CN109524079A - Drug expenditure risk control method and device based on data processing - Google Patents

Drug expenditure risk control method and device based on data processing Download PDF

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Publication number
CN109524079A
CN109524079A CN201811233472.6A CN201811233472A CN109524079A CN 109524079 A CN109524079 A CN 109524079A CN 201811233472 A CN201811233472 A CN 201811233472A CN 109524079 A CN109524079 A CN 109524079A
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China
Prior art keywords
drug
medicine
medical institutions
mentioned
monitored
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CN201811233472.6A
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Chinese (zh)
Inventor
袁刚
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Shenzhen Ping An Medical Health Technology Service Co Ltd
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Ping An Medical and Healthcare Management Co Ltd
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Priority to CN201811233472.6A priority Critical patent/CN109524079A/en
Publication of CN109524079A publication Critical patent/CN109524079A/en
Priority to PCT/CN2019/095037 priority patent/WO2020082802A1/en
Pending legal-status Critical Current

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    • 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

Abstract

The embodiment of the present application discloses a kind of drug expenditure risk control method and device based on data processing, this method comprises: obtain medical institutions to be monitored uses effective prescription；The medicine information with included each similar drug in effective prescription is obtained, and determines the average daily drug expenditure of single medicine of each similar drug according to the medicine information of each similar drug；Target medicine is determined according to the average daily drug expenditure of single medicine of each similar drug, and target medicine ratio is determined according to the medicine information of each similar drug；According to the corresponding target medicine proportion threshold value of target medicine ratio and medical institutions to be monitored, determine whether the medication of medical institutions to be monitored is exceeded；If the medication of medical institutions to be monitored is exceeded, the exceeded risk control of drug expenditure is carried out to medical institutions to be monitored based on target medicine ratio.Using the embodiment of the present application, the accuracy 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

Drug expenditure risk control method and device based on data processing
Technical field
This application involves field of medical technology more particularly to a kind of drug expenditure risk control methods 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.Also not base in the prior art The drug risk control of medical institutions is carried out in the medicining condition of medical institutions, the waste of medical resource is serious.
Summary of the invention
The embodiment of the present application provides a kind of drug expenditure risk control method and device based on data processing, operation letter It is single, the accuracy 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 drug expenditure risk control method based on data processing, it should Method includes:
Obtain medical institutions to be monitored uses effective prescription；
The above-mentioned medicine information with each similar drug included in effective prescription is obtained, and is believed according to the drug of above-mentioned each similar drug Breath determines the average daily drug expenditure of single medicine of above-mentioned each similar drug；
The above-mentioned target medicine in effective prescription, and root are determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug Determine above-mentioned target medicine in the above-mentioned target medicine ratio with effective prescription according to the medicine information of above-mentioned each similar drug；
According to the corresponding target medicine proportion threshold value of above-mentioned target medicine ratio and above-mentioned medical institutions to be monitored, in determination Whether the medication for stating medical institutions to be monitored is exceeded；
If the medication of above-mentioned medical institutions to be monitored is exceeded, based on above-mentioned target medicine ratio to above-mentioned medical treatment to be monitored Unit carries out the exceeded risk control of drug expenditure.
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 acquisition is described with included each in effective prescription The medicine information of similar drug, and determine according to the medicine information of above-mentioned each similar drug the average daily drug expense of single medicine of above-mentioned each similar drug With including:
Above-mentioned all medicine informations with each similar drug included in effective prescription are obtained, are at least wrapped in above-mentioned medicine information It includes Sales Volumes and drug and uses number of days；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
With reference to first aspect, in a kind of possible embodiment, the above-mentioned average daily medicine of single medicine according to above-mentioned each similar drug Product expense determines that the above-mentioned target medicine in effective prescription includes:
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
With reference to first aspect, in a kind of possible embodiment, the above-mentioned medicine information according to above-mentioned each similar drug is true Above-mentioned target medicine is made above-mentioned includes: with the target medicine ratio of effective prescription
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
With reference to first aspect, in a kind of possible embodiment, the above method further include:
The target medicine of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored The ratio upper limit, and the above-mentioned target medicine ratio upper limit is determined as to the target medicine proportion threshold value of above-mentioned medical institutions to be monitored；
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.
With reference to first aspect, in a kind of possible embodiment, it is above-mentioned based on above-mentioned target medicine ratio to it is above-mentioned to Monitoring medical institutions carry out the exceeded risk control of drug expenditure
Above-mentioned target medicine ratio and/or above-mentioned target medicine ratio is corresponding beyond above-mentioned target medicine proportion threshold value Drug expenditure difference carries out publicity, and above-mentioned target medicine ratio and/or the prompt of above-mentioned drug expenditure difference based on publicity are above-mentioned The medication of medical institutions' control evolution to be monitored, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
When receiving above-mentioned target medicine ratio and/or the corresponding drug expenditure reimbursement request of above-mentioned drug expenditure difference When, refuse above-mentioned drug expenditure reimbursement request to realize that the drug expenditure risk of exceeding criterion for using effective prescription controls.
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 method further 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；
The above method further 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, it is above-mentioned according to above-mentioned target medicine ratio and it is above-mentioned to The corresponding target medicine proportion threshold value of medical institutions is monitored, determining whether the medication of above-mentioned medical institutions to be monitored is exceeded includes:
If the target medicine ratio of above-mentioned medical institutions to be monitored is less than or equal to the above-mentioned target medicine ratio upper limit, Determine that the medication of above-mentioned medical institutions to be monitored is not exceeded；
If the target medicine ratio of above-mentioned medical institutions to be monitored is greater than the above-mentioned target medicine ratio upper limit, it is determined that above-mentioned The medication of medical institutions to be monitored is exceeded.
Second aspect, the embodiment of the present application provide a kind of drug expenditure risk control device 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 The medicine information of each similar drug, and determine according to the medicine information of above-mentioned each similar drug the average daily drug of single medicine of above-mentioned each similar drug Expense；
Above-mentioned medicine information processing unit is also used to be determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug The target medicine used in effective prescription is stated, and determines above-mentioned target medicine in above-mentioned use according to the medicine information of above-mentioned each similar drug The target medicine ratio of effective prescription；
Medication monitoring unit, the above-mentioned target medicine ratio and above-mentioned for being determined according to above-mentioned medicine information processing unit The corresponding target medicine proportion threshold value of medical institutions to be monitored, determines whether the medication of above-mentioned medical institutions to be monitored is exceeded；
Drug risk control unit, the medication for determining above-mentioned medical institutions to be monitored in above-mentioned medication monitoring unit are super When mark, medicine is carried out to above-mentioned medical institutions to be monitored based on the above-mentioned target medicine ratio that above-mentioned medicine information processing unit determines The exceeded risk control of product expense.
