WO2020082794A1 - 基于数据处理的中药处方药品费用超标预警方法及装置 - Google Patents

基于数据处理的中药处方药品费用超标预警方法及装置 Download PDF

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WO2020082794A1
WO2020082794A1 PCT/CN2019/095021 CN2019095021W WO2020082794A1 WO 2020082794 A1 WO2020082794 A1 WO 2020082794A1 CN 2019095021 W CN2019095021 W CN 2019095021W WO 2020082794 A1 WO2020082794 A1 WO 2020082794A1
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chinese medicine
medicine
cost
drug
prescription
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PCT/CN2019/095021
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English (en)
French (fr)
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袁刚
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平安医疗健康管理股份有限公司
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT 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

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  • the present application relates to the medical technology field, and in particular to a data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs.
  • Various medication monitoring mechanisms are used to monitor medication for various medical units, including but not limited to medical units (or representatives of medical units) such as various hospitals, departments of various hospitals, various clinics, and even various physicians.
  • the evaluation of the medication standard of each medical unit mainly adopts the second-average Chinese medicine prescription standard, that is, the daily average cost of Chinese medicine decoction pieces for each Chinese medicine prescription (referred to as the second-average Chinese medicine prescription cost) is used as the medicine of each medical unit evaluation standard.
  • the evaluation criteria for the above-mentioned average Chinese medicine prescription costs are calculated by dividing the total prescriptions by the number of prescriptions.
  • Existing technology adopts the secondary average Chinese medicine prescription cost as the evaluation standard of the traditional Chinese medicine prescription of each medical unit. As a result, each medical unit is evaluated in order to avoid large prescriptions.
  • the number of prescription days is reduced to reduce the average Chinese traditional medicine prescription cost, or by decomposing the prescription
  • the method divides the large prescription with a large total prescription into multiple small prescriptions with a small total prescription to reduce the average cost of prescriptions of traditional Chinese medicines, thereby avoiding the monitoring of large prescriptions.
  • the medication evaluation method of the prior art makes the loopholes of the medication monitoring of each medical unit larger, the accuracy rate of the medication evaluation of each medical unit is low, and the applicability is weak.
  • Embodiments of the present application provide a data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs.
  • the operation is simple, which can improve the accuracy of monitoring the use of traditional Chinese medicine prescriptions in medical units, improve the reliability of medical monitoring of medical units, and enhance medical treatment.
  • the controllability and applicability of the unit's traditional Chinese medicine prescription drug costs are stronger.
  • an embodiment of the present application provides a data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs.
  • the method includes:
  • the above prescription of traditional Chinese medicine includes at least one dose of Chinese herbal medicine, and one dose of traditional Chinese medicine includes at least one herbal medicine.
  • TCM information of various TCM decoction pieces included in the drug information of each of the above-mentioned TCM decoction pieces and determine the daily average cost of the unilateral and single-type drugs of the TCM decoction pieces based on the TCM decoction information of the TCM decoction pieces;
  • an embodiment of the present application provides a data processing-based early warning device for excessive prescription drug costs of traditional Chinese medicine.
  • the device includes:
  • the data acquisition unit is used to acquire the prescription of traditional Chinese medicine of the medical unit to be monitored.
  • the prescription of the above-mentioned traditional Chinese medicine includes at least one dose of traditional Chinese medicine decoction, and one dose of traditional Chinese medicine decoction includes at least one traditional Chinese medicine decoction;
  • the medicine information processing unit is used to obtain the medicine information of each medicine in the at least one Chinese medicine decoction in the Chinese medicine prescription obtained by the data obtaining unit, and determine the medical unit to be monitored according to the medicine information in each medicine in the Chinese medicine decoction Unilateral daily drug cost;
  • the above-mentioned medicine information processing unit is further used to obtain the information of various Chinese medicine pieces included in the medicine information of the above-mentioned Chinese medicine pieces, and determine the party of the above-mentioned Chinese medicine pieces according to the information of the above-mentioned Chinese medicine pieces The average daily cost of a single kind of medicine;
  • a drug cost monitoring unit used to determine whether the above-mentioned unilateral average daily drug cost determined by the above-mentioned pharmaceutical information processing unit and the above-mentioned unilateral single type daily drug cost of various Chinese herbal medicine pieces are greater than or equal to the threshold of the drug index parameter of the medical unit to be monitored;
  • a drug cost over-warning unit is used to notify the medical device to be monitored when the above-mentioned drug cost monitoring unit determines that the above-mentioned daily average drug cost and the above-mentioned daily average cost of each Chinese herbal medicine piece are greater than or equal to the above-mentioned drug index parameter threshold
  • the unit sends an early warning message that the cost of traditional Chinese medicine decoction exceeds the standard.
  • an embodiment of the present application provides a terminal device.
  • the terminal device includes a transceiver, a processor, and a memory, and the transceiver, processor, and memory are connected to each other.
  • the memory is used to store a computer program that supports the terminal device to perform the method provided in the first aspect and / or any possible implementation manner of the first aspect, the computer program includes program instructions, and the transceiver and the processor are configured to When the above program instructions are invoked, the method provided in the first aspect and / or any possible implementation manner of the first aspect is executed.
  • an embodiment of the present application provides a computer-readable storage medium storing a computer program, the computer program including program instructions, which when executed by a processor causes the processor to execute The method provided in the foregoing first aspect and / or any possible implementation manner of the first aspect.
  • FIG. 1 is a schematic flowchart of an early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
  • FIG. 2 is another schematic flow chart of the early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
  • FIG. 3 is a schematic structural view of an embodiment of an early warning device for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
  • FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
  • the embodiments of the present application provide a data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs, which can be based on various hospitals, departments of various hospitals, various clinics, and even various medical units (or representatives of medical units (or teams) ))
  • the daily average cost of a single type of single medicine that is, the average daily cost of a single type of Chinese medicine in a single Chinese medicine prescription
  • evaluate the use of Chinese medicine prescriptions in various medical units including hospitals, departments, clinics or physicians
  • the medical unit to be monitored will send warning information that the Chinese medicine prescriptions exceed the cost of the Chinese medicine pieces, so as to issue the prescription medicine for the controlled Chinese medicine prescription to the medical unit to be monitored, to prevent the Chinese medicine prescriptions to be monitored.
  • the early warning of the continuous drug cost exceeding the standard to avoid the waste of medical resources such as traditional Chinese medicine decoction pieces to be monitored by the medical unit.
  • the medical unit's medical expense reimbursement request and / or claim request may be rejected to realize the early warning of the medical unit's excessive medical cost and remind the medical
  • the unit controls the cost of prescription drugs for traditional Chinese medicine to avoid the waste of medical resources.
  • the assessment dimensions represented by the representatives of the above-mentioned hospitals, departments of various hospitals, clinics, and even doctors or other medical units or medical units will be described using the evaluation dimension of the medical unit as an example, and will not be described below.
  • the prescriptions for traditional Chinese medicine provided in the embodiments of the present application may include prescriptions for traditional Chinese medicine prescribed by various doctors of various medical units for each patient's condition, or prescriptions prescribed by various physicians for each patient's condition, or prescription paper, etc. There are no restrictions here. For the convenience of description, the prescription will be described as an example below. Generally speaking, the prescriptions issued by various doctors in various medical units may include, but are not limited to, the prescription issuance time, prescription number, department number, patient personal information, medicine details of Chinese herbal medicines, and the signature of the doctor, depending on the actual application scenario Ok, no restrictions here.
  • each prescription will have various types of medicine details of Chinese herbal medicines. Including but not limited to the name of TCM decoction pieces, the cost of TCM decoction pieces, the usage method of TCM decoction pieces, and the number of days of use of TCM decoction pieces and other information. Therefore, no matter whether it is a large prescription or a small prescription or other, it is inseparable from the details of medicines in Chinese herbal medicines.
  • the evaluation of whether the traditional Chinese medicine prescription of each medical unit meets the standard can be achieved to realize the individual medical treatment.
  • the unit's medication monitoring is easy to operate and can better and more comprehensively cover the medication monitoring of each Chinese medicine prescription of the medical unit.
  • the daily average cost of single-party and single-type drugs based on medical units can achieve more accurate and accurate monitoring of drug use of each medical unit, thereby improving the accuracy of drug monitoring of each medical unit.
  • the comparison of the threshold value can realize the early warning of the medicine cost exceeding the standard of the traditional Chinese medicine prescription of the medical unit, which can improve the timeliness of the drug monitoring of each medical unit, and can further improve the warning of the medical cost exceeding the standard of each medical unit based on the drug use of each medical unit.
  • Reliability which can improve the effective utilization of medical resources, and higher applicability.
  • the traditional Chinese medicine decoction piece is a traditional Chinese medicine that can be directly used in the clinical practice of traditional Chinese medicine after being processed according to the traditional Chinese medicine theory and the traditional Chinese medicine preparation method.
  • Chinese herbal decoctions include some traditional Chinese medicine slices processed in the place of origin, original medicinal decoctions, and cut and fired decoctions. For convenience of description, the following will take Chinese herbal decoction as an example.
  • the above-mentioned traditional Chinese medicine decoction pieces are only examples, not exhaustive, and can be determined according to actual application scenario requirements, and are not limited herein.
  • the data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs may be executed by terminal devices associated with drug monitoring units such as the Drug Administration, the Health Commission, the Health and Health Commission, and the medical claims unit.
  • drug monitoring units such as the Drug Administration, the Health Commission, the Health and Health Commission, and the medical claims unit.
  • the above terminal device may be a tool used by the medical unit to be monitored to monitor the drug cost of each doctor's prescription and early warning of excessive drug costs, such as the doctor's prescription Tools, etc., are not restricted here.
  • the terminal device may be a client and / or a human-computer interaction device for monitoring drug use of each medical unit, which is not limited herein.
  • the terminal device will be taken as an example for description below.
  • FIG. 1 is a schematic flowchart of an early warning method for over-standard Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application.
  • the method for early warning of over-standard Chinese medicine prescription drug costs based on data processing provided by the embodiments of the present application can be described by the implementation methods provided in the following steps S11 to S15.
  • the above-mentioned medical unit to be monitored may be any medical unit monitored by the medication monitoring unit, which may be specifically determined according to actual application scenarios, and is not limited herein.
  • the medical unit to be monitored will be described as an example below.
  • the traditional Chinese medicine prescription of the above medical unit may include any one of the traditional Chinese medicine prescriptions of the medical unit to be monitored, or it may be all the traditional Chinese medicine prescriptions generated by the medical unit to be monitored within a single day of any day (that is, more A Chinese medicine prescription).
  • all the above prescriptions of traditional Chinese medicine include but are not limited to all prescriptions of traditional Chinese medicine issued by all doctors in all departments of the hospital within a single day, all prescriptions of traditional Chinese medicine issued by all doctors of a certain department of the hospital within a single day, or a single day Any one of all the prescriptions of Chinese medicine issued by a doctor in a department of an internal hospital.
  • the specific conditions indicated in the above traditional Chinese medicine prescription are determined according to the evaluation dimension of the medical unit's medication evaluation in the actual application scenario, and no limitation is made here.
  • the method provided in the embodiments of the present application can calculate the average daily drug cost (referred to as a unilateral average daily drug cost) of Chinese herbal medicines included in any Chinese medicine prescription (referred to as a unilateral for convenience of description) based on the above-mentioned various forms of traditional Chinese medicine prescriptions, and
  • the average daily cost of a single type of single medicine of any kind of Chinese herbal medicines included in any Chinese medicine prescription (referred to as a single side for convenience of description), which can be based on the average daily drug cost of any Chinese medicine prescription and any Chinese medicine prescription.
  • the daily average cost of a single type of single piece of Chinese medicine decoction evaluates the medical unit's medication, the evaluation granularity is finer, and the medication monitoring is more strict and effective.
  • the average daily medicine cost of Chinese herbal medicines included in a single Chinese medicine prescription as an example (hereinafter referred to as the unilateral average daily medicine cost), combined with any one (ie single type) of Chinese medicine herbal medicines included in a single Chinese medicine prescription
  • the average daily drug cost (referred to as the daily average cost of single-party single-type drugs) is used as an example for explanation, and will not be repeated below.
  • the above-mentioned Chinese medicine prescription of the medical unit to be monitored may be a prescription for real-time warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be a prescription issued by each doctor within a single day of the medical unit to be monitored In whole or in part.
  • the real-time warning of exceeding the standard of the medical cost of the medical unit to be monitored may be that the unilateral daily average drug cost of the traditional Chinese medicine prescription of the medical unit to be monitored comes to the critical point where the unilateral daily average drug cost exceeds the standard (that is, the unilateral daily average drug cost is equal to the unilateral daily average
  • the threshold of drug cost is generated in real time to inform the doctor of the medical unit to be monitored that the next prescription may be a prescription that causes the daily average drug cost of the traditional Chinese medicine prescription of the medical unit to be monitored to exceed the standard, so that the physician can determine whether to continue to prescribe .
  • the daily average cost of one or more TCM decoctions comes to the daily average of the unilateral single type drugs corresponding to the various TCM decoctions It is generated when the cost exceeds the critical point (that is, the daily average cost of a single drug is equal to the daily average cost threshold of a single drug). It is used to notify the physician of the medical unit to be monitored in real time that the next prescription may cause the medical unit to be monitored.
  • the traditional Chinese medicine prescription of the medical unit to be monitored may also be a prescription for early warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be all prescriptions issued by various doctors within a single day of the medical unit to be monitored.
  • the early warning of excessive drug cost in the later period may be that the unilateral average daily drug cost of the traditional Chinese medicine prescription of the medical unit to be monitored exceeds the standard (that is, the unilateral average daily drug cost is greater than The average daily drug cost threshold for unilateral medicines), and / or the daily average cost of a single type of medicine for one or more Chinese herbal medicines in the prescription of traditional Chinese medicines exceeds the standard (that is, the average daily cost of single medicine for single herbal medicines is greater than the average daily cost for single medicine Threshold value) is generated and the Chinese medicine is sent to the medical unit to be monitored when it is determined that the medical unit to be monitored exceeds the standard daily drug cost of the unilateral daily drug and / or the average daily cost of one or more Chinese herbal medicines exceeds the standard during the current evaluation period.
  • the standard that is, the unilateral average daily drug cost is greater than The average daily drug cost threshold for unilateral medicines
  • the daily average cost of a single type of medicine for one or more Chinese herbal medicines in the prescription of traditional Chinese medicines exceeds the standard that is, the average daily cost of single medicine for
  • Pre-warning of prescription drug cost exceeding the standard to remind the medical unit to be monitored to pay attention to the average daily drug cost of the Chinese medicine prescription in the follow-up evaluation cycle and / or the control of the average daily drug cost of the single medicine of various types of Chinese herbal medicines in order to prevent the recurrence of the single party
  • the daily drug cost exceeds the standard and / or one or more types of Chinese herbal medicines
  • the daily drug cost exceeds the standard and is subject to penalties such as refusal to reimburse drug costs and / or refusal to settle claims.
  • the specific expression form of the traditional Chinese medicine prescription of the medical unit to be monitored can be determined according to the application scenario (real-time or later) demand of early warning of drug cost exceeding the actual application scenario, and no limitation is made here.
  • a prescription can include one or more doses of Chinese herbal medicine, each of which can include one or more varieties (or Kind, or kind) of Chinese medicine decoction pieces.
  • a prescription can include one or more doses of Chinese medicine decoctions, each of which includes one or more varieties of Chinese medicine decoctions.
  • All kinds of Chinese herbal medicines in one piece of Chinese herbal medicine are mixed and used together. The way of taking all kinds of Chinese medicine slices in one Chinese medicine slice is to put them in a casserole or enamel pan for mixing after mixing, and finally get a bowl of medicine soup.
  • the number of days of use of all Chinese herbal medicines in a single prescription is the cumulative value of the number of days of use of each Chinese herbal medicine in the prescription. For convenience of description, it can also be called the total number of days of drug use as an example. Wait. For example, if the Chinese herbal medicines included in a single prescription have M doses, and the usage days of each Chinese herbal medicine are one day, then the total number of days of using the Chinese herbal medicines included in the above prescriptions is M (that is, M * 1) days. In other words, the total number of days of use of various Chinese herbal medicines included in the above prescriptions is M days.
  • the terminal device can be docked with the data system of the medical unit to be monitored to obtain the access qualification of the data system of the medical unit to be monitored, and from the medical system to be monitored based on the data system access qualification of the medical unit to be monitored Obtain the Chinese medicine prescription of the medical unit to be monitored in the unit's data system.
  • the terminal device may also screen the medical claim data from the medical claim data based on the medical claim data provided by the medical institution to be monitored to obtain prescription data such as the Chinese medicine prescription of the medical institution.
  • the terminal device can also obtain prescription data such as prescriptions of traditional Chinese medicines of the medical unit to be monitored from the medical records of patients in various medical units based on big data analysis, and so on.
  • the terminal device may obtain the Chinese medicine prescription of the medical unit to be monitored based on any data acquisition path other than the above-mentioned data acquisition method, which may be determined according to actual application scenarios, and no limitation is made here.
  • any Chinese medicine prescription in the Chinese medicine prescription of the medical unit to be monitored here can include the details of the medicine prescribed in the Chinese medicine prescription, including but not limited to the name of the medicine, the cost of the medicine, and the method of use of the medicine (or drug The method, etc.) and the number of days the drug is used can be determined according to the actual application scenario, and there is no limit here.
