutions to be monitored according to the exceeded data of above-mentioned drug expenditure, Control evolution medication is sent to prevent current to above-mentioned medical institutions to be monitored based on the exceeded warning information of above-mentioned drug expenditure The exceeded early warning of average daily drug expenditure in one or more examination period after the examination period；
Wherein, the exceeded warning information of above-mentioned drug expenditure include one of instant communication information, mail or bulletin or Person's much information type.
In some possible embodiments, above-mentioned data capture unit 31 is used for:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes above-mentioned medical institutions to be monitored in the individually examination period with effective prescription It is interior it is all use effective prescription, the cycle duration in above-mentioned single examination period includes odd-numbered day or more days.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription All within the single examination period in odd-numbered day of unit use effective prescription；
Above-mentioned medicine information processing unit 32 is used for:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug Expense.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription All within more days single examination periods of unit use effective prescription；
Above-mentioned medicine information processing unit 32 is used for:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days Product use the summation of number of days.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise Control the average daily drug expenditure of medical institutions；
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.
In some possible embodiments, above-mentioned drug expenditure monitoring unit 33 is used for:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored Cost threshold；
Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of.
In some possible embodiments, the exceeded prior-warning device of the above-mentioned drug expenditure based on data processing can pass through it Built-in each functional module executes the implementation as provided by above-mentioned Fig. 1 each step into Fig. 2.Optionally, above-mentioned base It can be terminal device described in above-mentioned each embodiment in the exceeded prior-warning device of drug expenditure of data processing, not do herein Limitation.For example, above-mentioned data capture unit 31 can be used for executing medical institutions to be monitored in above-mentioned each step use effective prescription Acquisition, for details, reference can be made to implementations provided by above-mentioned each step, and details are not described herein.Above-mentioned medicine information processing is single Member 32 can be used for executing the drug gold with each drug included in effective prescription of medical institutions to be monitored in above-mentioned each step Volume, odd-numbered day average daily drug expenditure and/or average daily drug expenditure of medical institutions to be monitored and other implementations, for details, reference can be made to above-mentioned Implementation provided by each step, details are not described herein.Above-mentioned drug expenditure monitoring unit 33 can be used for executing above-mentioned each Unit attribute information in a step based on medical institutions to be monitored determines the average daily drug expenditure threshold value of medical institutions to be monitored, And the average daily drug expenditure based on medical institutions to be monitored judges that whether exceeded the drug expenditure of medical institutions to be monitored is etc. real Existing mode, for details, reference can be made to implementations provided by above-mentioned each step, and details are not described herein.Above-mentioned drug expenditure is exceeded pre- Alert unit 34 is used to execute based on the determining above-mentioned average daily drug expenditure of above-mentioned medicine information processing unit 32 to medical treatment to be monitored Unit carries out exceeded early warning of drug expenditure and other implementations, for details, reference can be made to implementation provided by above-mentioned each step, This is repeated no more.
The embodiment of the present application can based on medical institutions to be monitored within the individually examination period with included in effective prescription Medicine information determines average daily drug expenditure of the medical institutions to be monitored within the individually examination period, and individually the examination period wraps here The odd-numbered day is included, also includes the examination period of any duration more than one day.Based on medical institutions to be monitored within the examination period Average daily drug expenditure judges whether the medication of medical institutions to be monitored is exceeded, realizes to the Drug utilization index of medical institutions to be monitored Evaluation, mode of operation multiplicity.The medication policer operation side to each medical institutions is realized based on method provided by the embodiments of the present application The accuracy of the medication monitoring to medical institutions had both can be improved in formula multiplicity, improved the reliability of the medication monitoring to medical institutions, The operating flexibility of the medication monitoring to medical institutions can also be enhanced simultaneously, and then the medication based on each medical institutions can be improved Situation is exceeded to the publicity of the prescription progress exceeded early warning of drug expenditure of each medical institutions, and/or the average daily drug expenditure of refusal The reliability of the exceeded early warning of drug expenditures such as corresponding drug expenditure reimbursement and/or Claims Resolution request, can be improved to medical treatment to be monitored The timeliness of the exceeded early warning of the drug expenditure of unit, so that the effective rate of utilization of medical resource can be improved, applicability is stronger.