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 medicine information processing unit is used for:
Above-mentioned all drugs with each similar drug included in effective prescription that above-mentioned data capture unit obtains are obtained to believe It ceases, Sales Volumes is included at least in above-mentioned medicine information and drug uses number of days；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is also used to:
The target medicine of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored The ratio upper limit, and the above-mentioned target medicine ratio upper limit is determined as to the target medicine proportion threshold value of above-mentioned medical institutions to be monitored；
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 conjunction with second aspect, in a kind of possible embodiment, above-mentioned drug risk control unit is used for:
Above-mentioned target medicine ratio and/or above-mentioned target medicine ratio is corresponding beyond above-mentioned target medicine proportion threshold value Drug expenditure difference carries out publicity, and above-mentioned target medicine ratio and/or the prompt of above-mentioned drug expenditure difference based on publicity are above-mentioned The medication of medical institutions' control evolution to be monitored, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
When receiving above-mentioned target medicine ratio and/or the corresponding drug expenditure reimbursement request of above-mentioned drug expenditure difference When, refuse above-mentioned drug expenditure reimbursement request to realize that the drug expenditure risk of exceeding criterion for using effective prescription controls.
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 also used to:
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 also used to:
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 medication monitoring unit is used for:
Determine that the target medicine ratio of above-mentioned medical institutions to be monitored is less than or waits in above-mentioned medicine information processing unit When the above-mentioned target medicine ratio upper limit, determine that the medication of above-mentioned medical institutions to be monitored is not exceeded；
When the target medicine ratio of above-mentioned medical institutions to be monitored is greater than the above-mentioned target medicine ratio upper limit, determine above-mentioned The medication of medical institutions to be monitored is exceeded.
The third aspect, the embodiment of the present application provide a kind of terminal device, which includes processor and memory, The processor and memory are connected with each other.The memory for store support the terminal device execute above-mentioned first aspect and/or The computer program for the method that any possible implementation of first aspect provides, which includes program instruction, The processor is configured for calling above procedure instruction, executes above-mentioned first aspect and/or first aspect is any possible Method provided by embodiment.
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 believed based on the drug with each similar drug included in effective prescription of medical institutions to be monitored Breath, determines the average daily drug expenditure of single medicine of each similar drug, and can determine to use based on the average daily drug expenditure of single medicine of each similar drug Included target medicine in effective prescription.Based on target medicine with the target medicine ratio in effective prescription, in conjunction with doctor to be monitored It treats the corresponding medication level threshold value of unit can determine whether the medication of medical institutions to be monitored is exceeded, realizes single to medical treatment to be monitored The evaluation of the Drug utilization index of position, it is easy to operate.When the target medicine ratio of the medical institutions to be monitored is exceeded, then can be based on should The target medicine ratio of medical institutions to be monitored carries out the exceeded risk control of drug expenditure to the medical institutions to be monitored.It is based on Method realization provided by the embodiments of the present application is simple to the medication policer operation of each medical institutions, and the use to medical institutions can be improved The accuracy of medicine monitoring improves the reliability of the medication monitoring to medical institutions, improves the effective rate of utilization of medical resource, be applicable in Property is 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 drug expenditure risk control method provided by the embodiments of the present application based on data processing Figure；
Fig. 2 is that another process of the drug expenditure risk control method provided by the embodiments of the present application based on data processing is shown It is intended to；
Fig. 3 is the example structure of the drug expenditure risk control device provided by the embodiments of the present application based on data processing Schematic diagram；
Fig. 4 is the 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.
Currently, the determination of the costly medicine in each area be by minimum package unit (such as one bottle, one packet, a box or One bag etc.) monovalent drug be more than some threshold value drug be determined as costly medicine.However, this method determines costly medicine Do not account for the monovalent drug of minimum package unit uses number of days problem, it is thus possible to there are the drawbacks of be the identical medicine of unit price Product or some low price drug or some high price drug lead to the monovalent higher but odd-numbered day of drug due to using number of days different The lower projecting situation of average price.For example certain drug list box price is 300 yuan, according to the costly medicine decision procedure of current each department It is determined as costly medicine；One box of costly medicine can be used 30 days, that is, the odd-numbered day average price of the drug is 10 yuan/day.In addition One drug list box price is 120 yuan, is determined as non-precious drug according to the costly medicine decision procedure of current each department；The medicine One box of product can be used 3 days, that is, the odd-numbered day average price of the drug is 40 yuan/day.It can be seen that according to the valuable of current each department The odd-numbered day average price for the non-precious drug that the decision procedure of drug determines has exceeded the odd-numbered day average price of costly medicine, it is therefore apparent that should Decision procedure is low to the assessment accuracy rate of costly medicine, so that the examination loophole of costly medicine is larger.
In some possible embodiments, target medicine provided by the embodiments of the present application can be costly medicine, expensive here The method of determination of weight drug is different from the method for determination of costly medicine of above-mentioned current each department.Here, costly medicine can be use The average daily drug expenditure of single medicine in effective prescription in included each similar drug is higher and in all kinds of medicines included by effective prescription Sort forward drug in the average daily drug expenditure of single medicine of product.It will be mentioned by taking costly medicine as an example in conjunction with the embodiment of the present application below The exceeded method for early warning of the drug expenditure based on data processing supplied is described.Corresponding, target medicine ratio can be with valuable medicine It is illustrated for product ratio, repeats no more below.
The embodiment of the present application provides a kind of drug expenditure risk control method 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)) costly medicine ratio 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 carry out costly medicine ratio to the prescriptions of medical institutions exceeded The effective prescription such as publicity, and/or the exceeded corresponding drug expenditure reimbursement of refusal costly medicine ratio the exceeded wind of drug expenditure Danger control, to avoid the waste of medical resource.For convenience of description, above-mentioned each hospital, the department of each hospital, each clinic are Examination dimension represented by representative to each doctor etc. medical institutions or medical institutions will be examined with this of medical institutions It is illustrated for core dimension, repeats 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..It can determine that the average daily drug of single medicine based on drug details included in each prescription The costly and forward drug of sequence, and then can medicine of the expense based on costly medicine in all prescriptions as costly medicine The ratio (i.e. costly medicine ratio) of product total cost determines whether medication is reasonable.Therefore either big prescription or small prescription are also It is other, be unable to do without drug details.Therefore, the costly medicine ratio based on each medical institutions is realized to each medical institutions Medication standard evaluation when be utilized the corresponding average daily drug expenditure of each similar drug (i.e. the average daily drug expenditure of single medicine), while It is easy to operate and can cover preferably, more fully hereinafter to medical institutions in view of the expense accounting situation of each similar drug Each prescription medication monitoring.The costly medicine ratio based on medical institutions realizes that the medication to each medical institutions is supervised simultaneously Control more it is accurate in place, so that the accuracy rate of the monitoring of the medication to each medical institutions can be improved, and then can be improved based on each The medicining condition of medical institutions carries out the exceeded publicity of costly medicine ratio to the prescription of each medical institutions, and/or refusal is expensive The reliability that exceeded corresponding drug expenditure reimbursement of weight Drugs proportion etc. is controlled with the drug expenditure risk of exceeding criterion of effective prescription, can mention The medication controllability of high medical institutions' evolution, so that the effective rate of utilization of medical resource can be improved, applicability is higher.
In some possible embodiments, the costly medicine ratio based on medical institutions carries out medication prison to medical institutions The medicining condition of medical supply unit can be monitored daily when control, and then the costly medicine ratio of medical institutions can be settled accounts daily, The medicining condition of medical institutions is monitored based on daily costly medicine ratio.Optionally, based on daily costly medicine ratio While example carries out medication monitoring to medical institutions, it may be based on the medication for adding up more days monitoring situation and medical institutions used The overall merit etc. of medicine situation, such as a week, one month, a season or 1 year etc., specifically can be according to practical application Scene is determining, herein with no restrictions.For convenience of description, below will by any day (for convenience of description below will by taking the odd-numbered day as an example into Row explanation) the corresponding average daily drug expenditure of each similar drug and costly medicine ratio calculating, and then can be based on daily expensive For weight Drugs proportion and/or average daily drug expenditure evaluate the medicining condition of medical institutions, the embodiment of the present application is mentioned The drug expenditure risk control method based on data processing supplied is described.