  • the terminal device after the terminal device obtains the traditional Chinese medicine prescription of the medical unit to be monitored (such as a single traditional Chinese medicine prescription, or simply a single party), it can obtain the drug information of each piece of traditional Chinese medicine decoction included in the single traditional Chinese medicine prescription, including However, it is not limited to the cost of medicine and the number of days of medicine use. Based on the single Chinese medicine prescription of the medical unit to be monitored, the medicine costs of various Chinese medicine decoction pieces included in each of the Chinese medicine decoction pieces in the single Chinese medicine prescription can be obtained, and the total drug cost of the single Chinese medicine decoy can be determined according to the medicine cost of the various Chinese medicine decoction pieces.
  • the total cost of the above-mentioned single Chinese herbal medicine prescription is the cumulative value of the cost of one or more Chinese herbal medicine pieces in a single Chinese herbal medicine prescription.
  • the cost of each Chinese herbal medicine is the cumulative value of the cost of each Chinese herbal medicine in the Chinese herbal medicine.
  • the cost of any Chinese herbal medicine in a single Chinese herbal medicine is the unit price of the Chinese herbal medicine and the single Chinese medicine in a single dose. The product of the dose.
  • the total medicine cost of the single Chinese medicine prescription may also be the cumulative value of the medicine costs of various Chinese medicine decoction pieces included in the single Chinese medicine prescription, where the drug cost of a single Chinese medicine decoction piece is the unit price of the Chinese medicine decoction piece and the The product of the sum of the doses of Chinese herbal medicines in a single Chinese medicine prescription can be determined according to the actual application scenario.
  • the total cost of the medicine for a single Chinese medicine prescription is not limited here. Based on the accumulated value of the drug costs of each dose of Chinese herbal medicines in one or more doses of Chinese herbal medicines, the total drug cost of all Chinese herbal medicines in the Chinese medicine prescription can be obtained.
  • the total number of days of Chinese medicine prescription can be determined according to the number of days of use of each piece of Chinese medicine pieces in the traditional Chinese medicine pieces, and the single party of the medical unit to be monitored can be determined based on the total cost of the above medicines and the total number of days of the above medicine Average daily drug cost.
  • the total number of days of use of the above-mentioned single Chinese medicine prescription pieces of Chinese medicine pieces is one or more doses of the Chinese medicine pieces of the Chinese medicine pieces of the cumulative number of days of drug use.
  • the average daily drug cost of a single Chinese medicine prescription of the medical unit to be monitored represents the average daily drug cost of all Chinese herbal medicines in the single Chinese medicine prescription of the medical unit to be monitored. It can be calculated based on the following formula (1):
  • the total cost of the above-mentioned Chinese medicine decoction is the cumulative value of the cost of one or more doses of a single Chinese medicine prescription, where the cost of each Chinese medicine decoction is all included in the Chinese medicine decoction The accumulation of the cost of each Chinese herbal medicine in Chinese herbal medicine.
  • the total number of days of use of the above-mentioned Chinese medicine decoction refers to the cumulative value of the number of days of use of each Chinese medicine decoction in one or more doses of Chinese medicine decoction included in the Chinese medicine prescription.
  • TCM decoction information of various TCM decoction pieces included in the drug information of the above-mentioned TCM decoction pieces and determine the daily average cost of the unilateral and single-type drugs of the TCM decoction pieces based on the TCM decoction information of the TCM decoction pieces.
  • the terminal device after the terminal device obtains the traditional Chinese medicine prescription of the medical unit to be monitored (such as a single traditional Chinese medicine prescription, or simply a single side), it can obtain the traditional Chinese medicine decoction information of each of the traditional Chinese medicine decoction pieces included in the single traditional Chinese medicine prescription, Including, but not limited to, the cost of medicine and the number of days of use of Chinese medicine decoction pieces.
  • the medicine costs of various Chinese medicine decoctions included in each dose of the Chinese medicine decoction in the above single Chinese medicine prescription can be obtained, and any one of the Chinese medicines in the single Chinese medicine prescription can be determined according to the drug costs of the various Chinese medicine decoctions
  • the total cost of medicine in the prescription of a single Chinese medicine is the cumulative value of the cost of any one of the traditional Chinese medicine decoctions included in each dose of the traditional Chinese medicine decoction in the single Chinese medicine prescription.
  • the drug cost of any one of the above-mentioned Chinese herbal medicines included in each dose of Chinese herbal medicine is the product of the unit price of the Chinese herbal medicine in the Chinese herbal medicine and the dose of the Chinese herbal medicine in a single Chinese herbal medicine.
  • the total drug cost of the single Chinese herbal medicine in a single Chinese herbal medicine prescription is the product of the unit price of the Chinese herbal medicine and the total dose of the Chinese herbal medicine in a single Chinese medicine prescription, and the specific Chinese medicine can be determined according to the actual application scenario.
  • the total cost of single-piece Chinese herbal medicines in prescriptions is not limited here.
  • the total number of days of use of any one of the above-mentioned Chinese medicine pieces in a single Chinese medicine prescription can be determined according to the number of days of use of each piece of Chinese medicine pieces in the Chinese medicine pieces, and according to any one of the above-mentioned Chinese medicine pieces in the single Chinese medicine
  • the total cost of the drug in the prescription and the total number of days of use of the above drug can determine the average daily cost of any one of the above-mentioned Chinese herbal medicines.
  • the total number of days of medicine usage for any one of the above-mentioned single Chinese medicine prescriptions is the cumulative value of the number of days of medicine usage for each dose of one or more doses of single Chinese medicine prescriptions in a single Chinese medicine prescription.
  • the daily average cost of a single type of Chinese herbal medicine in a single Chinese medicine prescription of the medical unit to be monitored represents the average daily drug cost of the single type of Chinese herbal medicine in a single Chinese medicine prescription of the medical unit to be monitored, of which any of the above single Chinese medicine prescriptions
  • the average daily cost of a single type of single medicine for a variety of Chinese herbal medicines can be calculated based on the following formula (2):
  • the total drug cost of the single-party single-type Chinese herbal medicine pieces is the cumulative value of the costs of the single-type Chinese herbal medicine pieces contained in each dose of the Chinese herbal medicine pieces in a single Chinese medicine prescription.
  • the total number of days of use of the above-mentioned single-party single-type Chinese herbal medicines refers to the cumulative value of the number of days of use of each Chinese herbal medicine in one or more doses of Chinese herbal medicines included in the prescription.
  • the thresholds for the assessment indicators of the medication monitoring standards and / or medication evaluation standards of each medical unit can be set in advance, such as the upper limit of the daily drug cost per party (or Called the unilateral daily average drug cost ceiling, or the unilateral daily average drug cost threshold) and so on.
  • the daily average drug cost limit corresponding to the medical unit to be monitored can be set based on the historical drug records of the medical unit to be monitored or the drug use policy, etc., and then based on the determined
  • the unilateral daily drug cost of the monitored medical unit combined with the threshold of the assessment index corresponding to the medical unit to be monitored (ie, the upper limit of the unilateral daily drug cost), determines whether the unilateral daily drug cost of the medical unit meets the standard. In other words, whether the average daily drug cost of the medical unit to be monitored is less than or equal to the upper limit of its corresponding average daily drug cost.
  • the average daily drug cost of the medical unit to be monitored is less than or equal to the upper limit of the corresponding average daily drug cost of the corresponding medical unit, it can be determined that the average daily drug cost of the medical unit to be monitored is up to the standard. If the average daily drug cost of the medical unit to be monitored is greater than the upper limit of the corresponding average daily drug cost of the corresponding medical unit, it can be determined that the average daily drug cost of the medical unit to be monitored is exceeding the standard.
  • the medical cost of medical units for different types of Chinese herbal medicines when monitoring the medical cost of medical units for different types of Chinese herbal medicines, it can be based on the types of medicines of different types of Chinese herbal medicines, the purpose of the medicine (such as the type of disease targeted by the medicine), and the supply channel of the medicine Or the drug attribute information such as the source of the drug sets the evaluation index threshold for monitoring the drug cost of different types of Chinese herbal medicine pieces, such as the daily average cost threshold of each single type of Chinese medicine pieces, that is, the single single type of medicines of various Chinese medicine pieces Daily average cost threshold and so on.
  • the daily average cost of a single type of single type of drugs corresponding to different types of traditional Chinese medicine decoctions may vary.
  • the daily average cost threshold of a single type of single drug can be set higher, that is, its The threshold of the assessment index of the corresponding medication evaluation standard can be set to a higher assessment index, etc., which can be determined according to the actual application scenario, without limitation.
  • the evaluation thresholds of the medicine monitoring standard and / or the medicine evaluation standard of the TCM decoction pieces of each medical unit may also be preset according to the unit attribute information of each medical unit, for example, the number of over-standard TCM decoction pieces reaches the upper limit , Or the threshold of Chinese herbal decoctions exceeding the standard.
  • the threshold for exceeding the standard TCM decoctions for the corresponding TCM decoctions of the medical unit to be monitored can be set based on the historical medication records or drug use policies of the medical unit to be monitored.
  • the medical unit can conduct a comprehensive evaluation of the Chinese medicine decoction use based on the medical unit's average daily drug cost and the various Chinese medicine decoction types' single daily drug costs.
  • the two daily drug cost parameters of the medical unit to be monitored and the daily drug cost of the unilateral single type of drug both meet the standard, it can be determined that the drug cost of the traditional Chinese medicine decoction piece of the medical unit to be monitored does not exceed the standard. If one of the two medication index parameters of the medical unit to be monitored and the daily average cost of the unilateral single type of medicine does not meet the standard, it can be determined that the medical cost of the traditional Chinese medicine decoction of the medical unit exceeds the standard, etc., depending on the actual situation The application scenario is determined, and no limitation is imposed here.
  • the unilateral average daily drug cost of the medical unit to be monitored is greater than the unilateral daily average drug cost threshold, and / or the medical to be monitored
  • the daily average cost of one or more types of Chinese herbal medicines in the unit s prescription of traditional Chinese medicine is greater than the daily average cost threshold of the single type of Chinese medicine corresponding to various Chinese herbal medicines
  • the terminal device obtains any doctor of the medical unit to be monitored When submitting the prescribing request, it can output a warning sign that the drug cost exceeds the standard to the homepage of the prescribing tool of the medical unit to be monitored.
  • the doctor of the medical unit to be monitored is issued a warning of the medicine cost exceeding the standard of the Chinese medicine prescription to remind the doctor of the medical unit to monitor the prescription drug to prevent the cost of the medicine Exceed the standard.
  • the terminal device obtains the prescribing request submitted by any doctor of the medical unit to be monitored, it can output a warning sign of excessive warning of drug costs on the home page of the prescribing tool of the doctor (such as the user operation interface of the prescribing tool) (for example, the red exclamation mark, etc.) or the warning information such as the early warning of the drug cost exceeding the standard.
  • the physician of the medical unit to be monitored Based on the above warning information for exceeding the drug cost warning information, the physician of the medical unit to be monitored, the average daily drug cost of the traditional Chinese medicine prescription or the currently submitted traditional Chinese medicine prescription of the medical unit to be monitored and / or the unilateral single type of medicine of the traditional Chinese medicine decoction in the traditional Chinese medicine prescription
  • the average daily cost has reached the upper limit (that is, the average daily drug cost of a single prescription of a Chinese medicine has been greater than or equal to the threshold of the average daily drug cost of the party, and / or the average daily cost of a single type of medicine in the Chinese medicine prescription has been greater than or equal to the single side Threshold for the daily average cost of a single type of drug)
  • the drug cost caused by the doctor's next prescription may cause the medical unit to be monitored to exceed the cost of the Chinese herbal medicine in the current evaluation cycle, so that the doctor can determine whether to continue prescribing. Wait.
  • the physician of the medical unit to be monitored can be controlled to prescribe medication to prevent the drug cost from exceeding
  • the medical cost of the traditional Chinese medicine decoction in the above-mentioned medical unit to be monitored exceeds the standard, for example, when medical
  • the unit's average daily drug cost is greater than the unit's daily average drug cost threshold
  • the difference between the unit's average daily drug cost of the above-mentioned medical unit that exceeds the unit's daily average drug cost threshold (as a prescription for traditional Chinese medicine) (Chinese medicine decoction pieces have exceeded the drug cost data).
  • the daily average cost of one or more Chinese herbal medicines in the prescriptions of the traditional Chinese medicines of the medical unit to be monitored exceeds the daily standard, for example, the daily average of the single pharmaceutical medicines of one or more traditional Chinese medicines in the medical prescriptions of the medical unit to be monitored
  • the cost is greater than the daily average cost threshold of the single-party single-type drugs corresponding to various Chinese herbal medicines, it can be determined that the daily average cost of the single-party single-type medicines of various Chinese herbal medicines in the above-mentioned medical unit to be monitored exceeds the daily average cost of the single-party single-type medicines Threshold part of the daily average cost difference of unilateral and single-type medicines (as the data of medicine cost exceeding the standard in Chinese medicine prescriptions).
  • early warning information of drug cost exceeding standard is sent to the medical unit to be monitored.
  • the prescribing medication is sent to the medical unit to be monitored to prevent the daily average cost of a single type of traditional Chinese medicine decoction in the traditional Chinese medicine prescription in one or more evaluation cycles after the current evaluation cycle and / or single party Early warning of the daily average cost of various types of medicines.
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the terminal device may compare the average daily cost of the above-mentioned single-type medicines, the average daily cost difference of the single-type medicines, the daily average cost of the single-side single type medicines of the above-mentioned one or more types of over-standard Chinese herbal medicines, and the daily average cost of the above-mentioned single-side single type medicines.
  • One or more medication index parameters in the value are publicized, based on the publicized one or more medication index parameters to prompt the doctor of the medical unit to be monitored to control the prescribing medication of the Chinese medicine prescription, to avoid the doctor of the medical unit to be monitored During the prescribing process, the random use of medicines causes the waste of medical resources such as Chinese herbal medicines, and realizes the early warning that the cost of Chinese herbal medicines for medical prescriptions to be monitored by the medical unit will exceed the standard.
  • the medical unit to be monitored can be publicized on the unit lobby announcement interface of the medical unit to be monitored (such as the message announcement display screen of the unit lobby) or the medical unit medication issued by the medication supervision unit Publicize on the monitoring daily report to control the medication used by the medical unit to be monitored and the prescriptions of various doctors, and to avoid the daily average cost of traditional Chinese medicine prescriptions of the medical unit to be monitored and / or the daily average cost of unilateral single type medicines of Chinese herbal medicines.
  • the waste of medical resources in the future has enabled early warning of excessive medical expenses for the prescription of traditional Chinese medicine for the medical unit to be monitored.
  • the above medication index parameters can also be publicized on the information announcement interface of each department of the medical unit to be monitored, and / or the prescription tool of each physician of the medical unit to be monitored Publicity on the homepage, etc., can be determined according to the actual application scenario, no restrictions here.
  • the medication monitoring of each medical unit can be realized based on multiple medication index parameters, the operation is simple, the accuracy of the medication monitoring of the medical unit can be improved, and the time effect of early warning of the medical unit's drug cost exceeding the standard can be improved Can further improve the reliability of early warning of drug cost overdose for each medical unit's prescription based on the drug use of each medical unit, and improve the controllability of the medical unit's prescribing medication, thereby improving the effective utilization of medical resources. Sex is stronger.
  • FIG. 2 is another schematic flowchart of a data processing-based early warning method for over-standard Chinese medicine prescription drugs based on data processing.
  • the data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs provided by the embodiments of the present application can realize the monitoring of the medication situation of the medical unit to be monitored within a single assessment cycle. This method can be implemented by the following steps S21 to S28 Way to explain.
  • the implementation manner of obtaining the traditional Chinese medicine prescription of the medical unit to be monitored may refer to the implementation manner provided in step S11 in the foregoing embodiment, and details are not described herein again.
  • the traditional Chinese medicine prescription of the medical unit may further include all traditional Chinese medicine prescriptions generated by the medical unit to be monitored within a single assessment cycle, where the single assessment period is one day or greater than one day, for example One week, one month, one quarter or one year, etc., no restriction is made here.
  • the single assessment period is one day or greater than one day, for example One week, one month, one quarter or one year, etc., no restriction is made here.
  • all the traditional Chinese medicine prescriptions generated by the above-mentioned medical unit to be monitored in a single assessment cycle can be explained by taking the single assessment cycle prescription as an example.
  • the single assessment cycle prescription of the above medical unit may refer to all Chinese medicine prescriptions issued in any assessment cycle of the medical unit, including but not limited to all Chinese medicine prescriptions issued by all doctors in all departments of the hospital within a single assessment cycle 1. Any one of all the prescriptions of traditional Chinese medicine issued by all doctors in a certain department of the hospital within a single assessment cycle, or all the prescriptions of traditional Chinese medicine issued by a doctor in a certain department of the hospital within a single assessment cycle.
  • the specific conditions indicated in the above single assessment cycle prescriptions are based on the evaluation dimensions of drug monitoring of medical units in actual application scenarios (for example, drug monitoring for medical units, drug monitoring for a department of the medical unit, or A certain doctor in a certain department conducts medication monitoring, etc.), and it is not restricted here.
  • drug monitoring for medical units for example, drug monitoring for medical units, drug monitoring for a department of the medical unit, or A certain doctor in a certain department conducts medication monitoring, etc.
  • a single assessment cycle prescription for the convenience of description, the following will take all prescriptions issued by all doctors in all departments of the hospital in a single assessment cycle as an example for explanation, hereinafter referred to as a single assessment cycle prescription.
  • any Chinese medicine prescription included in the single assessment cycle prescription of the medical unit to be monitored here can include the medicine details of the Chinese medicine decoction pieces included in the Chinese medicine prescription, including but not limited to the medicine name, medicine cost, medicine use
  • the method and days of drug use can be determined according to the actual application scenario, and there is no limit here.