Example IV:
Referring to fig. 4, Fig. 4 is a kind of example structure schematic diagram of terminal device provided by the embodiments of the present application.Such as Fig. 4 institute Show, the terminal device in the present embodiment may include: one or more processors 401, memory 402 and one or more receipts Send out device 403.Above-mentioned processor 401, memory 402 and transceiver 403 are connected by bus 404.Memory 402 is based on storing Calculation machine program, the computer program include program instruction, and processor 401 and transceiver 403 are used to execute the storage of memory 402 Program instruction.Wherein, above-mentioned processor 401 is configured for that the program instruction is called to perform the following operations:
Obtain medical institutions to be monitored uses effective prescription；
Above-mentioned medicine information included in effective prescription is obtained, and above-mentioned doctor to be monitored is determined according to above-mentioned medicine information Treat the average daily drug expenditure of unit；
Determine whether above-mentioned average daily drug expenditure is more than or equal to the corresponding average daily drug of above-mentioned medical institutions to be monitored Cost threshold.
Above-mentioned transceiver 403, it is above-mentioned for determining that above-mentioned average daily drug expenditure is more than or equal in above-mentioned processor 402 Average daily drug expenditure threshold value then sends the exceeded warning information of drug expenditure to above-mentioned medical institutions to be monitored.
In some possible embodiments, the exceeded warning information of above-mentioned drug expenditure includes the exceeded early warning mark of drug expenditure Know；
Above-mentioned transceiver 403, is used for:
The output exceeded early warning of drug expenditure is identified to doctor's evolution tool homepage of above-mentioned medical institutions to be monitored, based on upper The exceeded early warning mark of the above-mentioned drug expenditure shown in doctor's evolution tool homepage is stated, to the doctor of above-mentioned medical institutions to be monitored The exceeded early warning of drug expenditure is issued, to prompt the doctor of above-mentioned medical institutions to be monitored to control evolution medication to prevent drug expenditure It is exceeded.
In some possible embodiments, above-mentioned with effective prescription includes above-mentioned medical institutions to be monitored in current examination week All in phase use effective prescription；
Above-mentioned processor 401, it is above-mentioned for being determined according to above-mentioned average daily drug expenditure and above-mentioned average daily drug expenditure threshold value Drug expenditure exceeded data of the medical institutions to be monitored within the above-mentioned current examination period；
Above-mentioned transceiver 403, the exceeded data of drug expenditure for being determined according to above-mentioned processor 402 are to above-mentioned to be monitored Medical institutions send the exceeded warning information of drug expenditure, are based on the exceeded warning information of above-mentioned drug expenditure to above-mentioned medical treatment to be monitored Unit sends control evolution medication to prevent average daily drug in one or more examination period after the currently examination period The exceeded early warning of expense；
Wherein, the exceeded warning information of above-mentioned drug expenditure include one of instant communication information, mail or bulletin or Person's much information type.
In some possible embodiments, above-mentioned processor 401, is used for:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes that above-mentioned medical institutions to be monitored are all within the odd-numbered day with effective prescription It is all with effective prescription, above-mentioned single examination week within the individually examination period with effective prescription or above-mentioned medical institutions to be monitored Phase is greater than one.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription All within the single examination period in odd-numbered day of unit use effective prescription；
Above-mentioned processor 401, is used for:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug Expense.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription All within more days single examination periods of unit use effective prescription；
Above-mentioned processor 401, is used for:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days Product use the summation of number of days.
In some possible embodiments, above-mentioned processor 401, is used for:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise Control the average daily drug expenditure of medical institutions.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.Or
Optionally, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=period drug total value/period drug uses total number of days；
Wherein, it can be the drug of all drugs of all prescriptions in the single examination period in above-mentioned period drug total value The total amount of the cumulative obtained all drugs of the amount of money, above-mentioned period drug can be the institute in the single examination period using total number of days There is the drug of each drug in drug to use the accumulated value of number of days.
In some possible embodiments, above-mentioned processor 401, is also used to:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored Cost threshold, the unit attribute information of above-mentioned medical institutions to be monitored include flat type, city locating for region, unit locating for unit One of city, unit drugs supply channel and unit sufferer person-time are a variety of.