Drug expenditure risk control method provided by the embodiments of the present application based on data processing can be by pharmaceuticals administration Office, board of health, health and terminal device associated by the medications monitoring unit such as the healthy committee and medical treatment Claims Resolution unit It executes, such as above-mentioned medication monitoring unit is used to carry out each medical institutions the client and/or human-computer interaction of medication monitoring Equipment etc., herein with no restrictions.For convenience of description, will be illustrated by taking terminal device as an example below.
Embodiment one:
Referring to one that Fig. 1, Fig. 1 are the drug expenditure risk control methods provided by the embodiments of the present application based on data processing Flow diagram.Drug expenditure risk control method 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 S15 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, 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, 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.Optionally, terminal device may be based on big data analysis, from each Screening obtains prescription datas such as the odd-numbered day prescription of medical institutions to be monitored, etc. in the sufferer diagnosis records of a medical institutions.Eventually End equipment can acquire the list of medical institutions to be monitored based on any data to acquisite approachs except above-mentioned data acquiring mode Day prescription 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 the above-mentioned medicine information with each similar drug included in effective prescription, and according to above-mentioned each similar drug Medicine information determines the average daily drug expenditure of single medicine of above-mentioned each similar drug.
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.For convenience of description, the hereinafter referred to as average daily drug expenditure of medical institutions.
In some possible embodiments, the calculation of the average daily drug expenditure based on above-mentioned medical institutions is identical The average daily drug expenditure of every similar drug in the odd-numbered day prescription of medical institutions can be also calculated in principle, terminal device.Wherein, any It can be illustrated for the average daily drug expenditure of single medicine below the average daily drug expenditure of similar drug.It is single based on above-mentioned medical treatment to be monitored The odd-numbered day prescription of position, can obtain all medicine informations with each similar drug included in effective prescription, in above-mentioned medicine information extremely It less include that Sales Volumes and drug use number of days.Above-mentioned list is determined according to the medicine information of each similar drug in above-mentioned odd-numbered day prescription The drug of the drug total value of any similar drug and any of the above-described similar drug uses total number of days in day prescription, according to any of the above-described class The drug total value of drug and the drug of any of the above-described similar drug determine the average daily medicine of single medicine of any of the above-described similar drug using total number of days Product expense is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug.Wherein, the average daily drug of single medicine of any of the above-described similar drug The calculating of expense can meet following formula:
Single average daily drug expenditure of medicine=
The drug total value of any similar drug/any similar drug drug uses total number of days (2)
Wherein, in above-mentioned formula (2) some type in all drugs of any similar drug total value, that is, odd-numbered day prescription (for Facilitate description to be described with any sort) drug the cumulative obtained single medicine drug total price of price, any of the above-described similar drug makes With the accumulated value using number of days of this kind of similar drug drug in all drugs of total number of days, that is, odd-numbered day prescription.
It is included each in the odd-numbered day prescription in conjunction with unit to be monitored based on implementation provided by above-mentioned formula (2) The medicine information of similar drug can determine the average daily drug expenditure of single medicine of each similar drug in the odd-numbered day prescription of medical institutions to be monitored, into And the costly medicine in odd-numbered day prescription can be determined based on the average daily drug expenditure of single medicine of above-mentioned each similar drug.
S13 determines the above-mentioned target medicine in effective prescription according to the average daily drug expenditure of single medicine of above-mentioned each similar drug, And determine above-mentioned target medicine in the above-mentioned target medicine ratio with effective prescription according to the medicine information of above-mentioned each similar drug.
In some possible embodiments, the average daily drug of single medicine of each similar drug according to determined by above-mentioned steps S12 Expense, it may be determined that go out the corresponding single average daily drug expenditure threshold value of medicine of odd-numbered day prescription of unit to be monitored, and by above-mentioned each similar drug The drug that the middle list average daily drug expenditure of medicine is more than or equal to the average daily drug expenditure threshold value of above-mentioned single medicine is determined as medical treatment to be monitored Costly medicine in the odd-numbered day prescription of unit.Here, costly medicine refers to the average daily drug expenditure of single medicine in all of odd-numbered day prescription Costly and single average daily drug expenditure of medicine is more than or equal to single average daily drug of medicine and takes in the average daily drug expenditure of single medicine of drug With the drug of threshold value.In other words, the average daily drug expenditure of single medicine based on each similar drug in odd-numbered day prescription can be by each similar drug Single average daily drug expenditure of medicine is ranked up according to sequence from high to low, and then it is forward to sort from the average daily drug expenditure of single medicine The average daily drug expenditure of single medicine is minimum in a part of (such as 20%) drug one is determined as the average daily drug expenditure threshold value of single medicine, this When this part (20%) drug in the average daily drug expenditure of single medicine of each drug be all larger than or be equal to single average daily drug expense of medicine With threshold value, and then the drug of this part (i.e. 20%) can be determined as costly medicine.For example, in all drugs of odd-numbered day prescription In, single average daily drug expenditure of medicine is x member/day (i.e. the average daily drug expenditure threshold value of single medicine), such as the drug of 11 yuan/day is valuable medicine Product.In other words, as it is single for having 20% drug in all drugs included in the odd-numbered day prescription of medical institutions to be monitored The average daily drug expenditure of medicine is more than or equal to the drug of 11 yuan/day, this Some Drugs is then costly medicine.
In some possible embodiments, it can determine that according to the medicine information of above-mentioned each similar drug and above-mentioned use effective prescription In all drugs drug total value and the above-mentioned costly medicine total value with above-mentioned costly medicine included in effective prescription.Root It can determine that in the odd-numbered day prescription of medical institutions to be monitored according to the drug total value and above-mentioned costly medicine total value of above-mentioned all drugs Costly medicine ratio.Here, costly medicine ratio can be the drug total value of costly medicine in odd-numbered day prescription in odd-numbered day prescription All drugs drug total price in ratio, that is to say, that costly medicine ratio meet:
Costly medicine ratio=costly medicine total value/all drugs drug total value (3)
In above-mentioned formula (3), costly medicine total value is the price-aggregate value of all kinds of costly medicines in odd-numbered day prescription, In, the price of every class costly medicine is the product of the quantity of such costly medicine and the unit price of such costly medicine.It is above-mentioned all The drug total value of drug is the price accumulated value of each similar drug in odd-numbered day prescription.
S14, according to the corresponding target medicine proportion threshold value of above-mentioned target medicine ratio and above-mentioned medical institutions to be monitored, really Whether the medication of fixed above-mentioned medical institutions to be monitored is exceeded.
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 costly medicine proportion threshold value, such as the upper limit up to standard or the costly medicine ratio upper limit etc. of costly medicine ratio.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 costly medicine ratio 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 costly medicine ratio of medical institutions, in conjunction with corresponding performance assessment criteria threshold value (the i.e. costly medicine ratio 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 costly medicine ratio of the medical institutions to be monitored Whether its corresponding costly medicine ratio upper limit is greater than.If the costly medicine ratio 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 costly medicine ratio of medical institutions to be monitored is greater than its corresponding costly medicine ratio 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.