  • step S12 for the specific implementation manner of determining the average daily drug cost per unit of the medical unit to be monitored based on the drug information of each piece of Chinese medicine decoction included in the traditional Chinese medicine prescription of the medical unit to be monitored, refer to step S12 in the foregoing embodiment The implementation provided will not be repeated here.
  • the unilateral average daily drug cost based on the traditional Chinese medicine prescription of the medical unit to be monitored may also be processed to obtain the unilateral average daily drug cost of the medical unit to be monitored within a specified time period, for example, one day , A week, a month, a quarter or a year, the average daily drug cost, etc.
  • a specified time period for example, one day , A week, a month, a quarter or a year, the average daily drug cost, etc.
  • the following can be used as an assessment cycle for a week, taking a week's average daily drug cost as an example for explanation, referred to as the average daily drug cost for a single prescription cycle prescription.
  • the average daily drug cost per prescription for a single assessment cycle can meet the following formula (3):
  • the total cost of the periodic medicines in the above formula (3) may be the total cost of the medicines of all the traditional Chinese medicine decoctions included in all the traditional Chinese medicine decoctions included in the prescription of all traditional Chinese medicines in a single evaluation period. It may be the accumulated value of the number of days of use of each Chinese herbal medicine in all Chinese herbal medicines included in the prescription for a single assessment period.
  • any single-day Chinese medicine prescription on any day in a single assessment cycle may be obtained, and Obtain the medicine information of each Chinese medicine decoction included in any single-day Chinese medicine prescription, where the medicine information includes but is not limited to the medicine cost and the number of days the medicine is used.
  • the unilateral daily average drug cost on any day of the medical unit to be monitored can be referred to the implementation corresponding to formula (3) in the above embodiment, and will not be repeated here.
  • the total number of days of medicine use in all Chinese medicine prescriptions per day can be determined, which can then be based on all daily
  • the total number of days for the use of medicines for prescriptions of traditional Chinese medicines determines the total number of days for the use of medicines for all pieces of Chinese herbal medicines included in the single assessment cycle prescription of the medical unit to be monitored.
  • the total number of days of use of Chinese herbal medicines on any day within a single assessment period of the medical unit to be monitored is the sum of the days of use of each Chinese herbal medicines included in all Chinese medicine prescriptions on any single day. According to the above-mentioned average daily drug cost and the total number of days of use of the traditional Chinese medicine prescriptions for each day of a single evaluation cycle of the medical unit to be monitored, the average daily drug cost of the medical unit to be monitored within a single evaluation cycle can be determined.
  • the cumulative average value of the unilateral daily drug cost of the medical unit to be monitored in the single evaluation cycle can be determined according to the unilateral average daily drug cost of the traditional Chinese medicine prescription in each day of the above single evaluation cycle, which may be referred to for convenience of description
  • the cumulative value of the average daily drug cost per party The cumulative value of the total number of days of drug use in the single evaluation period of the medical unit to be monitored can be determined according to the total number of days of the use of traditional Chinese medicine prescriptions for each day in the single evaluation cycle.
  • the average daily drug cost of the medical unit to be monitored is determined according to the cumulative value of the above-mentioned unilateral daily average drug cost, the cumulative value of the above-mentioned total days of drug use and the number of prescriptions in a single assessment cycle.
  • the unilateral average daily drug cost of the medical unit to be monitored (that is, the unilateral average daily drug cost of the medical unit to be monitored within a single evaluation period) can satisfy the following formula (4):
  • Unilateral average daily drug cost cumulative value of unilateral average daily drug cost / cumulative value of total days of drug use / number of prescriptions in a single assessment cycle.
  • the cumulative value of the average daily drug cost in the above formula (4) may be the average daily average of the unilateral daily prescriptions for each of the 7 single-day traditional Chinese medicine prescriptions within a week
  • the accumulated value of the total number of days of use of medicines in the above formula (4) may be the accumulated value of the total number of days of use of medicines of each single-day Chinese medicine prescription in 7 single-day Chinese medicine prescriptions within a week.
  • the daily average of each type of single medicine of each TCM piece in a single TCM prescription is determined.
  • the average daily cost of a single type of traditional Chinese medicine decoction in a single traditional Chinese medicine prescription can be processed, that is, to be monitored
  • the average daily cost of a single type of single-medicine medicine for a single type of Chinese herbal medicine in a medical unit For example, the average daily cost of a single type of single-medicine medicine for various Chinese medicine decoction pieces in a medical unit to be monitored in a single assessment cycle such as a day, a week, a month, a quarter, or a year.
  • the daily average cost of a single type of single medicine of various Chinese herbal medicines within a period of assessment for the medical unit to be monitored is described below as an example. .
  • the medicine cost of any one of the Chinese medicine decoction pieces included in any one of the Chinese medicine decoction pieces in all the above Chinese medicine prescriptions may be obtained. Determine the total drug cost of each kind of Chinese medicine decoction in each of the above-mentioned Chinese medicine prescriptions according to the medicine cost of the Chinese medicine decoction (ie, any one of the Chinese medicine decoctions) included in any of the above-mentioned Chinese medicine decoctions.
  • the total drug cost of this kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total cost of this kind of Chinese medicine decoction in each of the above-mentioned Chinese medicine prescriptions and the number of prescriptions of the above Chinese medicine prescription.
  • X prescriptions for all traditional Chinese medicines in a single assessment period for the medical unit to be monitored and each prescription of traditional Chinese medicines includes Y pieces of traditional Chinese medicine decoctions, then all the prescriptions of traditional Chinese medicines in the above prescriptions are X * Y.
  • any one of the above-mentioned Chinese herbal medicines in any of the above-mentioned Y-medicinal Chinese herbal medicines is Z
  • the unit price of any of the above Chinese herbal medicines is a
  • any one of the above Chinese herbal medicines in any single dose The cost of medicines in Chinese herbal medicines is a * Z
  • the total cost of any kind of traditional Chinese medicines in the above-mentioned Y-medicine herbal medicines is a * Z * Y.
  • the total number of days of using the medicine of the above-mentioned unilateral and single-type Chinese herbal medicine pieces is the total number of days of using the medicine of any one of the above-mentioned Chinese herbal medicine pieces in a single prescription of traditional Chinese medicine in the single assessment period. According to the number of days of use of each piece of Chinese herbal medicines included in all the prescriptions of traditional Chinese medicines in the above single assessment cycle, the total number of days of use of any Chinese herbal medicines in all prescriptions of Chinese medicines in all prescriptions of Chinese medicines can be determined.
  • the total number of days of use of any one of the above-mentioned traditional Chinese medicine pieces in all the above-mentioned prescriptions of traditional Chinese medicine is the cumulative value of the number of days of use of the medicine of each of the above-mentioned traditional Chinese medicine pieces. Based on the total number of days of use of any of the above-mentioned Chinese herbal medicines in all the above-mentioned prescriptions of traditional Chinese medicines and the number of prescriptions of the above-mentioned prescriptions of traditional Chinese medicines, the total number of days of use of any of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicines can be determined.
  • the total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription that is, the total number of days of single-party single-type Chinese herbal medicines meet the following formula (7):
  • the total number of days of medicine usage for single-party and single-type Chinese herbal medicines the cumulative value of the number of days of medicine usage for each dose of Chinese herbal medicines in all prescriptions of Chinese medicines in a single assessment cycle / the number of prescriptions for all Chinese medicine prescriptions in a single assessment period.
  • the dose of any one of the Chinese medicine decoctions included in each of the Chinese medicine decoctions in all the above Chinese medicine prescriptions is obtained, according to the above
  • the unit price of any Chinese herbal medicine and the above dosage determine the total drug cost of any Chinese herbal medicine in the above prescription of Chinese medicine;
  • the total dosage of the single-type Chinese herbal medicine pieces of the above-mentioned traditional Chinese medicine prescription is the total dosage of all the traditional Chinese medicine prescriptions of any one of the above-mentioned traditional Chinese medicine pieces in the above-mentioned single examination period.
  • the number of prescriptions of the above-mentioned traditional Chinese medicine prescriptions is the number of all traditional Chinese medicine prescriptions in the above single assessment cycle.
  • the above-mentioned daily average cost of the unilateral single type of medicine of the medical unit to be monitored and the corresponding daily average cost threshold of the corresponding unilateral single type of medicine of various Chinese herbal medicines are determined.
  • the daily average cost threshold of the unilateral single type of medicine corresponding to each Chinese herbal medicine piece based on the drug attribute information of each Chinese herbal medicine piece
  • the unit attribute information of the medical unit determines the threshold of the evaluation index of each medical unit's medication monitoring standard and / or medication evaluation standard, for example, the upper limit of the daily average cost of the unilateral single type of medicine for each type of Chinese herbal medicine corresponding to each medical unit, or Thresholds for the average daily cost of single-party single-type drugs corresponding to various types of Chinese herbal medicines.
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit, which can be determined according to the actual application scenario.
  • the evaluation thresholds for drug monitoring may vary.
  • the corresponding daily average cost of a single type of single medicine for various Chinese herbal medicines can be set based on the daily average cost threshold of single-party single-type drugs determined based on the drug attribute information of Chinese herbal medicines, and the daily average cost threshold of the above-mentioned single-party single-type drugs can be set higher, that is, the corresponding drug monitoring standard
  • the assessment index threshold can be set to a higher assessment index, etc.
  • the daily average cost of the corresponding single-party single-type drugs of various Chinese herbal medicines can be met
  • the upper limit can be set lower, that is, the threshold of the evaluation index of the corresponding drug monitoring standard can be set to a lower evaluation index.
  • the specifics can be determined according to actual application scenarios, and no limitation is made here.
  • the threshold value of the assessment index determined by the information can determine whether the medical cost of the Chinese medicine pieces of the medical unit exceeds the standard.
  • the implementation method please refer to the step S14 provided in the above embodiment The implementation method will not be repeated here.
  • S27 Determine whether the above-mentioned unilateral average daily drug cost and the above-mentioned daily average cost of unilateral single type drugs of various Chinese herbal medicine pieces are greater than or equal to the threshold of the drug index parameter of the medical unit to be monitored.
  • the above implementation method for determining whether the medicine cost of the Chinese medicine decoction piece of the medical unit to be monitored exceeds the standard based on the above-mentioned unilateral average daily drug cost and the daily average cost of various types of Chinese medicine decoction pieces Refer to the implementation manner provided in step S14 above, and details are not described herein again.
  • the upper limit of the daily drug cost of each medical unit can also be determined based on the unit attribute information of each medical unit, such as the daily average of each party Threshold for drug costs.
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit, which can be determined according to the actual application scenario. There are no restrictions here. For example, based on different medical units associated with parameters such as different regions, different cities, different drug supply channels, or different patient flows, the evaluation thresholds for drug monitoring may vary.
  • the upper limit of the daily drug cost per party can be set higher
  • the unilateral daily average drug cost threshold is set to a higher threshold.
  • the upper limit of the daily drug cost per party can be set lower, for example
  • the unilateral daily average drug cost threshold is set to a lower threshold.
  • two or more drug index parameters among the multiple drug index parameters such as the above-mentioned unilateral daily average drug cost and unilateral single-type daily drug cost exceed the standard, it may be based on Big data analysis finds the reason for exceeding the standard of each drug index parameter. For example, use big data analysis to determine the drug details corresponding to the drug index parameters of the drug index parameters of each medical unit, and then determine the drug standard overruns based on the drug details of the drug index parameters of the drug standard of each medical unit. The reason is to control and control the drug cost according to the reason for exceeding the standard of each drug index parameter.
  • the maximum drug index parameter value can be determined from the above multiple drug index parameters of. For example, if the average daily drug cost of the medical unit to be monitored is X1 yuan, and the average daily cost of the unilateral single type of various Chinese herbal medicines is X2 yuan, where X1 is greater than X2, then the above-mentioned daily average drug price Among the cost and the daily average cost of single-party and single-type drugs, the largest drug index parameter is the average daily drug cost.
  • the largest one is the unilateral daily drug cost, which can be determined based on big data analysis Reasons for the unilateral daily drug cost exceeding the standard. For example, if the medicine cost of a certain Chinese medicine decoction (for ease of description can be exceeded as an example), the drug fee of the exceeding Chinese medicine decoction can be used as the control fee for the Chinese medicine decoction drug cost of the medical unit to be monitored standard.
  • the terminal device can use the above X1 yuan as the benchmark for the medicine cost of the traditional Chinese medicine decoction piece to be monitored, and then can exclude the medicine cost associated with the above-mentioned Chinese medicine decoction piece from the drug cost corresponding to the X2 yuan, and obtain
  • the average daily cost of the unilateral and single-type medicines of various Chinese herbal medicines in addition to the medical expenses of the Chinese herbal medicines exceeding the standard is X2 '.
  • the average daily drug cost of the largest single drug index parameter is eliminated, and then the daily average cost of each single drug of various types of Chinese herbal medicines can be further determined after excluding the drug cost corresponding to the over-standard Chinese herbal medicines.
  • the average value of the drug index parameters such as exceeds the standard. If multiple medication index parameters such as the average daily cost of single-party single-type medicines except for the above-mentioned Chinese medicine decoction costs are still exceeded, it can be determined that the medicine cost of the Chinese medicine decoction pieces to be monitored exceeds the standard.
  • the above-mentioned early warning sign of the outgoing drug cost is sent to the homepage of the doctor's prescription tool of the medical unit to be monitored to issue a warning to the doctor of the medical unit to be monitored that the Chinese medicine decoction has exceeded the cost, and
  • the unilateral daily average drug cost difference and / or the unilateral single type daily drug cost difference of the monitored medical unit exceeding the standard are publicized to realize the early warning of the medical cost of the medical unit to be monitored can be found in step S14 in the above embodiment The implementation provided will not be repeated here.
  • the medical unit to be monitored can be rejected by rejecting the medical expense reimbursement request or the drug cost claim request from the medical unit to be monitored.
  • the average daily drug cost of the prescription of the traditional Chinese medicine exceeds the standard and / or the daily average cost of the single drug of the various types of Chinese herbal medicines exceeds the standard.
  • One or more of the drug index parameters exceed the standard to punish the medical unit.
  • the medical unit may When reimbursing and / or requesting the drug cost of the day, the medical unit shall be reported to the medical unit that the reimbursement of the drug cost of all the traditional Chinese medicine prescriptions of the day has failed.
  • the terminal device receives medical treatment
  • the unit submits a request for reimbursement and / or claims for Chinese medicine prescription drugs on that day, it can feed back the medical unit ’s prescription drug costs for that day to refuse reimbursement or claims, and then can prompt the medical unit for the unilateral day of the daily Chinese medicine prescription Self-control of the average drug cost and / or the daily average cost of each single type of medicine for various Chinese herbal medicines to prevent the daily average daily drug cost exceeding the standard for one or more days and / or the daily average cost of the unilateral single medicine for traditional Chinese medicine slices exceeding To achieve early warning of the medical unit's excessive drug costs.
  • the terminal device can calculate the difference between the average daily drug cost of the traditional Chinese medicine prescription of the medical unit to be monitored and / or various The difference between the daily average cost of a single type of medicine for Chinese herbal medicines (ie, over-standard Chinese herbal medicines) and the threshold for the daily average cost of a single type of medicine corresponding to various Chinese herbal medicines.
  • the terminal device When the terminal device receives the medical expense reimbursement and / or claim request of the medical unit to be monitored, it can target the above-mentioned unilateral daily average drug cost difference and / or various unilateral single-type pharmaceutical daily cost difference of various over-standard Chinese medicine decoction pieces , Refuse to reimburse or settle the medical expenses of the difference between the average daily drug cost of the single-day prescription of the medical unit to be monitored and / or the daily average cost difference of the unilateral single-type drugs that exceed the standard Chinese herbal medicine pieces, so as to follow up the medical unit Early warning of drug cost exceeding standard in the assessment cycle.
  • the terminal device determines that the cost of traditional Chinese medicine prescription medicines within a certain evaluation cycle (that is, the current evaluation cycle, such as one day or one week, etc.) of the medical unit to be monitored exceeds the standard, for example,
  • the average daily drug cost of prescriptions (e.g., single-day prescriptions) within a certain assessment period of the monitoring medical unit is greater than or equal to the single-party daily drug cost threshold, and / or the daily average cost of single-party single-type drugs of one or more Chinese herbal medicines is greater than
  • the terminal device can be after the evaluation cycle (the daily average cost of a single-party daily drug in a single-day prescription and / or the daily average cost of a single-party single drug of a Chinese herbal decoction exceeds a certain day, such as Monday)
  • the report is used to remind the medical unit to be monitored that the cost of Chinese herbal medicines in the prescription period exceeds the standard, and can remind the medical unit to be monitored if it is within the next evaluation cycle or multiple consecutive evaluation cycles within the specified time.
  • the above-mentioned punishment includes all refusal or settlement of the drug cost of the over-standard Chinese medicine decoction in the Chinese medicine prescription of the medical unit to be monitored, or refusal of reimbursement or settlement of the drug cost of the over-standard Chinese medicine decoction in the Chinese medicine prescription of the medical unit to be monitored, etc. .
  • the above report is used to prompt the medical unit to be monitored to self-control the unilateral daily average drug cost and / or the unilateral single type drug daily cost of Chinese herbal medicines in the prescription of Chinese medicine, so as to realize early warning of excessive medical expenses of the medical unit to be monitored.
  • the medication monitoring of each medical unit can be realized based on multiple medication index parameters, the operation is simple, the accuracy of the medication monitoring of the medical unit can be improved, and the timeliness of early warning of the medical unit's drug cost exceeding the standard can be improved , Which can further improve the reliability of early warning of drug cost overdose for each medical unit's prescription based on the drug use of each medical unit, and improve the controllability of the prescription of the medical unit, thereby improving the effective utilization of medical resources and applicability Stronger.