In some possible embodiments, above-mentioned processor 401 can be central processing unit (central Processing unit, CPU), which can also be other general processors, digital signal processor (digital Signal processor, DSP), specific integrated circuit (application specific integrated circuit, ASIC), ready-made programmable gate array (field-programmable gate array, FPGA) or other programmable logic Device, discrete gate or transistor logic, discrete hardware components etc..General processor can be microprocessor or this at Reason device is also possible to any conventional processor etc..The memory 402 may include read-only memory and random access memory, And instruction and data is provided to processor 401.The a part of of memory 402 can also include non-volatile random access storage Device.For example, memory 402 can be with the information of storage device type.
In some possible embodiments, above-mentioned terminal device can pass through the processor 401 and transceiver 403 built in it Each functional module execute the implementation as provided by above-mentioned Fig. 1 each step into Fig. 2, for details, reference can be made to above-mentioned each Implementation provided by step, details are not described herein.
The embodiment of the present application can based on medical institutions to be monitored within the individually examination period with included in effective prescription Medicine information determines average daily drug expenditure of the medical institutions to be monitored within the individually examination period, and individually the examination period wraps here The odd-numbered day is included, also includes the examination period of any duration more than one day.Based on medical institutions to be monitored within the examination period Average daily drug expenditure judges whether the medication of medical institutions to be monitored is exceeded, realizes to the Drug utilization index of medical institutions to be monitored Evaluation, mode of operation multiplicity.The medication policer operation side to each medical institutions is realized based on method provided by the embodiments of the present application The accuracy of the medication monitoring to medical institutions had both can be improved in formula multiplicity, improved the reliability of the medication monitoring to medical institutions, The operating flexibility of the medication monitoring to medical institutions can also be enhanced simultaneously, and then the medication based on each medical institutions can be improved Situation is exceeded to the publicity of the prescription progress exceeded early warning of drug expenditure of each medical institutions, and/or the average daily drug expenditure of refusal The reliability of the exceeded early warning of drug expenditures such as corresponding drug expenditure reimbursement and/or Claims Resolution request, can be improved to medical treatment to be monitored The timeliness of the exceeded early warning of the drug expenditure of unit, so that the effective rate of utilization of medical resource can be improved, applicability is stronger.
The embodiment of the present application also provides a kind of computer readable storage medium, which has meter Calculation machine program, the computer program include program instruction, which realizes Fig. 1 when being executed by transceiver and/or processor The exceeded method for early warning of drug expenditure into Fig. 2 provided by each step based on data processing, for details, reference can be made to above-mentioned each Implementation provided by step, details are not described herein.
Above-mentioned computer readable storage medium can be the drug expense based on data processing that aforementioned any embodiment provides With the hard disk or memory of exceeded prior-warning device or the internal storage unit of above-mentioned terminal device, such as electronic equipment.The calculating It is hard that machine readable storage medium storing program for executing is also possible to the plug-in type being equipped on the External memory equipment of the electronic equipment, such as the electronic equipment Disk, intelligent memory card (smart media card, SMC), secure digital (secure digital, SD) card, flash card (flash card) etc..Further, which can also both include the storage inside of the electronic equipment Unit also includes External memory equipment.The computer readable storage medium is for storing the computer program and the electronic equipment Other required programs and data.The computer readable storage medium, which can be also used for temporarily storing, have been exported or will The data of output.