S15, if the medication of above-mentioned medical institutions to be monitored is exceeded, the target medicine based on above-mentioned medical institutions to be monitored Ratio carries out the exceeded risk control of drug expenditure to above-mentioned medical institutions to be monitored.
In some possible embodiments, when the medication of above-mentioned medical institutions to be monitored is exceeded, such as medical institutions When costly medicine ratio is greater than costly medicine proportion threshold value, it may be determined that the costly medicine ratio of above-mentioned medical institutions to be monitored exceeds The corresponding drug expenditure difference of costly medicine ratio.Based on above-mentioned drug expenditure difference can by above-mentioned costly medicine ratio and/or Above-mentioned drug expenditure difference carries out publicity, and costly medicine ratio and/or drug expenditure difference based on publicity prompt doctor to be monitored The doctor for treating unit controls the medication of evolution, and the doctor of the medical institutions to be monitored random medication during evolution is avoided to cause The waste of the medical resources such as drug is realized and is controlled the drug expenditure risk of exceeding criterion with effective prescription of medical institutions to be monitored.It can Choosing, it can be in the unit hall of the medical institutions to be monitored based on above-mentioned costly medicine ratio and/or above-mentioned drug expenditure difference The medical treatment for carrying out publicity on bulletin interface (such as the message in unit hall announces display screen) or going out in medication supervision unit Unit administration monitoring daily paper on carry out publicity, to control the medication of medical institutions to be monitored and its each doctor's evolution, avoid to The exceeded bring medical resource waste of the costly medicine constant with effective prescription for monitoring medical institutions, is realized to be monitored to this The medication risk of exceeding criterion of medical institutions controls.Optionally, above-mentioned costly medicine ratio and/or above-mentioned drug expenditure difference are based on Publicity can be carried out on the information bulletin interface of each department of the medical institutions to be monitored, and/or single in the medical treatment to be monitored Publicity etc. is carried out in the homepage of the evolution tool of each doctor of position, can specifically be determined according to practical application scene, not done herein Limitation.
The embodiment of the present application can be believed based on the drug with each similar drug included in effective prescription of medical institutions to be monitored Breath, determines the average daily drug expenditure of single medicine of each similar drug, and can determine to use based on the average daily drug expenditure of single medicine of each similar drug Included costly medicine in effective prescription.Based on costly medicine with the costly medicine ratio in effective prescription, in conjunction with doctor to be monitored Treating the corresponding medication level threshold value of unit can determine whether the medication of monitoring medical institutions is up to standard, realizes to medical institutions to be monitored Drug utilization index evaluation, it is easy to operate.Realize that the medication to each medical institutions is supervised based on method provided by the embodiments of the present application It controls easy to operate, the accuracy of the medication monitoring to medical institutions can be improved, improve to the reliable of the medications of medical institutions monitoring Property, and then it is super to the prescription progress costly medicine ratio of each medical institutions that the medicining condition based on each medical institutions can be improved The reliability that the drug expenditure risk of exceeding criterion of the effective prescription such as target publicity controls, the medication for improving medical institutions' evolution are controllable Property, 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 drug expenditure risk control method provided by the embodiments of the present application based on data processing One flow diagram.Drug expenditure risk control method 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 S27 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 that any more than one day of medical institutions examines All prescriptions issued in nuclear cycle, including but not limited to individually all doctors of all departments of hospital are opened in the examination period All prescriptions of tool, all prescriptions that all doctors of some department of hospital are issued in the single examination period, Huo Zhedan Any situation in all prescriptions that some doctor of some department of hospital is issued in a examination period.Wherein, Concrete condition represented by above-mentioned single examination period prescription carries out medication monitoring to medical institutions according in practical application scene Examine dimension (such as medical institutions carry out medication monitoring, for medical institutions some department carry out medication monitoring or Person carries out medication monitoring etc. for some doctor of some department of medical institutions) it determines, herein with no restrictions.For convenience Description, will say by taking all prescriptions for individually examining all doctors of all departments of hospital in the period to be issued as an example below It is bright, hereinafter referred to as 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 Dan Kaohe period prescription can meet following formula:
Average daily drug expenditure=period drug total value/period drug uses total number of days (4)
Wherein, period drug total value can be and be wrapped in all prescriptions in the single examination period in above-mentioned formula (4) 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 (5)
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 (5) 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 (5) 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 obtains the above-mentioned medicine information with each similar drug included in effective prescription, and according to above-mentioned each similar drug Medicine information determines the average daily drug expenditure of single medicine of above-mentioned each similar drug.
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 single medicine of each similar drug of medical institutions to be monitored can be found in above-mentioned implementation Implementation provided by step S12 in example, details are not described herein.
Further, in some possible embodiments, the calculating of the average daily drug expenditure based on above-mentioned medical institutions The identical principle of mode, terminal device can also be calculated in all prescriptions in the single examination period of more days of medical institutions The average daily drug expenditure of single medicine of every similar drug.All prescriptions in the single examination period based on above-mentioned medical institutions to be monitored, The medicine information of each similar drug included in all prescriptions can be obtained, includes at least Sales Volumes and medicine in above-mentioned medicine information Product use number of days.It is determined according to the medicine information of each similar drug in all prescriptions in the above-mentioned single examination period above-mentioned single The drug of the drug total value of any similar drug and any of the above-described similar drug in all prescriptions in the period is examined to use total number of days, Any of the above-described class medicine is determined using total number of days according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug The average daily drug expenditure of single medicine of product is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug.Wherein, any of the above-described similar drug The calculating of the average daily drug expenditure of single medicine can meet following formula:
Single average daily drug expenditure of medicine=the drug total value of any similar drug in the single examination period/is individually examined in the period
The drug of any similar drug uses total number of days (6)
Wherein, any similar drug total value is the single all medicines for examining all prescriptions in the period in above-mentioned formula (6) The cumulative obtained single medicine drug total price of price of the drug of some type (being described for convenience of description with any sort) in product, Any similar drug is in the single all drugs for examining all prescriptions in the period using total number of days in the above-mentioned single examination period The accumulated value using number of days of this kind of similar drug drug.
Based on implementation provided by above-mentioned formula (6), in conjunction with unit to be monitored the single examination period in it is all The medicine information of included each similar drug can determine all places in the single examination period of medical institutions to be monitored in prescription The average daily drug expenditure of single medicine of each similar drug in side, and then can be determined based on the average daily drug expenditure of single medicine of above-mentioned each similar drug The costly medicine in all prescriptions in the single examination period.
S24 determines the above-mentioned target medicine in effective prescription according to the average daily drug expenditure of single medicine of above-mentioned each similar drug, And determine above-mentioned target medicine in the above-mentioned target medicine ratio with effective prescription according to the medicine information of above-mentioned each similar drug.
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 single medicine of each similar drug of medical institutions to be monitored can be found in above-mentioned implementation Implementation provided by step S13 in example, details are not described herein.