  • FIG. 3 is a schematic structural diagram of an embodiment of an early warning device for over-standard Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application.
  • the data processing based warning device for exceeding the standard of Chinese medicine prescription drugs based on data processing includes:
  • the data obtaining unit 31 is used to obtain a Chinese medicine prescription of the medical unit to be monitored.
  • the above-mentioned Chinese medicine prescription includes at least one Chinese medicine decoction, and one Chinese medicine decoction includes at least one Chinese medicine decoction.
  • the medicine information processing unit 32 is configured to obtain the medicine information of each medicine in the at least one Chinese medicine slice in the above-mentioned Chinese medicine prescription obtained by the data acquisition unit 31, and determine the medical to be monitored according to the medicine information in each medicine in the medicine The unit's daily average drug cost per unit.
  • the above-mentioned medicine information processing unit 32 is further used to obtain the information of various Chinese medicine pieces included in the medicine information of each of the above-mentioned Chinese medicine pieces, and determine the information of the above-mentioned various Chinese medicine pieces according to the information of the Chinese medicine pieces The average daily cost of single-party single-type drugs.
  • the drug cost monitoring unit 33 is used to determine whether the above-mentioned unilateral average daily drug cost determined by the above-mentioned pharmaceutical information processing unit 32 and the above-mentioned unilateral single type daily drug cost of various Chinese herbal medicine pieces are greater than or equal to the medication index parameter of the medical unit to be monitored Threshold.
  • the drug cost over-alarm warning unit 34 is used to notify the above-mentioned waiting when the above-mentioned drug cost monitoring unit 33 determines that the above-mentioned unilateral average daily drug cost and the above-mentioned various Chinese herbal medicines each unilateral single type drug daily average cost is greater than or equal to the above-mentioned drug index parameter threshold
  • the monitoring medical unit sends early warning information that the cost of traditional Chinese medicine decoction exceeds the standard.
  • the above-mentioned early warning information of excessive medicine cost of Chinese herbal medicine pieces includes a warning sign of excessive medicine cost
  • the above medicine prescription includes all the Chinese medicine prescriptions of the above-mentioned medical unit to be monitored within the current evaluation period;
  • the early warning information of over-standard Chinese medicine decoctions is sent to the medical unit to be monitored, and based on the above-mentioned early warning information of the drug cost of the Chinese medicine debris, the pre-medication of traditional Chinese medicine decoctions is sent to the medical unit to be monitored to prevent Early warning that the cost of TCM decoction pieces in prescriptions for TCM medicines in one or more assessment cycles after the current assessment cycle continues to exceed the standard;
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the drug information of the above-mentioned Chinese medicine decoction pieces includes at least the drug cost and the number of days the drug is used;
  • the above drug information processing unit 32 is used to:
  • the total number of days of use of the above-mentioned traditional Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese medicine decoction pieces, and the unilateral average daily drug cost of the medical unit to be monitored is determined based on the above-mentioned total cost of the medicine and the total number of days of the drug usage.
  • Unilateral average daily drug cost total drug cost / total days of drug use.
  • the above-mentioned drug information processing unit 32 is used to:
  • the cumulative value of the drug cost of each piece of Chinese medicine decoction in the above Chinese medicine prescription is determined as the total drug cost of the above Chinese medicine prescription.
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes all traditional Chinese medicine prescriptions of the medical unit to be monitored in a single day;
  • the above medicine information processing unit 32 is also used for:
  • the above-mentioned medicine information includes at least the medicine cost and days of medicine use of Chinese medicine decoctions;
  • the unilateral daily drug cost of the above-mentioned medical unit to be monitored meets:
  • Unilateral average daily drug cost total drug / total days of drug use / number of prescriptions.
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes all the traditional Chinese medicine prescriptions of the medical unit to be monitored in a single assessment period of multiple days;
  • the above medicine information processing unit 32 is also used for:
  • the above medicine information includes at least the medicine cost and the number of days of use of the Chinese medicine decoction;
  • the total number of days of drug use on any one day is the sum of the number of days of drug use on the traditional Chinese medicine decoction in any one-day traditional Chinese medicine prescription.
  • the above-mentioned drug information processing unit 32 is used to:
  • the unilateral daily drug cost of the above-mentioned medical unit to be monitored meets:
  • Unilateral daily average drug cost cumulative value of a single daily unilateral daily drug cost / cumulative value of total days of drug use / the number of prescriptions in a single assessment cycle.
  • the above-mentioned TCM decoction information includes at least the drug cost and the number of days of use of the TCM decoction; the above-mentioned drug information processing unit 32 is used to:
  • the total cost of the above-mentioned medicines of any one of the traditional Chinese medicine pieces and the total number of days of use of the above-mentioned medicines determine the daily average cost of the unilateral single-type medicine of any one of the traditional Chinese medicine pieces, so as to obtain the daily average cost of the unilateral single-type medicine of the various traditional Chinese medicine pieces.
  • the average daily cost of the above single-party single-type drugs meets:
  • Daily average cost of single-party single-type medicine total drug cost of single-party single-type Chinese herbal medicine pieces / total days of use of single-side single-type Chinese herbal medicine pieces.
  • the above-mentioned drug information processing unit 32 is used to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in each Chinese medicine prescription of the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the above-mentioned drug information processing unit 32 is used to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescriptions.
  • the total cost of medicines for single-party single-type traditional Chinese medicine pieces the dose of single-side single-type traditional Chinese medicine pieces * the unit price of single-type single-Chinese traditional medicine pieces.
  • the above-mentioned drug information processing unit 32 is used to:
  • the total number of days of use of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription in the above-mentioned Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese herbal medicines, wherein the total number of days of medicine usage in any of the above-mentioned Chinese medicine prescriptions is The cumulative value of the number of days of use of the above-mentioned Chinese herbal medicines;
  • the total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicine is determined according to the total number of days of use of any one of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the data acquisition unit 31 is used to:
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes the single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, the duration of the single assessment cycle is one day or greater than one day.
  • the thresholds of the above-mentioned medication index parameters include: a single-party daily average drug cost threshold and a single-party single-type drug daily cost threshold of Chinese herbal medicines;
  • the above drug cost monitoring unit 33 is also used for:
  • the unit attribute information of the medical unit to be monitored determine the daily average drug cost threshold of the medical unit to be monitored
  • the daily average cost threshold of the single-party single-type medicine corresponding to any one of the above-mentioned Chinese medicine decoction pieces, of which, one single-party
  • the daily average cost threshold of a single type of medicine corresponds to at least one Chinese herbal medicine slice, so as to obtain the daily average cost threshold of a single type of single medicine corresponding to the various Chinese herbal medicine slices;
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit.
  • the above drug attribute information includes the name of the drug, One or more of drug type, drug use, unit drug supply channel and drug source.
  • the above-mentioned data processing-based early warning device for over-standard Chinese medicine prescription drug costs may implement the implementation manners provided by the above steps in FIGS. 1 to 2 through its built-in functional modules.
  • the above-mentioned data processing-based early warning device for excessive prescription drug cost of traditional Chinese medicine may be the terminal device described in each of the foregoing embodiments, which is not limited herein.
  • the early warning device for excessive prescription drug cost of traditional Chinese medicine can realize drug monitoring of each medical unit based on multiple drug index parameters.
  • the operation is simple, which can improve the accuracy of drug monitoring of medical units and improve the
  • the timeliness of early warning of excessive drug costs can further improve the reliability of early warning of excessive drug costs based on the medical conditions of each medical unit, and improve the controllability of the prescription of the medical unit, which can improve medical resources.
  • the effective utilization rate is more applicable.
  • FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
  • the terminal device in this embodiment may include: one or more processors 401, a memory 402, and one or more transceivers 403.
  • the processor 401, the memory 402, and the transceiver 403 are connected through a bus 404.
  • the memory 402 is used to store a computer program, and the computer program includes program instructions.
  • the processor 401 and the transceiver 403 are used to execute the program instructions stored in the memory 402.
  • the processor 401 is configured to call the program instruction to perform the following operations:
  • the above prescription of traditional Chinese medicine includes at least one dose of Chinese herbal medicine, and one dose of traditional Chinese medicine includes at least one herbal medicine.
  • TCM information of various TCM decoction pieces included in the drug information of each of the above-mentioned TCM decoction pieces and determine the daily average cost of the unilateral and single-type drugs of the TCM decoction pieces based on the TCM decoction information of the TCM decoction pieces;
  • the transceiver 403 is configured to send to the medical unit to be monitored when the processor 401 determines that the average daily drug cost of the unilateral medicine and the average daily cost of the unilateral single type medicine of the various Chinese herbal medicine pieces are greater than or equal to the threshold value of the medication index parameter Early warning information that the cost of Chinese herbal medicines exceeds the standard.
  • the above-mentioned early warning information of excessive medicine cost of Chinese herbal medicine pieces includes a warning sign of excessive medicine cost
  • the above transceiver 403 is used to:
  • the above medicine prescription includes all the Chinese medicine prescriptions of the above-mentioned medical unit to be monitored within the current evaluation period;
  • the above transceiver 403 is used to:
  • the early warning information of over-standard Chinese medicine decoctions is sent to the medical unit to be monitored, and based on the above-mentioned early warning information of the drug cost of the Chinese medicine debris, the pre-medication of traditional Chinese medicine decoctions is sent to the medical unit to be monitored to prevent Early warning that the cost of TCM decoction pieces in prescriptions for TCM medicines in one or more assessment cycles after the current assessment cycle continues to exceed the standard;
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the medicine information of each of the above-mentioned Chinese medicine decoction pieces includes at least the medicine cost and the number of days the medicine is used; the processor 401 is used to:
  • the foregoing processor 401 is configured to:
  • the total number of days of use of the above-mentioned traditional Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese medicine decoction pieces, and the unilateral average daily drug cost of the medical unit to be monitored is determined based on the above-mentioned total cost of the medicine and the total number of days of the drug usage.
  • Unilateral average daily drug cost total drug cost / total days of drug use.
  • the foregoing processor 401 is configured to:
  • the cumulative value of the drug cost of each piece of Chinese medicine decoction in the above Chinese medicine prescription is determined as the total drug cost of the above Chinese medicine prescription.
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes all traditional Chinese medicine prescriptions of the medical unit to be monitored in a single day;
  • the above processor 401 is also used for:
  • the above-mentioned medicine information includes at least the medicine cost and days of medicine use of Chinese medicine decoctions;
  • the unilateral daily drug cost of the above-mentioned medical unit to be monitored meets:
  • Unilateral average daily drug cost total drug / total days of drug use / number of prescriptions.
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes all the traditional Chinese medicine prescriptions of the medical unit to be monitored in a single assessment period of multiple days;
  • the above processor 401 is also used for:
  • the above medicine information includes at least the medicine cost and the number of days of use of the Chinese medicine decoction;
  • the total number of days of drug use on any one day is the sum of the number of days of drug use on the traditional Chinese medicine decoction in any one-day traditional Chinese medicine prescription.
  • the foregoing processor 401 is configured to:
  • the unilateral daily drug cost of the above-mentioned medical unit to be monitored meets:
  • Unilateral daily average drug cost cumulative value of a single daily unilateral daily drug cost / cumulative value of total days of drug use / the number of prescriptions in a single assessment cycle.
  • the above-mentioned TCM decoction information includes at least the drug cost and days of use of the TCM decoction
  • the above processor 401 is used to:
  • the total cost of the above-mentioned medicines of any one of the traditional Chinese medicine pieces and the total number of days of use of the above-mentioned medicines determine the daily average cost of the unilateral single-type medicine of any one of the traditional Chinese medicine pieces, so as to obtain the daily average cost of the unilateral single-type medicine of the various traditional Chinese medicine pieces.
  • the average daily cost of the above single-party single-type drugs meets:
  • Daily average cost of single-party single-type medicine total drug cost of single-party single-type Chinese herbal medicine pieces / total days of use of single-side single-type Chinese herbal medicine pieces.
  • the foregoing processor 401 is configured to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in each Chinese medicine prescription of the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the foregoing processor 401 is configured to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescriptions.
  • the total cost of medicines for single-party single-type traditional Chinese medicine pieces the dose of single-side single-type traditional Chinese medicine pieces * the unit price of single-type single-Chinese traditional medicine pieces.
  • the foregoing processor 401 is configured to:
  • the total number of days of use of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription in the above-mentioned Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese herbal medicines, wherein the total number of days of medicine usage in any of the above-mentioned Chinese medicine prescriptions is The cumulative value of the number of days of use of the above-mentioned Chinese herbal medicines;
  • the total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicine is determined according to the total number of days of use of any one of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the foregoing processor 401 is used to:
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes the single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, the duration of the single assessment cycle is one day or greater than one day.
  • the thresholds of the above-mentioned medication index parameters include: a single-party daily average drug cost threshold and a single-party single-type drug daily cost threshold of Chinese herbal medicines;
  • the above processor 401 is also used for:
  • the unit attribute information of the medical unit to be monitored determine the daily average drug cost threshold of the medical unit to be monitored
  • the daily average cost threshold of the single-party single-type medicine corresponding to any one of the above-mentioned Chinese medicine decoction pieces, of which, one single-party
  • the daily average cost threshold of a single type of medicine corresponds to at least one Chinese herbal medicine slice, so as to obtain the daily average cost threshold of a single type of single medicine corresponding to the various Chinese herbal medicine slices;
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit.
  • the above drug attribute information includes the name of the drug, One or more of drug type, drug use, unit drug supply channel and drug source.
  • the processor 401 may be a central processing unit (CPU), and the processor may also be other general-purpose processors, digital signal processors (DSPs), and dedicated integrations. Circuit (application specific integrated circuit, ASIC), ready-made programmable gate array (field-programmable gate array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc.
  • the general-purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
  • the memory 402 may include a read-only memory and a random access memory, and provide instructions and data to the processor 401 and the transceiver 403. A portion of the memory 402 may also include non-volatile random access memory. For example, the memory 402 may also store device type information.
  • the above-mentioned terminal device may execute the implementation manners provided by the steps in FIG. 1 to FIG. 2 through the function modules of the built-in processor 401 and the transceiver 403. For details, see the above steps The implementation provided will not be repeated here.
  • the terminal device can realize the medication monitoring of each medical unit based on multiple medication index parameters, and the operation is simple, which can improve the accuracy of the medication monitoring of the medical unit and increase the warning of the medical unit's drug cost exceeding the standard.
  • Timeliness which can further improve the reliability of early warning of drug cost overruns for each medical unit's prescription based on the drug use of each medical unit, and improve the controllability of the prescription of the medical unit's medication, thereby improving the effective utilization of medical resources, More applicable.
  • Embodiments of the present application also provide a computer-readable storage medium that stores a computer program, and the computer program includes program instructions, which are executed by a processor to implement the steps in FIGS. 1 to 2.
  • the early warning method for over-standard Chinese medicine prescription drug cost based on data processing please refer to the implementation provided by the above steps for details, which will not be repeated here.
  • the above-mentioned computer-readable storage medium may be the data processing-based early warning device for excessive prescription of Chinese medicine prescription drugs based on data processing or the internal storage unit of the above terminal device, such as a hard disk or a memory of an electronic device.
  • the computer-readable storage medium may also be an external storage device of the electronic device, such as a plug-in hard disk equipped on the electronic device, a smart memory card (smart media card, SMC), a secure digital (SD) card, Flash card (flash card), etc.