Term " includes " and " having " and their any changes in following claims and specification and attached drawing Shape, it is intended that cover and non-exclusive include.Referenced herein " embodiment " is it is meant that the specific spy described in conjunction with the embodiments Sign, structure or characteristic may be embodied at least one embodiment of the application.Each position in the description shows that this is short Language might not each mean identical embodiment, nor the independent or alternative embodiment with other embodiments mutual exclusion.? Term "and/or" used in present specification and the appended claims refers to one or more in the associated item listed A any combination and all possible combinations, and including these combinations.Those of ordinary skill in the art may be aware that knot Each exemplary unit and algorithm steps for closing the embodiments described herein description, can be with electronic hardware, computer software Or the combination of the two is realized, in order to clearly illustrate the interchangeability of hardware and software, in the above description according to Function generally describes each exemplary composition and step.Method provided by the embodiments of the present application and relevant apparatus are referring to this The method flow diagram and/or structural schematic diagram for applying for embodiment offer can specifically be realized by computer program instructions come what is described The each flow and/or block of method flow diagram and/or structural schematic diagram and the process in flowchart and/or the block diagram and/ Or the combination of box.These computer program instructions can provide general purpose computer, special purpose computer, Embedded Processor or its The processor of his programmable data processing device is to generate a machine, so that being handled by computer or other programmable datas The instruction that the processor of equipment executes generates for realizing in one or more flows of the flowchart and/or structural schematic diagram one The device for the function of being specified in a box or multiple boxes.These computer program instructions may also be stored in be able to guide computer or In other programmable data processing devices computer-readable memory operate in a specific manner, so that being stored in the computer can Read the instruction in memory and generate include command device manufacture, which realizes in one process of flow chart or multiple The function of being specified in process and/or structural schematic diagram one box or multiple boxes.These computer program instructions can also load Onto computer or other programmable data processing devices, so that executing a series of behaviour on a computer or other programmable device Make step to generate computer implemented processing, so that instruction executed on a computer or other programmable device offer is used for Realize the step for the function of specifying in one or more flows of the flowchart and/or structural representation one box or multiple boxes Suddenly.

Claims (10)

1. a kind of exceeded method for early warning of drug expenditure based on data processing, which is characterized in that the described method includes:
Obtain medical institutions to be monitored uses effective prescription；
The medicine information included in effective prescription is obtained, and determines that the medical treatment to be monitored is single according to the medicine information The average daily drug expenditure of position；
Determine whether the average daily drug expenditure is more than or equal to the corresponding average daily drug expenditure of the medical institutions to be monitored Threshold value；
If the average daily drug expenditure is more than or equal to the average daily drug expenditure threshold value, to the medical institutions to be monitored Send the exceeded warning information of drug expenditure.
2. the method according to claim 1, wherein the exceeded warning information of the drug expenditure includes drug expenditure Exceeded early warning mark；
It is described to include: to medical institutions' transmission exceeded warning information of drug expenditure to be monitored
The output exceeded early warning of drug expenditure is identified to doctor's evolution tool homepage of the medical institutions to be monitored, is based on the doctor The exceeded early warning mark of the drug expenditure shown in Shi Kaifang tool homepage, issues to the doctor of the medical institutions to be monitored The exceeded early warning of drug expenditure, to prompt the doctor of the medical institutions to be monitored to control evolution medication to prevent drug expenditure super Mark.
3. with effective prescription including that the medical institutions to be monitored exist the method according to claim 1, wherein described All in the current examination period use effective prescription；
It is described to include: to medical institutions' transmission exceeded warning information of drug expenditure to be monitored
Determine that the medical institutions to be monitored work as described according to the average daily drug expenditure and the average daily drug expenditure threshold value The exceeded data of drug expenditure in the preceding examination period；
The exceeded warning information of drug expenditure is sent to the medical institutions to be monitored according to the exceeded data of the drug expenditure, is based on The exceeded warning information of drug expenditure sends control evolution medication to the medical institutions to be monitored to prevent from examining currently The exceeded early warning of average daily drug expenditure in one or more examination period after period；
Wherein, the exceeded warning information of the drug expenditure includes one of instant communication information, mail or bulletin or more Kind information type.
4. according to the method in claim 2 or 3, which is characterized in that the acquisition medical institutions to be monitored use effective prescription Include:
Obtain the data system access qualification of the medical institutions to be monitored, based on the data the qualification of system access from it is described to The medical institutions to be monitored are obtained in the data system of monitoring medical institutions uses effective prescription；And/or
The medical treatment Claims Resolution data that the medical institutions to be monitored provide are obtained, are obtained from the medical treatment Claims Resolution data described wait supervise Control medical institutions use effective prescription；
Wherein, the medical institutions to be monitored includes the medical institutions to be monitored within the individually examination period with effective prescription All to use effective prescription, the cycle duration in the single examination period includes odd-numbered day or more days.