Here, the drug total value that costly medicine ratio can be costly medicine in all prescriptions in the single examination period exists Ratio in the drug total price of all drugs of all prescriptions in the single examination period, that is to say, that costly medicine ratio is full Foot:
Costly medicine ratio=costly medicine total value/all drugs drug total value (7)
In above-mentioned formula (7), costly medicine total value is individually to examine all kinds of costly medicines in all prescriptions in the period Price-aggregate value, wherein the price of every class costly medicine be such costly medicine quantity and such costly medicine unit price Product.The drug total value of above-mentioned all drugs is that the single price for examining each similar drug in all prescriptions in the period is cumulative Value.
S25 determines the target of above-mentioned medical institutions to be monitored according to the unit attribute information of above-mentioned medical institutions to be monitored The Drugs proportion upper limit.
S26, according to the medical institutions to be monitored of the target medicine ratio of above-mentioned medical institutions to be monitored and above-mentioned determination The target medicine ratio upper limit determines whether the medication of medical institutions to be monitored is exceeded.
In some possible embodiments, above-mentioned costly medicine ratio according to medical institutions to be monitored and to be monitored The corresponding costly medicine proportion 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 S14 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. costly medicine proportion threshold value, such as the upper limit up to standard of costly medicine ratio 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 costly medicine ratio 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 costly medicine ratio, 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 costly medicine ratio 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. the costly medicine ratio upper limit) can Determine whether the medication of the medical institutions is exceeded, in other words, as whether the costly medicine ratio of medical institutions to be monitored is big In its corresponding costly medicine ratio upper limit.If it is corresponding that the costly medicine ratio of medical institutions to be monitored is less than or equal to its The costly medicine ratio upper limit then can determine that the medication of medical institutions to be monitored is not exceeded, and the otherwise medication of the medical institutions is then Exceeded.
Optionally, in some possible embodiments, the medication of medical institutions to be monitored is monitored, it can also be based on expensive On the basis of weight Drugs proportion, overall merit is carried out in conjunction with the average daily drug expenditure of medical institutions to be monitored.For example, only expensive When weight Drugs proportion and all exceeded average daily drug expenditure, the drug expenditure of medical institutions to be monitored is just exceeded etc..Likewise, one In a little feasible embodiments, when carrying out medication monitoring for different medical unit, it can be set based on the characteristics of each medical institutions The performance assessment criteria threshold value of the medication evaluation criterion of fixed each medical institutions, such as the upper limit up to standard of average daily drug expenditure, Huo Cheng Equal drug expenditure threshold value etc..For example, based on different geographical, different cities, different drugs supply channels or different sufferer flowings Different medical unit associated by the parameters such as amount, the performance assessment criteria threshold value of drug assessment standard can be not quite similar.For example, for object The higher associated doctor of cost of drugs valence brought by medical institutions associated by the higher city of valence or drugs supply channel Unit is treated, then can the upper limit up to standard of its average daily drug expenditure is arranged somewhat higher, is i.e. its corresponding medication evaluation criterion Performance assessment criteria threshold value then may be set to higher performance assessment criteria etc..And then it can be based on the medical institutions to be monitored of above-mentioned determination Average daily drug expenditure determines whether the medication standard of the medical institutions surpasses in conjunction with the corresponding performance assessment criteria threshold value of the medical institutions Mark.In other words, as whether the average daily drug expenditure of medical institutions to be monitored is more than or equal to its corresponding average daily drug Cost threshold.And then can medical institutions to be monitored average daily drug expenditure it is exceeded, while when costly medicine ratio is also exceeded, It determines that the medication of the medical institutions is exceeded, otherwise determines that the medication of medical institutions to be monitored is not exceeded.It specifically can be according to actually answering It is determined with scene, herein with no restrictions.
S27, if the medication of above-mentioned medical institutions to be monitored is exceeded, the target medicine based on above-mentioned medical institutions to be monitored Ratio carries out the exceeded risk control of drug expenditure to above-mentioned medical institutions to be monitored.
In some possible embodiments, the costly medicine ratio based on above-mentioned medical institutions to be monitored is to above-mentioned wait supervise The drug expenditure difference for controlling the exceeded part of medical institutions carries out publicity, to realize that the medication to medical institutions to be monitored carries out drug The implementation of expense risk of exceeding criterion control can be found in implementation provided by step S15 in above-described embodiment, herein no longer It repeats.
Optionally, in some possible embodiments, it is based on above-mentioned drug expenditure difference, can also receive this wait supervise It, can be by refusing the medical treatment to be monitored when controlling the drug expenditure reimbursement request or drug expenditure Claims Resolution request that medical institutions submit The drug expenditure reimbursement request or drug expenditure Claims Resolution request of unit, realize the costly medicine for being directed to the medical institutions to be monitored This exceeded appraisal standards of ratio are punished, the medical institutions are carried out with the risk control of drug expenditure.For example, when should It, can be in the drug expenditure report for receiving medical institutions and mentioning this day of report when the costly medicine ratio of some day of medical institutions is exceeded When pin and/or request, the reimbursement failure of the drug expenditure of this day all prescriptions is fed back to the medical institutions.In other words, when this When the costly medicine ratio of some day of medical institutions is exceeded, terminal device receives the prescription medicine that medical institutions mention this day of report When product expense reimbursement and/or Claims Resolution request, can the medical institutions be fed back with the reimbursement of ethical goods expense refusal or reason of this day It pays for, and then the medical institutions can be prompted to carry out self control to the costly medicine ratio of daily prescription to realize to the medical institutions The exceeded prescription risk control of drug expenditure.
Optionally, in some possible embodiments, when the medication standard of medical institutions to be monitored is exceeded, such as medical treatment When the costly medicine ratio of unit odd-numbered day prescription is greater than average daily drug expenditure threshold value, terminal device can calculate medical institutions to be monitored Costly medicine ratio and above-mentioned costly medicine proportion 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 costly medicine ratio with it is above-mentioned The corresponding costly medicine expense of difference between costly medicine proportion threshold value, to the drug of medical institutions' odd-numbered day prescription to be monitored The reimbursement of costly medicine expense difference portion refusal or Claims Resolution are in expense to carry out the exceeded place of drug cost to the medical institutions Square risk control.