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Abstract

一种基于数据处理的中药处方药品费用超标预警方法及装置,该方法包括:获取待监控医疗单位的中药处方(S11);获取中药处方中各剂中药饮片的药品信息,并根据各剂中药饮片的药品信息确定待监控医疗单位的单方日均药品费用(S12);获取各剂中药饮片中各种中药饮片的中药饮片信息,并根据各种中药饮片的中药饮片信息确定各种中药饮片的单方单种类药品日均费用(S13);确定单方日均药品费用和各种中药饮片的单方单种类药品日均费用是否大于或者等于待监控医疗单位的用药指标参数阈值(S14);若是则发送中药饮片药品费用超标的预警信息(S15)。采用上述方案,可提高对医疗单位的中药饮片的用药监控准确性,提高对医疗单位的药品费用可控性,适用性强。

Description

基于数据处理的中药处方药品费用超标预警方法及装置
本申请要求于2018年10月22日提交中国专利局、申请号为201811232804.9、申请名称为“基于数据处理的中药处方药品费用超标预警方法及装置”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。
技术领域
本申请涉及医疗技术领域,尤其涉及一种基于数据处理的中药处方药品费用超标预警方法及装置。
背景技术
当前为了规范各个医疗单位的用药标准,规避大处方行为,从而避免药品的滥用和浪费,起到合理施治的目的,各式各样的用药监控机制应运而生。各式各样的用药监控机制用于对各个医疗单位进行用药监控,包括但不限于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表)进行用药监控。
现有技术中,对于各个医疗单位的用药标准的评价主要是采用次均中药处方标准,也就是将每个中药处方的中药饮片日均费用(简称次均中药处方费用)作为各个医疗单位的用药评价标准。其中,上述次均中药处方费用的用药评价标准是采用处方总额除以处方数量的计算方式来计算得到。现有技术采用次均中药处方费用作为各个医疗单位的中药处方的用药评价标准导致各个医疗单位为了规避大处方行为被考核,通常会采用缩减处方天数来减低次均中药处方费用,或者通过分解处方的方式将单个处方总额较大的大处方分解为多个单个处方总额较小的小处方等方式来降低次均中药处方费用,从而规避大处方的监控。现有技术的用药评价方式使得各个医疗单位的用药监控的漏洞较大,对各个医疗单位的用药评价的准确率低,适用性弱。
发明内容
本申请实施例提供一种基于数据处理的中药处方药品费用超标预警方法及装置,操作简单,可提高对医疗单位的中药处方的用药监控精度,提高对医疗单位的用药监控的可靠性,增强医疗单位的中药处方药品费用的可控性,适用性更强。
第一方面,本申请实施例提供了一种基于数据处理的中药处方药品费用超标预警方法,该方法包括:
获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;
获取上述至少一剂中药饮片中各剂中药饮片的药品信息,并根据上述各剂中药饮片的药品信息确定上述待监控医疗单位的单方日均药品费用;
获取上述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据上述各种中药饮片的中药饮片信息确定上述各种中药饮片的单方单种类药品日均费用;
确定上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述待监控医疗单位的用药指标参数阈值;
若上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用大于或者等于上述用药指标参数阈值,则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。
第二方面,本申请实施例提供了一种基于数据处理的中药处方药品费用超标预警装置,该装置包括:
数据获取单元,用于获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;
药品信息处理单元,用于获取上述数据获取单元获取的上述中药处方中上述至少一剂中药饮片中各剂中药饮片的药品信息,并根据上述各剂中药饮片的药品信息确定上述待监控医疗单位的单方日均药品费用;
上述药品信息处理单元,还用于获取上述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据上述各种中药饮片的中药饮片信息确定上述各种中药饮片的单方单种类药品日均费用;
药品费用监控单元,用于确定上述药品信息处理单元确定的上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述待监控医疗单位的用药指标参数阈值;
药品费用超标预警单元,用于在上述药品费用监控单元确定上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用大于或者等于上述用药指标参数阈值时,向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。
第三方面,本申请实施例提供了一种终端设备,该终端设备包括收发器、处理器和存储器,该收发器、处理器和存储器相互连接。该存储器用于存储支持该终端设备执行上述第一方面和/或第一方面任一种可能的实现方式提供的方法的计算机程序,该计算机程序包括程序指令,该收发器和处理器被配置用 于调用上述程序指令,执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。
第四方面,本申请实施例提供了一种计算机可读存储介质,该计算机可读存储介质存储有计算机程序,该计算机程序包括程序指令,该程序指令当被处理器执行时使该处理器执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。
基于本申请实施例提供的方法实现对各医疗单位的用药监控操作简单,可提高对医疗单位的用药监控的时效性,提高对医疗单位的用药监控的可靠性以及药品费用的可控性,提高医疗资源的有效利用率,适用性更强。
附图说明
图1是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的一流程示意图;
图2是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的另一流程示意图;
图3是本申请实施例提供的基于数据处理的中药处方药品费用超标预警装置的实施例结构示意图;
图4是本申请实施例提供的终端设备的实施例结构示意图。
具体实施方式
本申请实施例提供了一种基于数据处理的中药处方药品费用超标预警方法及装置,可基于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表(或称团队))的单方单种类药品日均费用(即单个中药处方中单个种类的中药饮片的单方单种类药品日均费用)来评价各个医疗单位(包括医院、科室、诊所或者医师)的中药处方的用药是否达标(或称合理)。基于医疗单位的用药情况向待监控医疗单位发送中药处方中中药饮片药品费用超标的预警信息,以向待监控医疗单位发出控制中药处方的开方用药,防止待监控医疗单位的中药处方中中药饮片的药品费用持续超标的预警,避免待监控医疗单位的中药饮片等医疗资源的浪费。可选的,可基于医疗单位的用药情况在医疗单位的药品费用超标时拒绝该医疗单位提交的药品费用报销请求和/或理赔请求,以实现对该医疗单位的药品费用超标的预警,提醒医疗单位对中药处方药品费用进行控制,避免医疗资源的浪费。为方便描述,上述各个医院、各个医院的科室、各个诊所乃至各个医师等等医疗单位或者医疗单位的代表所表示的考核维度将以医疗单位的这个考核维度为例进行说明,下面不再赘述。
本申请实施例所提供的中药处方可包括各个医疗单位的各个医师针对各个病患的病症所开具的中药处方,或称各个医师针对各个病患的病症所开具的药方,或称处方笺等,在此不做限制。为方便描述,下面将以处方为例进行说明。通常来讲,各个医疗单位的各个医师所开具的处方中可包括但不限于处方开具时间、处方编号、科室编号、病患个人信息、中药饮片的药品详情以及医师签字,具体可根据实际应用场景确定,在此不做限制。换句话说,无论是单个处方总额较大的大处方,还是单个处方总额较小的小处方,或者其他更多表现形式的处方,每个处方中均会有各个种类的中药饮片的药品详情,包括但不限于中药饮片的名称、中药饮片的费用、中药饮片的使用方式以及中药饮片的药品使用天数等中药饮片信息。因此无论是大处方还是小处方还是其他,均离不开中药饮片的药品详情。因此,基于各个医疗单位的单方日均药品费用和医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用实现对各个医疗单位的中药处方的用药是否达标进行评价从而实现对各个医疗单位的用药监控,操作简单并且可更好地、更加全面地覆盖到对医疗单位的各个中药处方的用药监控。同时基于医疗单位的单方单种类药品日均费用实现对各个医疗单位的用药监控更加准确到位,从而可提高对各个医疗单位的用药监控的准确率。基于各个医疗单位的中药处方的单方日均药品费用与单方日均药品费用阈值的比较,和各种中药饮片的单方单种类药品日均费用与各种中药饮片对应的单方单种类药品日均费用阈值的比较,实现对医疗单位的中药处方的药品费用超标预警,可提高对各个医疗单位的用药监控的时效性,进而可提高基于各个医疗单位的用药情况对各个医疗单位进行药品费用超标预警的可靠性,从而可提高医疗资源的有效利用率,适用性更高。
这里,中药饮片是中药材经过按中医药理论、中药炮制方法,经过加工炮制后的可直接用于中医临床的中药。由此表明,中药材、中药饮片并没有绝对的界限,中药饮片包括了部分经产地加工的中药切片,原形药材饮片以及经过切制、炮炙的饮片。为方便描述,下面将以中药饮片为例进行说明。
常见的中药饮片的品种包括但不限于:1、干姜;2、炮姜;3、姜炭;4、大黄;5、酒大黄;6、熟大黄;7、大黄炭;8、栀子;9、焦栀子;10、炒栀子;11、黄芪;12、炙黄芪;13、黄连;14、酒黄连;15、姜黄连;16、萸黄连;17、麻黄;18、炙麻黄;19、丹参;20、酒丹参;21、何首乌;22、制何首乌;23、甘草;24、炙甘草;25、石膏;26、煅石膏;27、白术;28、炒白术;29、焦白术;30、赤芍;31、白芍;32、炒白芍;33、酒白芍;34、生地黄;35、熟地黄;36、当归;37、酒当归;38、槟榔;39、焦槟榔;40、延胡索;41、醋延胡索;42、槐花;43、槐花炭;44、黄芩;45、酒黄芩;46、三七粉;47、红参;48、冰片;49、红粉;50、轻粉;51、玄明粉;52、芒硝;53、青黛;54、滑石粉;55、赭石;56、煅赭石;57、芦荟;58、儿茶;59、制川乌;60、制草乌;61、黑顺片;62、白附片; 63、淡附片;64、炮附片;65、巴豆霜;66、千金子霜;67、马钱子粉;68、米斑蝥;69、朱砂;70、雄黄;71、炒谷芽;72、煅牡蛎;73、炒稻芽;74、醋香附;75、醋柴胡;76、酒肉苁蓉;77、煅龙齿;78、煅石决明;79、醋龟甲;80、焦六神曲。上述中药饮片仅是示例,并非穷举,具体可根据实际应用场景需求确定,在此不做限制。
本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法可由药品监督管理局、卫生委员会、卫生与健康委员会以及医疗理赔单位等用药监控单位所关联的终端设备执行。例如,当上述用药监控单位为待监控医疗单位自身时,上述终端设备可以是待监控医疗单位用于对各个医师的开方用药情况进行药品费用监控和药品费用超标预警的工具,例如医师开方工具等等,在此不做限制。当上述用药监控单位为待监控医疗单位之外的其他单位时,上述终端设备可以是用于对各个医疗单位进行用药监控的客户端和/或人机交互设备等,在此不做限制。为方便描述,下面将以终端设备为例进行说明。
实施例一:
参见图1,图1是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的一流程示意图。本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法,可通过如下步骤S11至S15中各个步骤所提供的实现方式进行说明。
S11,获取待监控医疗单位的中药处方。
在一些可行的实施方式中,上述待监控医疗单位可为用药监控单位所监控的任一医疗单位,具体可根据实际应用场景确定,在此不做限制。为方便描述,下面将以待监控医疗单位为例进行说明。
在一些可行的实施方式中,上述医疗单位的中药处方可包括待监控医疗单位的任意一个中药处方,也可以是待监控医疗单位在任一日的单日时间内所产生的所有中药处方(即多个中药处方)。其中,上述所有中药处方包括但不限于单日时间内医院的所有科室所有医师所开具的所有中药处方、单日时间内医院的某一个科室的所有医师所开具的所有中药处方,或者单日时间内医院的某一个科室的某一个医师所开具的所有中药处方中的任一种情况。其中,上述中药处方所表示的具体情况根据实际应用场景中对医疗单位进行用药评价的考核维度确定,在此不做限制。本申请实施例提供的方法可基于上述各种表现形式的中药处方计算任一中药处方(为方便描述可简称单方)中所包括中药饮片的日均药品费用(简称单方日均药品费用),以及任一中药处方(为方便描述可简称单方)中所包括的任一种中药饮片的单方单种类药品日均费用,进而可基于任一中药处方的单方日均药品费用和任一中药处方的任一种中药饮片的单方单种类药品日均费用对医疗单位的用药进行评价,评价粒度更细,用药监控更加严格有效。为方便描述,下面将以单个中药处方所包括的中药饮片的日均药品费用为例(以下简称单方日均药品费用),结合单个中药处方所包括的任一种(即单种类)中药饮片的药品日均费用(简称单方单种类药品日均费用)为例进行说明,下面不再赘述。
在一些可行的实施方式中,上述待监控医疗单位的中药处方可以是用于对待监控医疗单位进行实时药品费用超标预警的处方,这部分处方可以是待监控医疗单位单日内各个医师所开具的处方中的全部或者部分。这里,对待监控医疗单位的实时药品费用超标预警可以是在待监控医疗单位的中药处方的单方日均药品费用来到单方日均药品费用超标的临界点(即单方日均药品费用等于单方日均药品费用阈值)时生成,用于实时告知待监控医疗单位的医师接下来开具的处方可能是导致待监控医疗单位的中药处方的单方日均药品费用超标的处方,以供医师确定是否继续开具处方。和/或,在待监控医疗单位的中药处方所包括的多种中药饮片中,一种或者多种中药饮片的单方单种类药品日均费用来到各种中药饮片对应的单方单种类药品日均费用超标的临界点(即单方单种类药品日均费用等于单方单种类药品日均费用阈值)时生成,用于实时告知待监控医疗单位的医师接下来开具的处方可能是导致待监控医疗单位的一种或者多种中药饮片的单方单种类药品日均费用超标的处方,以供医师确定是否继续开具处方。可选的,上述待监控医疗单位的中药处方也可以是用于对待监控医疗单位进行后期药品费用超标预警的处方,这部分处方可以是待监控医疗单位单日内各个医师所开具的所有处方。这里,后期药品费用超标预警可以是在基于待监控医疗单位当前考核周期(例如某一天)的所有中药处方确定待监控医疗单位的中药处方的单方日均药品费用超标(即单方日均药品费用大于单方日均药品费用阈值),和/或中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标(即中药饮片的单方单种类药品日均费用大于单方单种类药品日均费用阈值)时生成,并在确定待监控医疗单位在当前考核周期的单方日均药品费用超标和/或一种或者多种中药饮片的单方单种类药品日均费用超标时向待监控医疗单位发出中药处方的药品费用超标预警,以提示待监控医疗单位注意后续考核周期内的中药处方中单方日均药品费用和/或各种中药饮片的单方单种类药品日均费用的控制,以防止再次出现单方日均药品费用超标和/或一种或者多种中药饮片的单方单种类药品日均费用超标而遭受药品费用拒绝报销和/或拒绝理赔等惩罚。其中,上述待监控医疗单位的中药处方的具体表现形式可根据实际应用场景中药品费用超标预警的应用场景(实时或者后期)需求确定,在此不做限制。
通俗来讲,针对中药饮片的中药处方(为方便描述可简称处方)来说,一个处方可以包括一剂或者 多剂中药饮片,其中每剂药中药饮片中可包括一个或者多个品种(或称种类,或者种)的中药饮片。换句话说,就是一个处方上可以包括一剂或者多剂的中药饮片,其中每剂中药饮片中包括一个或者多个品种的中药饮片,这多个品种的中药饮片中每个品种的中药饮片都有各自的单价,并且该在处方中均有各自的剂量。一剂中药饮片中的所有品种的中药饮片混合在一起使用,一剂中药饮片中所有品种的中药饮片的服用方式是混合之后一起放入砂锅或者搪瓷盘进行煎煮,最后得到一碗药汤。因此,单个处方中所有中药饮片(也是任一种中药饮片)的药品使用天数就是该处方中每剂中药饮片的药品使用天数累加值,为方便描述也可称为药品使用总天数为例进行说明等。比如,单个处方中所包括的中药饮片有M剂,每剂中药饮片的使用天数是一天,则上述处方中所包括的中药饮片的药品使用总天数则为M(即M*1)天。换句话说,上述处方中所包括的各种中药饮片的药品使用总天数均为M天。
在一些可行的实施方式中,终端设备可与待监控医疗单位的数据系统对接,获取待监控医疗单位的数据系统准入资格,进而可基于待监控医疗单位的数据系统准入资格从待监控医疗单位的数据系统中获取待监控医疗单位的中药处方。可选的,终端设备也可基于待监控医疗单位所提供了医疗理赔数据,从医疗理赔数据中筛选得到医疗单位的中药处方等处方数据。可选的,终端设备也可基于大数据分析,从各个医疗单位的病患就诊记录中筛选得到待监控医疗单位的中药处方等处方数据,等等。终端设备可基于上述数据获取方式之外的任一数据获取路径获取得到待监控医疗单位的中药处方,具体可根据实际应用场景确定,在此不做限制。
可以理解,这里待监控医疗单位的中药处方中任一中药处方上均可包括该中药处方中所开中药饮片的药品详情,包括但不限于药品名称、药品费用,药品使用方式(或称药品服用方式等)以及药品使用天数,具体可根据实际应用场景确定,在此不做限制。
S12,获取上述至少一剂中药饮片中各剂中药饮片的药品信息,并根据上述各剂中药饮片的药品信息确定上述待监控医疗单位的单方日均药品费用。
在一些可行的实施方式中,终端设备获取得到待监控医疗单位的中药处方(比如单个中药处方,或简称单方)之后,可获取上述单个中药处方中所包括的各剂中药饮片的药品信息,包括但不限于中药饮片的药品费用和药品使用天数。基于待监控医疗单位的单个中药处方可以获取上述单个中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定上述单个中药处方的药品总费用。其中,上述单个中药处方中中药饮片的药品总费用为单个中药处方一剂或者多剂中药饮片中各剂中药饮片的费用累加值。其中,每剂中药饮片的费用是该剂中药饮片中每种中药饮片的费用累加值,单剂中药饮片中任一种中药饮片的费用为该种中药饮片的单价与该种中药饮片在单剂的剂量的乘积。可选的,上述单个中药处方的药品总费用也可以是单个中药处方中所包括的各种中药饮片的药品费用的累计值,其中,单种中药饮片的药品费用为该中药饮片的单价与该中药饮片在单个中药处方中的剂量总和的乘积,具体可根据实际应用场景确定单个中药处方的药品总费用,在此不做限制。基于一剂或者多剂的中药饮片中各剂中药饮片的药品费用的累加值可得到该中药处方中所有中药饮片的药品总费用。
在一些可行的实施方式中,根据中药饮片中各剂中药饮片的药品使用天数可确定中药处方的药品使用总天数,根据上述药品总费用和上述药品使用总天数可确定上述待监控医疗单位的单方日均药品费用。上述单个中药处方的中药饮片的药品使用总天数为一剂或者多剂中药饮片中各剂中药饮片的药品使用天数累加值,具体可参见上述步骤S11中所描述的实现方式,在此不做限制。待监控医疗单位的单个中药处方的单方日均药品费用表示待监控医疗单位单个中药处方中所有中药饮片的每日平均药品费用,其中,上述待监控医疗单位的单个中药处方的单方日均药品费用可基于如下公式(1)计算得到:
公式(1):单方日均药品费用=中药饮片的药品总费用/中药饮片的药品使用总天数。
其中,上述公式(1)中,上述中药饮片的药品总费用为单个中药处方一剂或者多剂中药饮片的费用累加值,其中,每剂中药饮片的费用是该剂中药饮片中所包括的所有中药饮片中每种中药饮片的费用的累加。上述中药饮片的药品使用总天数指该中药处方中所包括的一剂或者多剂中药饮片中各剂中药饮片的使用天数的累加值。
S13,获取上述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据上述各种中药饮片的中药饮片信息确定上述各种中药饮片的单方单种类药品日均费用。