5. according to right want 4 described in method, which is characterized in that the medical institutions to be monitored with effective prescription include it is described to It monitors all within the single examination period in odd-numbered day of medical institutions and uses effective prescription；
It is described to obtain the medicine information included in effective prescription, and the doctor to be monitored is determined according to the medicine information Treat unit average daily drug expenditure include:
All medicine informations with each drug included in effective prescription are obtained, include at least drug in the medicine information The amount of money and drug use number of days；
The drug total value of all drugs all included by effective prescription is determined according to the Sales Volumes of each drug, and Determine that all drugs with effective prescription use total number of days using number of days according to the drug of each drug；
The average daily drug expenditure of the medical institutions to be monitored is determined using total number of days according to the drug total value and the drug.
6. according to the method described in claim 4, it is characterized in that, the medical institutions to be monitored include described with effective prescription All within more days single examination periods of medical institutions to be monitored use effective prescription；
It is described to obtain the medicine information included in effective prescription, and the doctor to be monitored is determined according to the medicine information Treat unit average daily drug expenditure include:
Any day in the single examination period any odd-numbered day effective prescription is obtained, and obtains any odd-numbered day effective prescription In included each drug medicine information, include at least Sales Volumes in the medicine information and drug use number of days；
Described in being determined according to the Sales Volumes of each drug included by any odd-numbered day effective prescription and drug using number of days to Monitor the odd-numbered day average daily drug expenditure of medical institutions；
Made according to the medical institutions to be monitored in the odd-numbered day average daily drug expenditure and drug of the single examination period Nei Ge The average daily drug expenditure of the medical institutions to be monitored is determined with total number of days；
Wherein, any day drug is made using the drug that total number of days is each drug included in any odd-numbered day effective prescription With the summation of number of days.
7. according to the method described in claim 6, it is characterized in that, it is described according to the medical institutions to be monitored described single The odd-numbered day average daily drug expenditure and drug of examination period Nei Ge determines the average daily of the medical institutions to be monitored using total number of days Drug expenditure includes:
The odd-numbered day day in the single examination period is determined according to the odd-numbered day average daily drug expenditure of the single examination period Nei Ge Equal drug expenditure accumulated value determines the single examination week using total number of days according to the drug of the single examination period Nei Ge Drug in phase uses total number of days accumulated value；
The doctor to be monitored is determined using total number of days accumulated value according to the odd-numbered day average daily drug expenditure accumulated value and the drug Treat the average daily drug expenditure of unit.
8. a kind of exceeded prior-warning device of drug expenditure based on data processing, which is characterized in that described device includes:
Data capture unit uses effective prescription for obtain medical institutions to be monitored；
Medicine information processing unit, for obtaining the described with drug included in effective prescription of the data capture unit acquisition Information, and determine according to the medicine information the average daily drug expenditure of the medical institutions to be monitored；
Whether drug expenditure monitoring unit, the average daily drug expenditure for determining that the medicine information processing unit determines are big In or be equal to the corresponding average daily drug expenditure threshold value of the medical institutions to be monitored；
The exceeded prewarning unit of drug expenditure, for the drug expenditure monitoring unit determine the average daily drug expenditure be greater than or When person is equal to the average daily drug expenditure threshold value, the exceeded warning information of drug expenditure is sent to the medical institutions to be monitored.
9. a kind of terminal device, which is characterized in that including transceiver, processor and memory, the transceiver, the processor It is connected with each other with the memory, wherein for the memory for storing computer program, the computer program includes program Instruction, the transceiver and the processor are configured for calling described program instruction, execute such as any one of claim 1-7 The method.
10. a kind of computer readable storage medium, which is characterized in that the computer storage medium is stored with computer program, The computer program includes program instruction, described program instruction make when being executed by transceiver and processor the transceiver and The processor executes the method according to claim 1 to 7.
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WO2020082798A1 (en) * 2018-10-22 2020-04-30 平安医疗健康管理股份有限公司 Data-processing-based drug cost control method and apparatus for traditional chinese medicine prescription
WO2020082785A1 (en) * 2018-10-22 2020-04-30 平安医疗健康管理股份有限公司 Drug prescription risk control method and apparatus based on data processing
CN111161891A (en) * 2019-12-31 2020-05-15 重庆亚德科技股份有限公司 Traditional Chinese medicine information management platform

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