Optionally, in some possible embodiments, when terminal device determines some examination of medical institutions to be monitored The medication of prescription in period (such as one day or a week etc.) is exceeded, such as in some examination period of medical institutions to be monitored Prescription (such as odd-numbered day prescription) costly medicine ratio be greater than costly medicine proportion threshold value when, terminal device then can be in the examination Next examination period after period (the exceeded costly medicine ratio of odd-numbered day prescription is some day, such as Monday) is (at the odd-numbered day Second day of this exceeded day of costly medicine ratio of side, such as Tuesday) at the beginning of by the costly medicine ratio in the examination period Exceeded report sends the medical institutions to be monitored to.Wherein, the exceeded report of the costly medicine ratio is for prompting the doctor to be monitored It is exceeded in the examination period innerlich anwenden to treat unit, and if the medical institutions to be monitored can be reminded in next examination period or referred to Costly medicine ratio is still exceeded in continuous multiple examination periods in fixing time, then will carry out to the medical institutions to be monitored expensive The exceeded punishment of weight Drugs proportion.Wherein, above-mentioned punishment includes that the drug expenditure exceeded to the medical institutions to be monitored is all refused Reimbursement is perhaps settled a claim or is refused the costly medicine expense of the exceeded part of the costly medicine ratio of the medical institutions to be monitored absolutely Reimbursement or Claims Resolution etc. absolutely.The above-mentioned exceeded report of costly medicine ratio is for prompting the medical institutions to be monitored to costly medicine ratio Example carries out self control to realize the risk control exceeded to the drug expenditure of the medical institutions to be monitored
The embodiment of the present application can be included each in the use effective prescription in the individually examination period based on medical institutions to be monitored The medicine information of similar drug, the average daily drug expenditure of single medicine for determining each similar drug and medical institutions to be monitored are in the individually examination period Interior average daily drug expenditure.The average daily drug expenditure of single medicine based on each similar drug is determined with valuable medicine included in effective prescription Product, and the drug expenditure based on costly medicine determines costly medicine with the costly medicine ratio in effective prescription.Here single Examining the period includes the odd-numbered day, also includes the examination period of any duration more than one day.It is examined based on medical institutions to be monitored at this Average daily drug expenditure and costly medicine ratio in nuclear cycle judge whether the medication of medical institutions to be monitored is exceeded, and realization is treated Monitor the evaluation of the Drug utilization index of medical institutions, mode of operation multiplicity.It is realized based on method provided by the embodiments of the present application to each The medication policer operation mode multiplicity of medical institutions, both can be improved the accuracy of the medication monitoring to medical institutions, had improved to doctor The reliability of the medication monitoring of unit is treated, while the operating flexibility of the medication monitoring to medical institutions, Jin Erke can also be enhanced The medicining condition based on each medical institutions is improved to carry out the exceeded publicity of medication to the prescription of each medical institutions, and/or refuse The exceeded risk control of medications such as the exceeded corresponding drug expenditure reimbursement of costly medicine ratio and/or Claims Resolution request is reliable absolutely Property, the medication controllability of medical institutions' evolution can be improved, so that the effective rate of utilization of medical resource can be improved, applicability is more By force.
Embodiment three:
It is the reality of the drug expenditure risk control device provided by the embodiments of the present application based on data processing referring to Fig. 3, Fig. 3 Apply a structural schematic diagram.Drug expenditure risk control device 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 of each similar drug included, and determine that single medicine of above-mentioned each similar drug is average daily according to the medicine information of above-mentioned each similar drug Drug expenditure.
Above-mentioned medicine information processing unit 32 is also used to be determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug The above-mentioned target medicine in effective prescription, and determine above-mentioned target medicine above-mentioned according to the medicine information of above-mentioned each similar drug With the target medicine ratio of effective prescription.
Medication monitoring unit 33, for according to above-mentioned medicine information processing unit 32 determine above-mentioned target medicine ratio and The corresponding target medicine proportion threshold value of above-mentioned medical institutions to be monitored, determines whether the medication of above-mentioned medical institutions to be monitored surpasses Mark.
Drug risk control unit 34, for determining the medication of above-mentioned medical institutions to be monitored in above-mentioned medication monitoring unit When exceeded, above-mentioned medical institutions to be monitored are carried out based on the above-mentioned target medicine ratio that above-mentioned medicine information processing unit determines The exceeded risk control of drug expenditure.
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 medicine information processing unit 32 is used for:
Above-mentioned all drugs with each similar drug included in effective prescription that above-mentioned data capture unit obtains are obtained to believe It ceases, Sales Volumes is included at least in above-mentioned medicine information and drug uses number of days；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
In some possible embodiments, above-mentioned medicine information processing unit 32 is also used to:
The target medicine of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored The ratio upper limit, and the above-mentioned target medicine ratio upper limit is determined as to the target medicine proportion threshold value of above-mentioned medical institutions to be monitored；
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, above-mentioned drug risk control unit 34 is used for:
Above-mentioned target medicine ratio and/or above-mentioned target medicine ratio is corresponding beyond above-mentioned target medicine proportion threshold value Drug expenditure difference carries out publicity, and above-mentioned target medicine ratio and/or the prompt of above-mentioned drug expenditure difference based on publicity are above-mentioned The medication of medical institutions' control evolution to be monitored, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
When receiving above-mentioned target medicine ratio and/or the corresponding drug expenditure reimbursement request of above-mentioned drug expenditure difference When, refuse above-mentioned drug expenditure reimbursement request to realize that the drug expenditure risk of exceeding criterion for using effective prescription controls.
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 also used to:
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 also used to:
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 medication monitoring unit 33 is used for:
Determine that the target medicine ratio of above-mentioned medical institutions to be monitored is less than or waits in above-mentioned medicine information processing unit When the above-mentioned target medicine ratio upper limit, determine that the medication of above-mentioned medical institutions to be monitored is not exceeded；
When the target medicine ratio of above-mentioned medical institutions to be monitored is greater than the above-mentioned target medicine ratio upper limit, determine above-mentioned The medication of medical institutions to be monitored is exceeded.
In some possible embodiments, the above-mentioned drug expenditure risk control device 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 drug expenditure risk control device 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, costly medicine ratio and/or processing of average daily drug expenditure of medical institutions to be monitored etc. are realized Mode, for details, reference can be made to implementations provided by above-mentioned each step, and details are not described herein.Above-mentioned medication monitoring unit 33 can The expensive of medical institutions to be monitored is determined for executing the unit attribute information in above-mentioned each step based on medical institutions to be monitored The performance assessment criteria threshold value of the medications monitoring such as weight Drugs proportion upper limit, and the costly medicine ratio based on medical institutions to be monitored And/or average daily drug expenditure judges whether the medication of medical institutions to be monitored is exceeded and other implementations, and for details, reference can be made to above-mentioned each Implementation provided by a step, details are not described herein.Above-mentioned drug risk control unit 34 is based on above-mentioned medicine for executing The above-mentioned costly medicine ratio and/or average daily drug expenditure that product information process unit 32 determines carry out medicine to medical institutions to be monitored The exceeded risk control and other implementations of product expense, for details, reference can be made to implementations provided by above-mentioned each step, herein not It repeats again.
In the embodiment of the present application, above-mentioned medication monitoring device can be based on medical institutions to be monitored within the individually examination period The medicine information with each similar drug included in effective prescription, determine each similar drug the average daily drug expenditure of single medicine and doctor to be monitored Treat average daily drug expenditure of the unit within the individually examination period.The average daily drug expenditure of single medicine based on each similar drug determines medication Included costly medicine in prescription, and the drug expenditure based on costly medicine determines costly medicine with expensive in effective prescription Weight Drugs proportion.Here individually the examination period includes the odd-numbered day, also includes the examination period of any duration more than one day.Based on to Monitor the use that average daily drug expenditure and costly medicine ratio of the medical institutions within the examination period judge medical institutions to be monitored Whether medicine is exceeded, realizes the evaluation to the Drug utilization index of medical institutions to be monitored, mode of operation multiplicity.Based on the embodiment of the present application The method of offer realizes the medication policer operation mode multiplicity to each medical institutions, and the medication monitoring to medical institutions both can be improved Accuracy, improve the reliability to the medications of medical institutions monitoring, while medication monitoring to medical institutions can also be enhanced Operating flexibility, and then it is super to the prescription progress medication of each medical institutions that the medicining condition based on each medical institutions can be improved Target publicity, and/or the medications such as the exceeded corresponding drug expenditure reimbursement of refusal costly medicine ratio and/or Claims Resolution request are exceeded The reliability of risk control, can be improved the medication controllability of medical institutions' evolution, so that effective benefit of medical resource can be improved With rate, applicability is stronger.