在一些可行的实施方式中,终端设备获取得到待监控医疗单位的中药处方(比如单个中药处方,或简称单方)之后,可获取上述单个中药处方中所包括的各剂中药饮片的中药饮片信息,包括但不限于中药饮片的药品费用和药品使用天数。基于待监控医疗单位的单个中药处方可以获取上述单个中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定上述单个中药处方中任一种中药饮片在单个中药处方中的药品总费用。其中,在上述单个中药处方中任一种中药饮片的药品总费用是上述单个中药处方中一剂或者多剂中药饮片中各剂中药饮片所包括的上述任一种中药饮片的费用累加值。其中,每剂中药饮片中所包括的上述任一种中药饮片的药品费用是该剂中药饮片中 该种中药饮片的单价与该种中药饮片在单剂中药饮片中的剂量的乘积。可选的,上述单种中药饮片在单个中药处方中的药品总费用为该种中药饮片的单价与该种中药饮片在单个中药处方中的剂量总和的乘积,具体可根据实际应用场景确定单个中药处方中单种类中药饮片的药品总费用,在此不做限制。
在一些可行的实施方式中,根据中药饮片中各剂中药饮片的药品使用天数可确定上述任一种中药饮片在单个中药处方中的药品使用总天数,根据上述任一种中药饮片在上述单个中药处方中的药品总费用和上述药品使用总天数可确定上述任一种中药饮片的单方单种类药品日均费用。上述单个中药处方任一种中药饮片的药品使用总天数为单个中药处方中一剂或者多剂中药饮片中各剂中药饮片的药品使用天数累加值,具体可参见上述步骤S11中所描述的实现方式,在此不做限制。待监控医疗单位的单个中药处方中单种类中药饮片的单方单种类药品日均费用表示待监控医疗单位单个中药处方中单种类中药饮片的每日平均药品费用,其中,上述单个中药处方中任一种中药饮片的单方单种类药品日均费用可基于如下公式(2)计算得到:
公式(2):单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。
其中,上述公式(2)中,上述单方单种类中药饮片的药品总费用为单个中药处方中各剂中药饮片所包含的单种类中药饮片的费用累加值。上述单方单种类中药饮片的药品使用总天数指该中药处方中所包括的一剂或者多剂中药饮片中各剂中药饮片的使用天数的累加值。
S14,确定上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述待监控医疗单位的用药指标参数阈值。
在一些可行的实施方式中,针对不同医疗单位进行用药监控时,可预先设定各个医疗单位的用药监控标准和/或用药评价标准的考核指标阈值,例如单方日均药品费用的达标上限(或称单方日均药品费用上限,或者单方日均药品费用阈值)等。例如,针对待监控医疗单位进行用药监控时,可基于待监控医疗单位的历史用药记录或者药品使用政策等信息设定待监控医疗单位对应的单方日均药品费用上限,进而可基于上述确定的待监控医疗单位的单方日均药品费用,结合该待监控医疗单位对应的考核指标阈值(即单方日均药品费用上限)确定该医疗单位的单方日均药品费用是否达标。换句话说,就是该待监控医疗单位的单方日均药品费用是否小于或者等于其对应的单方日均药品费用上限。若该待监控医疗单位的单方日均药品费用小于或者等于其对应的单方日均药品费用上限,则可确定待监控医疗单位的单方日均药品费用是达标的。若待监控医疗单位的单方日均药品费用大于其对应的单方日均药品费用上限,则可确定待监控医疗单位的单方日均药品费用是超标的。
在一些可行的实施方式中,针对不同种类的中药饮片对医疗单位进行药品费用监控时,可基于各个不同种类的中药饮片的药品类型、药品用途(例如药品所针对的疾病类型)、药品供应渠道或者药品来源等药品属性信息设定用于对不同种类中药饮片进行药品费用监控的考核指标阈值,例如各种中药饮片的单方单种类药品日均费用阈值,即各种中药饮片的单方单种类药品日均费用阈值等等。例如,基于各个不同种类的中药饮片所针对的疾病类型或者药品来源等药品特点,不同种类中药饮片对应的单方单种类药品日均费用可不尽相同。例如,对于药品来源比较困难或者所针对的疾病类型是特病等药品特点使得中药饮片成本价较高中药饮片种类,则可将其单方单种类药品日均费用阈值设置得较高一些,即其对应的用药评价标准的考核指标阈值则可设定为较高的考核指标等等,具体可根据实际应用场景确定,在此不做限制。基于上述医疗单位的单个种类中药饮片的单方单种类药品日均费用,结合该种中药饮片对应的单方单种类药品日均费用阈值可确定该种中药饮片是否为超标中药饮片。换句话说,就是该种中药饮片的单方单种类药品日均费用是否大于其对应的单方单种类药品日均费用阈值。当该种中药饮片的单方单种类药品日均费用是否大于其对应的单方单种类药品日均费用阈值时,则可确定该种中药饮片为超标中药饮片,否则为非超标中药饮片。
在一些可行的实施方式中,还可根据各个医疗单位的单位属性信息预先设定各个医疗单位的中药饮片的用药监控标准和/或用药评价标准的考核指标阈值,例如超标中药饮片的数量达标上限,或称超标中药饮片阈值等。例如,针对待监控医疗单位进行中药饮片的用药监控时,可基于待监控医疗单位的历史用药记录或者药品使用政策等信息设定待监控医疗单位对应中药饮片用药的超标中药饮片阈值,进而可基于上述确定的待监控医疗单位的中药处方中超标中药饮片的数量,结合该待监控医疗单位对应的超标中药饮片阈值确定该医疗单位的中药饮片的单方单种类药品日均费用是否达标。换句话说,就是该待监控医疗单位的中药处方中超标中药饮片的数量是否小于或者等于其对应的超标中药饮片阈值。若该待监控医疗单位的中药处方中超标中药饮片的数量小于或者等于其对应的超标中药饮片阈值,则可确定待监控医疗单位的中药饮片的单方单种类药品日均费用是达标的。若待监控医疗单位的中药处方中超标中药饮片的数量大于其对应的超标中药饮片阈值,则可确定待监控医疗单位的中药饮片的单方单种类药品日均费用是超标的。对待监控医疗单位的中药饮片的用药进行监控,可基于该医疗单位的单方日均药品费用和各种中药饮片的单方单种类药品日均费用对医疗单位进行中药饮片用药的综合评价。若待监控医疗 单位的单方日均药品费用和单方单种类药品日均费用的二个用药指标参数都达标,则可确定待监控医疗单位的中药饮片的药品费用不超标等。若待监控医疗单位的单方日均药品费用和单方单种类药品日均费用的二个用药指标参数中有一个不达标,则可确定该医疗单位的中药饮片的药品费用超标等,具体可根据实际应用场景确定,在此不做限制。
S15,若上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用大于或者等于上述用药指标参数阈值,则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。
在一些可行的实施方式中,在针对待监控医疗单位进行实时药品费用超标预警的应用场景中,例如待监控医疗单位的单方日均药品费用大于单方日均药品费用阈值,和/或待监控医疗单位的中药处方中一种或者多种中药饮片的单方单种类药品日均费用大于各种中药饮片对应的单方单种类药品日均费用阈值时,当终端设备获取到待监控医疗单位的任一医师提交的开方请求时,可输出药品费用超标预警标识至待监控医疗单位的医师开方工具首页。基于医师开方工具首页上显示的药品费用超标预警标识,向待监控医疗单位的医师发出中药处方中中药饮片的药品费用超标预警,以提示待监控医疗单位的医师控制开方用药以防止药品费用超标。例如,当终端设备获取到待监控医疗单位的任一医师提交的开方请求时,可在该医师的开方工具首页(例如开方工具的用户操作界面)上输出药品费用超标预警的标志(例如红色感叹号等)或者药品费用超标预警的语音信息等药品费用超标预警信息。基于上述药品费用超标预警信息提示待监控医疗单位的医师,待监控医疗单位当前考核周期的中药处方或者当前提交的中药处方的单方日均药品费用和/或中药处方中中药饮片的单方单种类药品日均费用已经到达达标上限(即中药处方的单方日均药品费用已经大于或者等于单方日均药品费用阈值,和/或该中药处方中中药饮片的单方单种类药品日均费用已经大于或者等于单方单种类药品日均费用阈值),医师接下来开具的处方所带来的药品费用可能会导致待监控医疗单位在当前考核周期内中药处方的中药饮片药品费用超标,以供医师确定是否继续开方等。基于上述实现方式可提示待监控医疗单位的医师控制开方用药以防止药品费用超标,从而可实现对待监控医疗单位的药品费用超标的预警。
可选的,在一些可行的实施方式中,在针对待监控医疗单位的后期药品费用超标预警的应用场景中,当上述待监控医疗单位的中药处方中中药饮片的药品费用超标,例如,当医疗单位的单方日均药品费用大于单方日均药品费用阈值时,可确定上述待监控医疗单位的单方日均药品费用中超出单方日均药品费用阈值部分的单方日均药品费用差值(作为中药处方中中药饮片的药品费用超标数据)。当上述待监控医疗单位的中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标,例如待监控医疗单位的中药处方中一种或者多种中药饮片的单方单种类药品日均费用大于各种中药饮片对应的单方单种类药品日均费用阈值时,可确定上述待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用中超出单方单种类药品日均费用阈值部分的单方单种类药品日均费用差值(作为中药处方中中药饮片的药品费用超标数据)。根据上述药品费用超标数据向待监控医疗单位发送药品费用超标预警信息。基于上述药品费用超标预警信息向待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内中药处方中中药饮片的单种类药品日均费用超标和/或单方单种类药品日均费用超标的预警。其中,上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。例如,终端设备可将上述单种类药品日均费用、单种类药品日均费用差值、上述一种或者多种超标中药饮片的单方单种类药品日均费用以及上述单方单种类药品日均费用差值中的一项或者多项用药指标参数进行公示,基于公示的上述一项或者多项用药指标参数提示待监控医疗单位的医师控制中药处方的开方用药,避免该待监控医疗单位的医师在开方过程中随意用药造成中药饮片等医疗资源的浪费,实现对待监控医疗单位的中药处方的中药饮片药品费用超标的预警。可选的,基于上述一项或者多项用药指标参数可在该待监控医疗单位的单位大厅公告界面(例如单位大厅的消息公告显示屏)上进行公示或者在用药监管单位所出的医疗单位用药监控日报上进行公示,以控制待监控医疗单位及其各个医师开方的用药,避免待监控医疗单位的中药处方单方日均药品费用和/或中药饮片的单方单种类药品日均费用持续超标带来的医疗资源浪费,实现对该待监控医疗单位的中药处方的药品费用超标预警。可选的,基于上述一项或者多项用药指标参数也可在该待监控医疗单位的各个科室的信息公告界面上进行公示,和/或在该待监控医疗单位的各个医师的开方工具的首页上进行公示等,具体可根据实际应用场景确定,在此不做限制。
基于本申请实施例提供的方法可基于多个用药指标参数实现对各医疗单位的用药监控,操作简单,可提高对医疗单位的用药监控的准确性,提高对医疗单位的药品费用超标预警的时效性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的可靠性,提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。
实施例二:
参见图2,图2是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的另一流程示意图。本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法可实现对待监控医疗单位 在单个考核周期内的用药情况进行监控,该方法可通过如下步骤S21至S28中各个步骤所提供的实现方式进行说明。
S21,获取待监控医疗单位的中药处方。
在一些可行的实施方式中,上述获取待监控医疗单位的中药处方的实现方式可参见上述实施例中步骤S11所提供的实现方式,在此不再赘述。
可选的,在一些可行的实施方式中,上述医疗单位的中药处方还可包括待监控医疗单位在单个考核周期内产生的所有中药处方,其中上述单个考核周期为一日或者大于一日,例如一个星期、一个月、一个季度或者一年等,在此不做限制。为方便描述,上述待监控医疗单位在单个考核周期内所产生的所有中药处方可以单考核周期处方为例进行说明。
可选的,上述医疗单位的单考核周期处方可以是指医疗单位的任一考核周期内所开具的所有中药处方,包括但不限于单个考核周期内医院的所有科室所有医师所开具的所有中药处方、单个考核周期内医院的某一个科室的所有医师所开具的所有中药处方,或者单个考核周期内医院的某一个科室的某一个医师所开具的所有中药处方中的任一种情况。其中,上述单考核周期处方所表示的具体情况根据实际应用场景中对医疗单位进行用药监控的考核维度(例如针对医疗单位进行用药监控、针对医疗单位的某一个科室进行用药监控或者针对医疗单位的某一个科室的某一个医师进行用药监控等)确定,在此不做限制。为方便描述,下面将以单个考核周期内医院的所有科室所有医师所开具的所有处方为例进行说明,以下简称单考核周期处方。
可以理解,这里待监控医疗单位的单考核周期处方中所包括的任一中药处方上均可包括该中药处方中所包括的中药饮片的药品详情,包括但不限于药品名称、药品费用,药品使用方式以及药品使用天数,具体可根据实际应用场景确定,在此不做限制。
S22,获取上述中药处方中各剂中药饮片的药品信息,并根据上述药品信息确定上述待监控医疗单位的单方日均药品费用。
在一些可行的实施方式中,上述基于待监控医疗单位的中药处方所包括的各剂中药饮片的药品信息确定待监控医疗单位的单方日均药品费用的具体实现方式可参见上述实施例中步骤S12所提供的实现方式,在此不再赘述。
可选的,在一些可行的实施方式中,基于上述待监控医疗单位的中药处方的单方日均药品费用还可处理得到指定时间段内待监控医疗单位的单方日均药品费用,例如,一日,一个星期,一个月,一个季度或者一年的单方日均药品费用等。为方便描述,下面可以一个星期作为一个考核周期,以一个星期的单方日均药品费用为例进行说明,简称单考核周期处方的单方日均药品费用。
可选的,单考核周期处方的单方日均药品费用可满足如下公式(3):
公式(3):单方日均药品费用=周期药品总费用/周期药品使用总天数/单个考核周期的处方数量。
其中,在上述公式(3)中周期药品总费用可以是单个考核周期内的所有中药处方中所包括的所有中药饮片的药品费用累加得到的所有中药饮片的药品总费用,上述周期药品使用总天数可以是单考核周期处方所包括的所有中药饮片中每个中药饮片的药品使用天数的累加值。
可选的,在一些可行的实施方式中,基于待监控医疗单位的单考核周期处方中所包括的中药饮片的药品信息,可获取单个考核周期内任一日的任一单日中药处方,并获取任一单日中药处方中所包括的各中药饮片的药品信息,其中药品信息中包括但不限于药品费用和药品使用天数。根据任一单日中药处方所包括的各中药饮片的药品费用、药品使用天数和处方数量确定待监控医疗单位任一日中药处方的单方日均药品费用。其中,上述待监控医疗单位的任一日的单方日均药品费用可参见上述实施例中公式(3)对应的实现方式,在此不再赘述。此外,基于待监控医疗单位在单个考核周期内每日的中药处方中所包括的各中药处方的药品使用天数可确定每日的所有中药处方中的药品使用总天数,进而可基于每日的所有中药处方的药品使用总天数确定待监控医疗单位的单考核周期处方中所包括的所有中药饮片的药品使用总天数。其中,待监控医疗单位在单个考核周期内的任一日的中药饮片的药品使用总天数为任一单日的所有中药处方中所包括的各中药饮片的药品使用天数的总和。根据上述待监控医疗单位在单个考核周期内各日的中药处方的单方日均药品费用和药品使用总天数可确定待监控医疗单位在单个考核周期内的单方日均药品费用。
在一些可行的实施方式中,根据上述单个考核周期内各日的中药处方的单方日均药品费用可确定待监控医疗单位在单个考核周期的单方日均药品费用的累加值,为方便描述可简称单方日均药品费用累加值。根据上述单个考核周期内各日的中药处方的药品使用总天数可确定待监控医疗单位在单个考核周期内的药品使用总天数的累加值,为方便描述可简称药品使用总天数累加值。根据上述单方日均药品费用累加值、上述药品使用总天数累加值和单个考核周期的处方数量确定待监控医疗单位的单方日均药品费用。
可选的,待监控医疗单位的单方日均药品费用(即待监控医疗单位在单个考核周期内的单方日均药 品费用)可满足如下公式(4):
公式(4):单方日均药品费用=单方日均药品费用累加值/药品使用总天数累加值/单个考核周期的处方数量。
假设,这里单个考核周期为一个星期,则在上述公式(4)中的单方日均药品费用累加值可以是一个星期内的7个单日的中药处方中各个单日的中药处方的单方日均药品费用的累加值。上述公式(4)中的药品使用总天数累加值可以是一个星期内的7个单日的中药处方中各个单日的中药处方的药品使用总天数的累加值。
S23,获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用。
S24,根据各种中药饮片的在单个中药处方中的药品总费用和药品使用总天数确定各种中药饮片的单方单种类药品日均费用。
在一些可行的实施方式中,上述基于待监控医疗单位的中药处方所包括的各剂中药饮片中各种中药饮片的中药饮片信息,确定单个中药处方中各种中药饮片的单方单种类药品日均费用的具体实现方式可参见上述实施例中步骤S13所提供的实现方式,在此不再赘述。
可选的,在一些可行的实施方式中,基于上述待监控医疗单位在单个考核周期内的多个中药处方可处理得到单种类中药饮片在单个中药处方中的药品日均费用,也就是待监控医疗单位的单个种类中药饮片的单方单种类药品日均费用。例如,在一日,一个星期,一个月,一个季度或者一年等单个考核周期内待监控医疗单位的各种中药饮片的单方单种类药品日均费用等。为方便描述,下面可以以待监控医疗单位在一个考核周期内各种中药饮片的单方单种类药品日均费用为例进行说明,简称单考核周期处方各种中药饮片的单方单种类药品日均费用。
在一些可行的实施方式中,基于待监控医疗单位在单考核周期内的所有中药处方,可获取上述所有中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用。根据上述任一剂中药饮片所包括的该种中药饮片(即上述任一种中药饮片)的药品费用,确定该种中药饮片在上述所有中药处方的各剂中药饮片中的药品总费用。根据该种中药饮片在上述所有中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定该种中药饮片在单个中药处方中的药品总费用。假设,待监控医疗单位在单考核周期内的所有中药处方为X个,每个中药处方中包括Y剂中药饮片,则上述所有中药处方中所包括的中药饮片为X*Y剂。假设,上述任一种中药饮片在上述Y剂中药饮片中任一剂中药饮片中的剂量为Z,上述任一种中药饮片的单价为a,则上述任一种中药饮片在任一剂的单剂中药饮片中的药品费用为a*Z,任一种中药饮片在上述Y剂中药饮片中的药品总费用为a*Z*Y。
上述任一种中药饮片在单个中药处方中的药品总费用满足如下公式(5):
公式(5):单方单种类中药饮片的药品总费用=单种类中药饮片的单价*单种类中药饮片的单剂剂量*中药处方的中药饮片总剂数/中药处方的处方数量=a*Z*Y/X。
上述任一种中药饮片的单方单种类药品日均费用满足如下公式(6):
公式(6):单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。
其中,上述单方单种类中药饮片的药品使用总天数为上述单考核周期内上述任一种中药饮片在单个中药处方中的药品使用总天数。根据上述单个考核周期内的所有中药处方中所包括的各剂中药饮片的药品使用天数,可确定所有中药处方中任一种中药饮片在所有中药处方中的药品使用总天数。其中上述任一种中药饮片在上述所有中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值。根据上述任一种中药饮片在上述所有中药处方中的药品使用总天数和上述中药处方的处方数量,可确定上述任一种中药饮片在单个中药处方中的药品使用总天数。
其中,上述任一种中药饮片在单个中药处方中的药品使用总天数,即单方单种类中药饮片的药品使用总天数满足如下公式(7):
公式(7):单方单种类中药饮片的药品使用总天数=单考核周期内所有中药处方中各剂中药饮片的药品使用天数的累计值/单考核周期内所有中药处方的处方数量。
可选的,在一些可行的实施方式中,基于待监控医疗单位在单考核周期内的所有中药处方,获取上述所有中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用,即单方单种类中药饮片的药品总费用满足如下公式(8):
公式(8):单方单种类中药饮片的药品总费用=单种类中药饮片的单价*中药处方的单种类中药饮片总剂量/中药处方的处方数量。
其中,上述中药处方的单种类中药饮片总剂量为上述任一种中药饮片在上述单考核周期内的所有中 药处方中的总剂量。上述中药处方的处方数量为上述单考核周期内的所有中药处方的数量。
S25,根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息,确定上述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值。
S26,根据上述各种中药饮片的单方单种类药品日均费用和各种中药饮片的对应的单方单种类药品日均费用阈值,确定上述待监控医疗单位的单方单种类药品日均费用是否达标。
在一些可行的实施方式中,上述根据待监控医疗单位的单方单种类药品日均费用,和各种中药饮片的对应的单方单种类药品日均费用阈值确定待监控医疗单位的单方单种类药品日均费用是否达标的具体实现方式可参见上述实施例中步骤S14所提供的实现方式,在此不再赘述。
可选的,在一些可行的实施方式中,针对不同医疗单位进行用药监控时,基于各个中药饮片的药品属性信息确定各个中药饮片对应的单方单种类药品日均费用阈值之后,还可进一步结合各个医疗单位的单位属性信息确定各个医疗单位的用药监控标准和/或用药评价标准的考核指标阈值,例如各个医疗单位对应的各个种类的中药饮片的单方单种类药品日均费用的达标上限,或称各种类的中药饮片对应的单方单种类药品日均费用阈值等。其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,具体可根据实际应用场景确定,在此不做限制。例如,基于不同地域、不同城市、不同药品供应渠道或者不同病患流动量等参数所关联的不同医疗单元,用药监控的考核指标阈值可不尽相同。例如,对于物价较高的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较高所关联的医疗单元,则可将其对应的各种中药饮片的单方单种类药品日均费用的达标上限可在基于中药饮片的药品属性信息确定的单方单种类药品日均费用阈值的基础上,将上述单方单种类药品日均费用阈值设置得较高一些,即其对应的用药监控标准的考核指标阈值则可设定为较高的考核指标等。对于物价较低的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较低所关联的医疗单元,则可将其对应的各种中药饮片的单方单种类药品日均费用的达标上限可设置得较低一些,即其对应的用药监控标准的考核指标阈值则可设定为较低的考核指标等。具体可根据实际应用场景确定,在此不做限制。
在一些可行的实施方式中,基于上述确定的待监控医疗单位的各种中药饮片的单方单种类药品日均费用,结合基于待监控医疗单位的单位属性信息和/或各种中药饮片的药品属性信息所确定的考核指标阈值(即各种中药饮片的单方单种类药品日均费用上限)可确定该医疗单位的中药饮片的药品费用是否超标的实现方式可参见上述实施例中步骤S14所提供的实现方式,在此不再赘述。
S27,确定上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述待监控医疗单位的用药指标参数阈值。
在一些可行的实施方式中,上述根据上述单方日均药品费用和各种中药饮片的单方单种类药品日均费用,确定待监控医疗单位的中药饮片的中药饮片的药品费用是否超标的实现方式可参见上述步骤S14所提供的实现方式,在此不再赘述。
可选的,在一些可行的实施方式中,针对不同医疗单位进行用药监控时,还可基于各个医疗单位的单位属性信息确定各个医疗单位的单方日均药品费用的达标上限等,例如单方日均药品费用阈值。其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,具体可根据实际应用场景确定,在此不做限制。例如,基于不同地域、不同城市、不同药品供应渠道或者不同病患流动量等参数所关联的不同医疗单元,用药监控的考核指标阈值可不尽相同。例如,对于物价较高的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较高所关联的医疗单元,则可将其单方日均药品费用的达标上限可设置得较高一些,例如单方日均药品费用阈值设置为较高阈值。对于物价较低的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较低所关联的医疗单元,则可将其单方日均药品费用的达标上限可设置得较低一些,例如单方日均药品费用阈值设置为较低阈值。
可选的,在一些可行的实施方式中,若上述单方日均药品费用和单方单种类药品日均费用等多个用药指标参数中有两个或者两个以上的用药指标参数超标,则可基于大数据分析寻找得到各个用药指标参数的超标原因。例如,利用大数据分析确定出各个医疗单位的用药指标参数中超标项用药指标参数对应的药品详情,进而可基于各个医疗单位的超标项用药指标参数的药品详情确定出各项用药指标参数的超标原因,以根据各项用药指标参数的超标原因进行药品费用管控。此外,在上述单方日均药品费用和单方单种类药品日均费用等多个用药指标参数中有两个或者两个以上超标时,可从上述多个用药指标参数中确定出用药指标参数值最大的。例如,若该待监控医疗单位的单方日均药品费用是X1元、各种中药饮片的单方单种类药品日均费用的均值是X2元,其中,X1大于X2,则此时上述单方日均药品费用和单方单种类药品日均费用中用药指标参数最大的是单方日均药品费用。
在一些可行的实施方式中,在上述单方日均药品费用和单方单种类药品日均费用的多个用药指标参数中用药指标最大的是单方日均药品费用时,在可基于大数据分析确定出单方日均药品费用超标的原因。 例如某一种中药饮片药品(为方便描述可以超标中药饮片为例进行说明)的药品费用导致的超标,则可将该超标中药饮片的药品费作为待监控医疗单位的中药饮片药品费用的控费标准。此时,终端设备可将上述X1元作为待监控医疗单位的中药饮片药品费用的基准,进而可将上述X2元对应的药品费用中剔除上述超标中药饮片所关联的药品费用之后,得到不包括上述超标中药饮片的药品费用之外的各种中药饮片的单方单种类药品日均费用的均值X2’。上述两个或者两个以上的用药指标参数中去除用药指标参数最大的单方日均药品费用之后,可进一步判断剔除超标中药饮片对应的药品费用之后,各种中药饮片的单方单种类药品日均费用的均值等用药指标参数是否超标。若上述剔除超标中药饮片的药品费用之外的单方单种类药品日均费用的均值等多个用药指标参数依然超标,则可确定待监控医疗单位的中药饮片的药品费用超标。
S28,若上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用大于或者等于上述用药指标参数阈值,则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。
在一些可行的实施方式中,上述输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页以向待监控医疗单位的医师发出中药处方的中药饮片药品费用超标预警,以及对上述待监控医疗单位超标部分的单方日均药品费用差值和/或单方单种类药品日均费用差值进行公示,以实现对待监控医疗单位的药品费用超标预警的实现方式可参见上述实施例中步骤S14所提供的实现方式,在此不再赘述。
可选的,在一些可行的实施方式中,在针对待监控医疗单位的后期药品费用超标预警的应用场景中,基于上述单方日均药品费用差值和/或单方单种类药品日均费用差值,还可在接收到该待监控医疗单位提交的药品费用报销请求或者药品费用理赔请求时,可通过拒绝该待监控医疗单位的药品费用报销请求或者药品费用理赔请求,实现针对该待监控医疗单位的在当前考核周期内中药处方的单方日均药品费用超标和/或各种中药饮片的单方单种类药品日均费用超标的一项或者多项用药指标参数超标进行惩罚,以对该医疗单位进行后续考核周期的药品费用超标预警。例如,当该医疗单位的某一天的中药处方的单方日均药品费用超标和/或中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标时,可在接收到医疗单位提报的该天的药品费用报销和/或请求时,向该医疗单位反馈该天所有中药处方的药品费用的报销失败。换句话说,当该医疗单位的某一天的中药处方的单方日均药品费用超标和/或中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标时,终端设备接收到医疗单位提报的该天的中药处方药品费用报销和/或理赔请求时,可对该医疗单位反馈该天的处方药品费用拒绝报销或者理赔,进而可提示该医疗单位对每天的中药处方的单方日均药品费用和/或各种中药饮片的单方单种类药品日均费用进行自我把控,防止后续一天或者多天内单方日均药品费用超标和/或中药饮片的单方单种类药品日均费用超标以实现对该医疗单位的药品费用超标的预警。
可选的,在一些可行的实施方式中,当待监控医疗单位的中药处方的中药饮片药品费用超标,例如医疗单位单日处方的单方日均药品费用大于单方日均药品费用阈值、和/或一种或者多种中药饮片的单方单种类药品日均费用大于单方单种类药品日均费用阈值时,终端设备可计算待监控医疗单位的中药处方的单方日均药品费用差值和/或各种中药饮片(即超标中药饮片)的单方单种类药品日均费用与各种中药饮片对应的单方单种类药品日均费用阈值之间的差值。当终端设备接收到该待监控医疗单位的药品费用报销和/或理赔请求时,则可针对上述单方日均药品费用差值和/或各种超标中药饮片的单方单种类药品日均费用差值,对该待监控医疗单位单日处方中单方日均药品费用差值和/或超标中药饮片的单方单种类药品日均费用差值部分的药品费用拒绝报销或者理赔,以对该医疗单位进行后续考核周期的药品费用超标预警。
可选的,在一些可行的实施方式中,当终端设备确定待监控医疗单位某一个考核周期(即当前考核周期,例如一天或者一星期等)内的中药处方的中药饮片药品费用超标,例如待监控医疗单位某个考核周期内的处方(例如单日处方)的单方日均药品费用大于或者等于单方日均药品费用阈值、和/或一个或者多个中药饮片的单方单种类药品日均费用大于单方单种类药品日均费用阈值时,终端设备则可在该考核周期(单日处方中单方日均药品费用和/或中药饮片的单方单种类药品日均费用超标是某一天,例如周一)之后的下一个考核周期(单日处方中单方日均药品费用和/或中药饮片的单方单种类药品日均费用超标这天的第二天,例如周二)的开始时,将该考核周期的中药饮片的单方日均药品费用和/或单方单种类药品日均费用超标的报告通过即时通讯信息、邮件和/或告示中的一种或者多种信息类型发送给该待监控医疗单位。其中,该报告用于提示该待监控医疗单位在该考核周期内中药处方的中药饮片药品费用超标,并可提醒该待监控医疗单位若在下一个考核周期或者指定时间内的连续多个考核周期内,依然出现单方日均药品费用和/或一个或者多个中药饮片的单方单种类药品日均费用超标,则将对该待监控医疗单位进行药品费用超标预警,以对待监控医疗单位进行单方日均药品费用和/或中药饮片的单方单种类药品日均费用的超标惩罚。其中,上述惩罚包括对该待监控医疗单位的中药处方中超标中药饮片的药品费用的全部拒绝报销或者理赔,或者对该待监控医疗单位的中药处方中超标中药饮片的药品费用拒绝报销或者理赔等。上述报告用于提示该待监控医疗单位对中药处方中中药饮片的单方日均药品费用和/或单方单种类 药品日均费用进行自我把控,以实现对待监控医疗单位的药品费用超标预警。
在本申请实施例中,可基于多个用药指标参数实现对各医疗单位的用药监控,操作简单,可提高对医疗单位的用药监控的准确性,提高对医疗单位的药品费用超标预警的时效性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的可靠性,提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。
实施例三:
参见图3,图3是本申请实施例提供的基于数据处理的中药处方药品费用超标预警装置的实施例结构示意图。本申请实施例提供的基于数据处理的中药处方药品费用超标预警装置包括:
数据获取单元31,用于获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片。
药品信息处理单元32,用于获取上述数据获取单元31获取的上述中药处方中上述至少一剂中药饮片中各剂中药饮片的药品信息,并根据上述各剂中药饮片的药品信息确定上述待监控医疗单位的单方日均药品费用。
上述药品信息处理单元32,还用于获取上述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据上述各种中药饮片的中药饮片信息确定上述各种中药饮片的单方单种类药品日均费用。
药品费用监控单元33,用于确定上述药品信息处理单元32确定的上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述待监控医疗单位的用药指标参数阈值。
药品费用超标预警单元34,用于在上述药品费用监控单元33确定上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用大于或者等于上述用药指标参数阈值时,向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。
在一些可行的实施方式中,上述中药饮片药品费用超标的预警信息包括药品费用超标预警标识;
上述药品费用超标预警单元34,用于:
输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页,基于上述医师开方工具首页上显示的上述药品费用超标预警标识,向上述待监控医疗单位的医师发出上述中药处方中中药饮片的药品费用超标预警,以提示上述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。
在一些可行的实施方式中,上述用药处方包括上述待监控医疗单位在当前考核周期内的所有中药处方;
上述药品费用超标预警单元34,用于:
根据上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用,确定上述所有中药处方中中药饮片的药品费用超标数据;
根据上述药品费用超标数据向上述待监控医疗单位发送中药饮片药品费用超标预警信息,基于上述中药饮片药品费用超标预警信息向上述待监控医疗单位发送控制中药处方的中药饮片开方用药,以防止在当前考核周期之后的一个或者多个考核周期内中药处方的中药饮片药品费用持续超标的预警;
其中,上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。
在一些可行的实施方式中,上述各剂中药饮片的药品信息至少包括药品费用和药品使用天数;
上述药品信息处理单元32用于:
获取上述各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定上述中药处方的药品总费用;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的药品使用总天数,根据上述药品总费用和上述药品使用总天数确定上述待监控医疗单位的单方日均药品费用。
其中,上述单方日均药品费用满足:
单方日均药品费用=药品总费用/药品使用总天数。
在一些可行的实施方式中,上述药品信息处理单元32用于:
获取上述中药处方中任一剂中药饮片所包括的中药饮片的药品费用,根据上述任一剂中药饮片所包括的中药饮片的药品费用确定上述任一剂中药饮片的药品费用;
将上述中药处方中各剂中药饮片的药品费用的累计值确定为上述中药处方的药品总费用。
在一些可行的实施方式中,上述待监控医疗单位的中药处方包括上述待监控医疗单位单日的所有中药处方;
上述药品信息处理单元32还用于:
获取上述所有中药处方中所包括的各种中药饮片的药品信息,上述药品信息中至少包括中药饮片的药品费用和药品使用天数;
根据上述各种中药饮片的药品费用确定上述所有中药处方所包括的所有中药饮片的药品总额,并根据上述各种中药饮片的药品使用天数确定上述所有中药处方的药品使用总天数;
根据上述药品总额、上述药品使用总天数和上述所有中药处方的处方数量确定上述待监控医疗单位的单方日均药品费用。
其中,上述待监控医疗单位的单方日均药品费用满足:
单方日均药品费用=药品总额/药品使用总天数/处方数量。
在一些可行的实施方式中,上述待监控医疗单位的中药处方包括上述待监控医疗单位在多日的单个考核周期内的所有中药处方;
上述药品信息处理单元32还用于:
获取上述单个考核周期内任一日的中药处方,并获取上述任一日的中药处方中所包括的各种中药饮片的药品信息,上述药品信息中至少包括中药饮片的药品费用和药品使用天数;
根据上述任一日的中药处方所包括的各中药饮片的药品费用、药品使用天数和处方数量确定上述待监控医疗单位的单日的单方日均药品费用;
根据上述待监控医疗单位在上述单个考核周期内各日的单日的单方日均药品费用、药品使用总天数和单个考核周期的处方数量确定上述待监控医疗单位的单方日均药品费用;
其中,任一日的药品使用总天数为上述任一单日的中药处方中中药饮片的药品使用天数的总和。
在一些可行的实施方式中,上述药品信息处理单元32用于:
根据上述单个考核周期内各日的单日的单方日均药品费用确定上述单个考核周期的单日的单方日均药品费用累加值,根据上述单个考核周期内各日中药处方的中药饮片的药品使用总天数确定上述单个考核周期内的中药饮片的药品使用总天数累加值;
根据上述单日的单方日均药品费用累加值、上述药品使用总天数累加值和上述单个考核周期的处方数量确定上述待监控医疗单位的单方日均药品费用;
其中,上述待监控医疗单位的单方日均药品费用满足:
单方日均药品费用=单日单方日均药品费用累加值/药品使用总天数累加值/单个考核周期的处方数量。
在一些可行的实施方式中,上述中药饮片信息中至少包括中药饮片的药品费用和药品使用天数;上述药品信息处理单元32用于:
获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的上述任一种中药饮片在单个中药处方中的药品使用总天数;
根据上述任一种中药饮片的上述药品总费用和上述药品使用总天数确定上述任一种中药饮片的单方单种类药品日均费用,以得到上述各种中药饮片的单方单种类药品日均费用。
其中,上述单方单种类药品日均费用满足:
单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。
在一些可行的实施方式中,上述药品信息处理单元32用于:
获取上述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用,根据上述任一剂中药饮片所包括的上述任一种中药饮片的药品费用,确定上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用;
根据上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。
在一些可行的实施方式中,上述药品信息处理单元32用于:
获取上述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。
上述单方单种类中药饮片的药品总费用满足:
单方单种类中药饮片的药品总费用=单方单种类中药饮片的剂量*单种类中药饮片的单价。
在一些可行的实施方式中,上述药品信息处理单元32用于:
根据上述各剂中药饮片的药品使用天数确定上述中药处方中上述任一种中药饮片在上述中药处方中的药品使用总天数,其中上述任一种中药饮片在上述中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值;
根据上述任一种中药饮片在上述中药处方中的药品使用总天数和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品使用总天数。
在一些可行的实施方式中,上述数据获取单元31用于:
获取上述待监控医疗单位的数据系统准入资格,基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的中药处方;和/或
获取上述待监控医疗单位提供的医疗理赔数据,从上述医疗理赔数据中获取上述待监控医疗单位的中药处方;
其中,上述待监控医疗单位的中药处方包括上述待监控医疗单位的单个中药处方,或者上述待监控医疗单位在单个考核周期内的所有中药处方,上述单个考核周期的周期时长为一日或者大于一日。
在一些可行的实施方式中,上述用药指标参数阈值包括:单方日均药品费用阈值和中药饮片的单方单种类药品日均费用阈值;
上述药品费用监控单元33还用于:
根据上述待监控医疗单位的单位属性信息确定上述待监控医疗单位的单方日均药品费用阈值;
根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息,确定上述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值,其中,一个单方单种类药品日均费用阈值至少对应一种中药饮片,以得到所述各种中药饮片对应的单方单种类药品日均费用阈值;
其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,上述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。