Example IV:
Referring to fig. 4, Fig. 4 is the example structure schematic diagram of terminal device provided by the embodiments of the present application.As shown in figure 4, Terminal device in the present embodiment may include: one or more processors 401 and memory 402.It above-mentioned processor 401 and deposits Reservoir 402 is connected by bus 403.For memory 402 for storing computer program, which includes program instruction, Processor 401 is used to execute the program instruction of the storage of memory 402.Wherein, above-mentioned processor 401 is configured for calling the journey Sequence instruction execution operates as follows:
Obtain medical institutions to be monitored uses effective prescription；
The above-mentioned medicine information with each similar drug included in effective prescription is obtained, and is believed according to the drug of above-mentioned each similar drug Breath determines the average daily drug expenditure of single medicine of above-mentioned each similar drug；
The above-mentioned target medicine in effective prescription, and root are determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug Determine above-mentioned target medicine in the above-mentioned target medicine ratio with effective prescription according to the medicine information of above-mentioned each similar drug；
According to the corresponding target medicine proportion threshold value of above-mentioned target medicine ratio and above-mentioned medical institutions to be monitored, in determination Whether the medication for stating medical institutions to be monitored is exceeded；
If the medication of above-mentioned medical institutions to be monitored is exceeded, based on above-mentioned target medicine ratio to above-mentioned medical treatment to be monitored Unit carries out the exceeded risk control of drug expenditure.
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 processor 401 is used for:
Above-mentioned all medicine informations with each similar drug included in effective prescription are obtained, are at least wrapped in above-mentioned medicine information It includes Sales Volumes and drug and uses number of days；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
In some possible embodiments, above-mentioned processor 401 is used for:
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
In some possible embodiments, above-mentioned processor 401 is used for:
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
In some possible embodiments, above-mentioned processor 401 is also used to:
The target medicine of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored The ratio upper limit, and the above-mentioned target medicine ratio upper limit is determined as to the target medicine proportion threshold value of above-mentioned medical institutions to be monitored；
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, above-mentioned processor 401 is used for:
Above-mentioned target medicine ratio and/or above-mentioned target medicine ratio is corresponding beyond above-mentioned target medicine proportion threshold value Drug expenditure difference carries out publicity, and above-mentioned target medicine ratio and/or the prompt of above-mentioned drug expenditure difference based on publicity are above-mentioned The medication of medical institutions' control evolution to be monitored, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
When receiving above-mentioned target medicine ratio and/or the corresponding drug expenditure reimbursement request of above-mentioned drug expenditure difference When, refuse above-mentioned drug expenditure reimbursement request to realize that the drug expenditure risk of exceeding criterion for using effective prescription controls.
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 also used to:
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 also used to:
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 used for:
When the target medicine ratio of above-mentioned medical institutions to be monitored is less than or equal to the above-mentioned target medicine ratio upper limit, Determine that the medication of above-mentioned medical institutions to be monitored is not exceeded；
When the target medicine ratio of above-mentioned medical institutions to be monitored is greater than the above-mentioned target medicine ratio upper limit, determine above-mentioned The medication of medical institutions to be monitored is exceeded.
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 to processor 401 provide instruction and Data.The a part of of memory 402 can also include nonvolatile RAM.For example, memory 402 can also be deposited Store up the information of device type.
In some possible embodiments, above-mentioned terminal device can pass through each function mould of processor 401 built in it Block executes the implementation as provided by above-mentioned Fig. 1 each step into Fig. 2, and for details, reference can be made to provided by above-mentioned each step Implementation, details are not described herein.
In the embodiment of the present application, terminal device can be based on medical institutions to be monitored at the medication in the individually examination period The medicine information of included each similar drug in side determines that the average daily drug expenditure of single medicine of each similar drug and medical institutions to be monitored exist Average daily drug expenditure in the single examination period.The average daily drug expenditure of single medicine based on each similar drug is determined with institute in effective prescription Including costly medicine, and the drug expenditure based on costly medicine determines costly medicine with the costly medicine ratio in effective prescription Example.Here individually the examination period includes the odd-numbered day, also includes the examination period of any duration more than one day.Based on medical treatment to be monitored Average daily drug expenditure and costly medicine ratio of the unit within the examination period judge whether the medication of medical institutions to be monitored surpasses Mark realizes the evaluation to the Drug utilization index of medical institutions to be monitored, mode of operation multiplicity.Based on side provided by the embodiments of the present application Method realizes the medication policer operation mode multiplicity to each medical institutions, and the accurate of the medication monitoring to medical institutions both can be improved Property, the reliability of the medication monitoring to medical institutions is improved, while the operation spirit of the medication monitoring to medical institutions can also be enhanced Activity, and then the medicining condition based on each medical institutions can be improved, the exceeded public affairs of medication are carried out to the prescription of each medical institutions Show, and/or refuse the exceeded risk controls of medications such as the exceeded corresponding drug expenditure reimbursement of costly medicine ratio and/or Claims Resolution request The reliability of system, can be improved the medication controllability of medical institutions' evolution, so that the effective rate of utilization of medical resource can be improved, fit It is stronger with property.The embodiment of the present application also provides a kind of computer readable storage medium, which has Computer program, the computer program include program instruction, which realizes that Fig. 1 is each into Fig. 2 when being executed by processor Drug expenditure risk control method based on data processing provided by a step, for details, reference can be made to above-mentioned each steps to be provided Implementation, 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 risk control 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.Such as contain the process, method of a series of steps or units, system, product or Equipment is not limited to listed step or unit, but optionally further comprising the step of not listing or unit or optional Ground further includes the other step or units intrinsic for these process, methods, product or equipment.Referenced herein " embodiment " It is meant that a particular feature, structure, or characteristic described may be embodied at least one embodiment of the application in conjunction with the embodiments. Each position in the description shows that the phrase might not each mean identical embodiment, nor mutual with other embodiments The independent or alternative embodiment of reprimand.Those skilled in the art explicitly and implicitly understand, reality described herein Applying example can combine with other embodiments.The term "and/or" used in present specification and the appended claims Refer to any combination and all possible combinations of one or more of associated item listed, and including these combinations.
Those of ordinary skill in the art may be aware that list described in conjunction with the examples disclosed in the embodiments of the present disclosure Member and algorithm steps, can be realized with electronic hardware, computer software, or a combination of the two, in order to clearly demonstrate hardware With the interchangeability of software, each exemplary composition and step are generally described according to function in the above description.This A little functions are implemented in hardware or software actually, the specific application and design constraint depending on technical solution.Specially Industry technical staff can use different methods to achieve the described function each specific application, but this realization is not It is considered as beyond scope of the present application.Method provided by the embodiments of the present application and relevant apparatus are provided referring to the embodiment of the present application Method flow diagram and/or structural schematic diagram come what is described, can specifically be realized by computer program instructions method flow diagram and/or The combination of each flow and/or block of structural schematic diagram and process and/or box in flowchart and/or the block diagram.This A little computer program instructions can provide at general purpose computer, special purpose computer, Embedded Processor or other programmable datas The processor of equipment is managed to generate a machine, so that holding by the processor of computer or other programmable data processing devices Capable instruction generates for realizing in one box of one or more flows of the flowchart and/or structural schematic diagram or multiple sides The device for the function of being specified in frame.These computer program instructions, which may also be stored in, is able to guide computer or other programmable datas In processing equipment computer-readable memory operate in a specific manner, so that finger stored in the computer readable memory It enables and generates the manufacture including command device, which realizes in one or more flows of the flowchart and/or structure The function of being specified in schematic diagram one box or multiple boxes.These computer program instructions can also be loaded into computer or other In programmable data processing device, so that executing series of operation steps on a computer or other programmable device in terms of generating The processing that calculation machine is realized, so that instruction executed on a computer or other programmable device is provided for realizing in flow chart one The step of function of being specified in a process or multiple processes and/or structural representation one box or multiple boxes.

Claims (10)

1. a kind of drug expenditure risk control method 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 with each similar drug included in effective prescription is obtained, and true according to the medicine information of each similar drug The average daily drug expenditure of single medicine of fixed each similar drug；
The target medicine in effective prescription is determined according to the average daily drug expenditure of single medicine of each similar drug, and according to institute The medicine information for stating each similar drug determines the target medicine in the target medicine ratio with effective prescription；
According to the corresponding target medicine proportion threshold value of the target medicine ratio and the medical institutions to be monitored, determine it is described to Whether the medication for monitoring medical institutions is exceeded；
If the medication of the medical institutions to be monitored is exceeded, based on the target medicine ratio to the medical institutions to be monitored Carry out the exceeded risk control of drug expenditure.
2. the method according to claim 1, wherein it is described obtain medical institutions to be monitored with effective prescription packet It includes:
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.
3. method according to claim 1 or 2, which is characterized in that it is described obtain it is described with included each in effective prescription The medicine information of similar drug, and determine according to the medicine information of each similar drug the average daily drug expense of single medicine of each similar drug With including:
All medicine informations with each similar drug included in effective prescription are obtained, include at least medicine in the medicine information The product amount of money and drug use number of days；
The drug total value with similar drug any in effective prescription and institute are determined according to the medicine information of each similar drug The drug for stating any similar drug uses total number of days；
It is determined according to the drug of the drug total value of any similar drug and any similar drug using total number of days described any The average daily drug expenditure of single medicine of similar drug is to obtain the average daily drug expenditure of single medicine of each similar drug；
Wherein, the average daily drug expenditure of single medicine of any similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
4. according to the method described in claim 3, it is characterized in that, described take according to the average daily drug of single medicine of each similar drug With determining that the target medicine in effective prescription includes:
The average daily drug expense of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of each similar drug It is more than or equal to the average daily drug expenditure threshold value of single medicine with threshold value, and by the average daily drug expenditure of medicine single in each similar drug Drug be determined as the target medicine in effective prescription.
5. according to the method described in claim 4, it is characterized in that, the medicine information according to each similar drug is determined The target medicine includes: with the target medicine ratio of effective prescription described
The drug total value with drugs all in effective prescription and described is determined according to the medicine information of each similar drug With the target medicine total value of the target medicine included in effective prescription；
The target medicine with effective prescription is determined according to the drug total value of all drugs and the target medicine total value Ratio；
Wherein, the target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
6. method according to claim 1-5, which is characterized in that the method also includes:
The target medicine ratio of the medical institutions to be monitored is determined according to the unit attribute information of the medical institutions to be monitored The upper limit, and the target medicine ratio upper limit is determined as to the target medicine proportion threshold value of the medical institutions to be monitored；
Wherein, the unit attribute information of the medical institutions to be monitored includes 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.
7. according to the method described in claim 6, it is characterized in that, described be based on the target medicine ratio to described to be monitored Medical institutions carry out the exceeded risk control of drug expenditure
The target medicine ratio and/or the target medicine ratio are exceeded into the corresponding drug of the target medicine proportion threshold value Expense difference carries out publicity, and the target medicine ratio and/or drug expenditure difference prompt based on publicity are described wait supervise The medication of medical institutions' control evolution is controlled, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
When receiving the target medicine ratio and/or the corresponding drug expenditure reimbursement of the drug expenditure difference is requested, refuse The drug expenditure reimbursement request described absolutely is to realize that the drug expenditure risk of exceeding criterion for using effective prescription controls.
8. a kind of drug expenditure risk control device 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, it is described with included all kinds of in effective prescription for obtain that the data capture unit obtains The medicine information of drug, and determine according to the medicine information of each similar drug the average daily drug expense of single medicine of each similar drug With；
The medicine information processing unit is also used to determine the use according to the average daily drug expenditure of single medicine of each similar drug Target medicine in effective prescription, and determine the target medicine at the medication according to the medicine information of each similar drug The target medicine ratio of side；
Medication monitoring unit, the target medicine ratio and described wait supervise for being determined according to the medicine information processing unit The corresponding target medicine proportion threshold value of medical institutions is controlled, determines whether the medication of the medical institutions to be monitored is exceeded；
Drug risk control unit, for determining that the medication of the medical institutions to be monitored is exceeded in the medication monitoring unit When, drug is carried out to the medical institutions to be monitored based on the target medicine ratio that the medicine information processing unit determines The exceeded risk control of expense.
9. a kind of terminal device, which is characterized in that including processor and memory, the processor is mutually interconnected with the memory It connects, wherein the memory is for storing computer program, and the computer program includes program instruction, the processor quilt It is configured to call described program instruction, executes the method according to claim 1 to 7.
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, and described program instruction makes the processor execute such as right when being executed by a processor It is required that the described in any item methods of 1-7.
CN201811233472.6A 2018-10-22 2018-10-22 Drug expenditure risk control method and device based on data processing Pending CN109524079A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020082802A1 (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 expense risk control method and device

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103971217A (en) * 2014-02-24 2014-08-06 浙江大学 Method and system of drug inventory management
CN108492856A (en) * 2018-03-23 2018-09-04 顾泰来 A kind of prescription issuing means, terminal and method

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107330258A (en) * 2017-06-22 2017-11-07 安徽山鼎信息科技有限公司 A kind of Medical service regulation platform
CN108062973A (en) * 2017-11-30 2018-05-22 江西洪都航空工业集团有限责任公司 A kind of health care data analysing method
CN108172302A (en) * 2017-12-15 2018-06-15 广州市康软信息科技有限公司 Rational use of medicines information monitoring method and system
CN109524080A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 Medication monitoring method and device based on data processing
CN109545305A (en) * 2018-10-22 2019-03-29 平安医疗健康管理股份有限公司 Medical institutions' medication monitoring method and device based on data processing
CN109545307A (en) * 2018-10-22 2019-03-29 平安医疗健康管理股份有限公司 Drug expenditure control method and device based on data processing
CN109524079A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 Drug expenditure risk control method and device based on data processing
CN109493957A (en) * 2018-10-22 2019-03-19 平安医疗健康管理股份有限公司 The exceeded method for early warning of drug expenditure and device based on data processing
CN109524075A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 Drug expenditure risk of exceeding criterion control method and device based on data processing

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103971217A (en) * 2014-02-24 2014-08-06 浙江大学 Method and system of drug inventory management
CN108492856A (en) * 2018-03-23 2018-09-04 顾泰来 A kind of prescription issuing means, terminal and method

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
段政明 等: ""走好医疗服务监控之路"" *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020082802A1 (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 expense risk control method and device

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