在一些可行的实施方式中,上述基于数据处理的中药处方药品费用超标预警装置可通过其内置的各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式。可选的,上述基于数据处理的中药处方药品费用超标预警装置可为上述各个实施例中所描述的终端设备,在此不做限制。
在本申请实施例中,中药处方药品费用超标预警装置可基于多个用药指标参数实现对各医疗单位的用药监控,操作简单,可提高对医疗单位的用药监控的准确性,提高对医疗单位的药品费用超标预警的时效性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的可靠性,提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。
实施例四:
参见图4,图4是本申请实施例提供的终端设备的实施例结构示意图。如图4所示,本实施例中的终端设备可以包括:一个或多个处理器401、存储器402和一个或多个收发器403。上述处理器401、存储器402和收发器403通过总线404连接。存储器402用于存储计算机程序,该计算机程序包括程序指令,处理器401和收发器403用于执行存储器402存储的程序指令。其中,上述处理器401被配置用于调用该程序指令执行如下操作:
获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;
获取上述至少一剂中药饮片中各剂中药饮片的药品信息,并根据上述各剂中药饮片的药品信息确定上述待监控医疗单位的单方日均药品费用;
获取上述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据上述各种中药饮片的中药饮片信息确定上述各种中药饮片的单方单种类药品日均费用;
确定上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述待监控医疗单位的用药指标参数阈值。
上述收发器403,用于在上述处理器401确定上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用大于或者等于上述用药指标参数阈值时,向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。
在一些可行的实施方式中,上述中药饮片药品费用超标的预警信息包括药品费用超标预警标识;
上述收发器403,用于:
输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页,基于上述医师开方工具首页上显示的上述药品费用超标预警标识,向上述待监控医疗单位的医师发出上述中药处方中中药饮片的药品费用超标预警,以提示上述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。
在一些可行的实施方式中,上述用药处方包括上述待监控医疗单位在当前考核周期内的所有中药处方;
上述收发器403,用于:
根据上述单方日均药品费用和上述各种中药饮片的单方单种类药品日均费用,确定上述所有中药处 方中中药饮片的药品费用超标数据;
根据上述药品费用超标数据向上述待监控医疗单位发送中药饮片药品费用超标预警信息,基于上述中药饮片药品费用超标预警信息向上述待监控医疗单位发送控制中药处方的中药饮片开方用药,以防止在当前考核周期之后的一个或者多个考核周期内中药处方的中药饮片药品费用持续超标的预警;
其中,上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。
在一些可行的实施方式中,上述各剂中药饮片的药品信息至少包括药品费用和药品使用天数;上述处理器401,用于:
在一些可行的实施方式中,上述处理器401,用于:
获取上述各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定上述中药处方的药品总费用;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的药品使用总天数,根据上述药品总费用和上述药品使用总天数确定上述待监控医疗单位的单方日均药品费用。
其中,上述单方日均药品费用满足:
单方日均药品费用=药品总费用/药品使用总天数。
在一些可行的实施方式中,上述处理器401,用于:
获取上述中药处方中任一剂中药饮片所包括的中药饮片的药品费用,根据上述任一剂中药饮片所包括的中药饮片的药品费用确定上述任一剂中药饮片的药品费用;
将上述中药处方中各剂中药饮片的药品费用的累计值确定为上述中药处方的药品总费用。
在一些可行的实施方式中,上述待监控医疗单位的中药处方包括上述待监控医疗单位单日的所有中药处方;
上述处理器401还用于:
获取上述所有中药处方中所包括的各种中药饮片的药品信息,上述药品信息中至少包括中药饮片的药品费用和药品使用天数;
根据上述各种中药饮片的药品费用确定上述所有中药处方所包括的所有中药饮片的药品总额,并根据上述各种中药饮片的药品使用天数确定上述所有中药处方的药品使用总天数;
根据上述药品总额、上述药品使用总天数和上述所有中药处方的处方数量确定上述待监控医疗单位的单方日均药品费用。
其中,上述待监控医疗单位的单方日均药品费用满足:
单方日均药品费用=药品总额/药品使用总天数/处方数量。
在一些可行的实施方式中,上述待监控医疗单位的中药处方包括上述待监控医疗单位在多日的单个考核周期内的所有中药处方;
上述处理器401还用于:
获取上述单个考核周期内任一日的中药处方,并获取上述任一日的中药处方中所包括的各种中药饮片的药品信息,上述药品信息中至少包括中药饮片的药品费用和药品使用天数;
根据上述任一日的中药处方所包括的各中药饮片的药品费用、药品使用天数和处方数量确定上述待监控医疗单位的单日的单方日均药品费用;
根据上述待监控医疗单位在上述单个考核周期内各日的单日的单方日均药品费用、药品使用总天数和单个考核周期的处方数量确定上述待监控医疗单位的单方日均药品费用;
其中,任一日的药品使用总天数为上述任一单日的中药处方中中药饮片的药品使用天数的总和。
在一些可行的实施方式中,上述处理器401,用于:
根据上述单个考核周期内各日的单日的单方日均药品费用确定上述单个考核周期的单日的单方日均药品费用累加值,根据上述单个考核周期内各日中药处方的中药饮片的药品使用总天数确定上述单个考核周期内的中药饮片的药品使用总天数累加值;
根据上述单日的单方日均药品费用累加值、上述药品使用总天数累加值和上述单个考核周期的处方数量确定上述待监控医疗单位的单方日均药品费用;
其中,上述待监控医疗单位的单方日均药品费用满足:
单方日均药品费用=单日单方日均药品费用累加值/药品使用总天数累加值/单个考核周期的处方数量。
在一些可行的实施方式中,上述中药饮片信息中至少包括中药饮片的药品费用和药品使用天数;
上述处理器401,用于:
获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的上述任一种中药饮片在单个中药处方 中的药品使用总天数;
根据上述任一种中药饮片的上述药品总费用和上述药品使用总天数确定上述任一种中药饮片的单方单种类药品日均费用,以得到上述各种中药饮片的单方单种类药品日均费用。
其中,上述单方单种类药品日均费用满足:
单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。
在一些可行的实施方式中,上述处理器401,用于:
获取上述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用,根据上述任一剂中药饮片所包括的上述任一种中药饮片的药品费用,确定上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用;
根据上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。
在一些可行的实施方式中,上述处理器401,用于:
获取上述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。
上述单方单种类中药饮片的药品总费用满足:
单方单种类中药饮片的药品总费用=单方单种类中药饮片的剂量*单种类中药饮片的单价。
在一些可行的实施方式中,上述处理器401,用于:
根据上述各剂中药饮片的药品使用天数确定上述中药处方中上述任一种中药饮片在上述中药处方中的药品使用总天数,其中上述任一种中药饮片在上述中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值;
根据上述任一种中药饮片在上述中药处方中的药品使用总天数和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品使用总天数。
在一些可行的实施方式中,上述处理器401用于:
获取上述待监控医疗单位的数据系统准入资格,基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的中药处方;和/或
获取上述待监控医疗单位提供的医疗理赔数据,从上述医疗理赔数据中获取上述待监控医疗单位的中药处方。
其中,上述待监控医疗单位的中药处方包括上述待监控医疗单位的单个中药处方,或者上述待监控医疗单位在单个考核周期内的所有中药处方,上述单个考核周期的周期时长为一日或者大于一日。
在一些可行的实施方式中,上述用药指标参数阈值包括:单方日均药品费用阈值和中药饮片的单方单种类药品日均费用阈值;
上述处理器401还用于:
根据上述待监控医疗单位的单位属性信息确定上述待监控医疗单位的单方日均药品费用阈值;
根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息,确定上述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值,其中,一个单方单种类药品日均费用阈值至少对应一种中药饮片,以得到所述各种中药饮片对应的单方单种类药品日均费用阈值;
其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,上述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。
在一些可行的实施方式中,上述处理器401可以是中央处理单元(central processing unit,CPU),该处理器还可以是其他通用处理器、数字信号处理器(digital signal processor,DSP)、专用集成电路(application specific integrated circuit,ASIC)、现成可编程门阵列(field-programmable gate array,FPGA)或者其他可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件等。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。
该存储器402可以包括只读存储器和随机存取存储器,并向处理器401和收发器403提供指令和数据。存储器402的一部分还可以包括非易失性随机存取存储器。例如,存储器402还可以存储设备类型的信息。
在一些可行的实施方式中,上述终端设备可通过其内置的处理器401和收发器403各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。
在本申请实施例中,终端设备可基于多个用药指标参数实现对各医疗单位的用药监控,操作简单,可提高对医疗单位的用药监控的准确性,提高对医疗单位的药品费用超标预警的时效性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的可靠性,提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。
本申请实施例还提供一种计算机可读存储介质,该计算机可读存储介质存储有计算机程序,该计算机程序包括程序指令,该程序指令被处理器执行时实现图1至图2中各个步骤所提供的基于数据处理的中药处方药品费用超标预警方法,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。
上述计算机可读存储介质可以是前述任一实施例提供的基于数据处理的中药处方药品费用超标预警装置或者上述终端设备的内部存储单元,例如电子设备的硬盘或内存。该计算机可读存储介质也可以是该电子设备的外部存储设备,例如该电子设备上配备的插接式硬盘,智能存储卡(smart media card,SMC),安全数字(secure digital,SD)卡,闪存卡(flash card)等。
以上所述,仅为本申请的具体实施方式,但本申请的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本申请揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本申请的保护范围之内。因此,本申请的保护范围应以所述权利要求的保护范围为准。

Claims (20)

  1. 一种基于数据处理的中药处方药品费用超标预警方法,其特征在于,所述方法包括:
    获取待监控医疗单位的中药处方,所述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;
    获取所述至少一剂中药饮片中各剂中药饮片的药品信息,并根据所述各剂中药饮片的药品信息确定所述待监控医疗单位的单方日均药品费用;
    获取所述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据所述各种中药饮片的中药饮片信息确定所述各种中药饮片的单方单种类药品日均费用;
    确定所述单方日均药品费用和所述各种中药饮片的单方单种类药品日均费用是否大于或者等于所述待监控医疗单位的用药指标参数阈值;
    若所述单方日均药品费用和所述各种中药饮片的单方单种类药品日均费用大于或者等于所述用药指标参数阈值,则向所述待监控医疗单位发送中药饮片药品费用超标的预警信息。
  2. 根据权利要求1所述的方法,其特征在于,所述中药饮片药品费用超标的预警信息包括药品费用超标预警标识;
    所述向所述待监控医疗单位发送中药饮片药品费用超标的预警信息包括:
    输出药品费用超标预警标识至所述待监控医疗单位的医师开方工具首页,基于所述医师开方工具首页上显示的所述药品费用超标预警标识,向所述待监控医疗单位的医师发出所述中药处方中中药饮片的药品费用超标预警,以提示所述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。
  3. 根据权利要求1所述的方法,其特征在于,所述用药处方包括所述待监控医疗单位在当前考核周期内的所有中药处方;
    所述向所述待监控医疗单位发送中药饮片药品费用超标的预警信息包括:
    根据所述单方日均药品费用和所述各种中药饮片的单方单种类药品日均费用,确定所述所有中药处方中中药饮片的药品费用超标数据;
    根据所述药品费用超标数据向所述待监控医疗单位发送中药饮片药品费用超标预警信息,基于所述中药饮片药品费用超标预警信息向所述待监控医疗单位发送控制中药处方的中药饮片开方用药,以防止在当前考核周期之后的一个或者多个考核周期内中药处方的中药饮片药品费用持续超标的预警;
    其中,所述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。
  4. 根据权利要求1-3任一项所述的方法,其特征在于,所述各剂中药饮片的药品信息至少包括药品费用和药品使用天数;
    所述获取所述至少一剂中药饮片中各剂中药饮片的药品信息,并根据所述各剂中药饮片的药品信息确定所述待监控医疗单位的单方日均药品费用包括:
    获取所述各剂中药饮片所包括的各种中药饮片的药品费用,根据所述各种中药饮片的药品费用确定所述中药处方的药品总费用;
    根据所述各剂中药饮片的药品使用天数确定所述中药处方的药品使用总天数,根据所述药品总费用和所述药品使用总天数确定所述待监控医疗单位的单方日均药品费用。
  5. 根据权利要求1-3任一项所述的方法,其特征在于,所述中药饮片信息中至少包括中药饮片的药品费用和药品使用天数;
    所述获取所述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据所述各种中药饮片的中药饮片信息确定所述各种中药饮片的单方单种类药品日均费用包括:
    获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据所述各种中药饮片的药品费用确定出所述中药处方中任一种中药饮片在单个中药处方中的药品总费用;
    根据所述各剂中药饮片的药品使用天数确定所述中药处方的所述任一种中药饮片在单个中药处方中的药品使用总天数;
    根据所述任一种中药饮片的所述药品总费用和所述药品使用总天数确定所述任一种中药饮片的单方单种类药品日均费用,以得到所述各种中药饮片的单方单种类药品日均费用。
  6. 根据权利要求5所述的方法,其特征在于,所述获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据所述各种中药饮片的药品费用确定出所述中药处方中任一种中药饮片在单个中药处方中的药品总费用包括:
    获取所述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用,根据所述任一剂中药饮片所包括的所述任一种中药饮片的药品费用,确定所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用;
    根据所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。
  7. 根据权利要求5所述的方法,其特征在于,所述获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据所述各种中药饮片的药品费用确定出所述中药处方中任一种中药饮片在单个中药处方中的药品总费用包括:
    获取所述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据所述任一种中药饮片的单价和所述剂量确定所述任一种中药饮片在所述中药处方中的药品总费用;
    根据所述任一种中药饮片在所述中药处方中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。
  8. 根据权利要求5-7任一项所述的方法,其特征在于,所述根据所述各剂中药饮片的药品使用天数确定所述中药处方的所述任一种中药饮片在单个中药处方中的药品使用总天数包括:
    根据所述各剂中药饮片的药品使用天数确定所述中药处方中所述任一种中药饮片在所述中药处方中的药品使用总天数,其中所述任一种中药饮片在所述中药处方中的药品使用总天数为所述各剂中药饮片的药品使用天数的累计值;
    根据所述任一种中药饮片在所述中药处方中的药品使用总天数和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品使用总天数。
  9. 根据权利要求1-8任一项所述的方法,其特征在于,所述用药指标参数阈值包括:单方日均药品费用阈值和中药饮片的单方单种类药品日均费用阈值;
    所述方法还包括:
    根据所述待监控医疗单位的单位属性信息确定所述待监控医疗单位的单方日均药品费用阈值;
    根据所述待监控医疗单位的单位属性信息和/或所述各种中药饮片的药品属性信息,确定所述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值,一个单方单种类药品日均费用阈值至少对应一种中药饮片,以得到所述各种中药饮片对应的单方单种类药品日均费用阈值;
    其中,所述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,所述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。
  10. 一种基于数据处理的中药处方药品费用超标预警装置,其特征在于,所述装置包括:
    数据获取单元,用于获取待监控医疗单位的中药处方,所述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;
    药品信息处理单元,用于获取所述数据获取单元获取的所述中药处方中所述至少一剂中药饮片中各剂中药饮片的药品信息,并根据所述各剂中药饮片的药品信息确定所述待监控医疗单位的单方日均药品费用;
    所述药品信息处理单元,还用于获取所述各剂中药饮片的药品信息中所包括的各种中药饮片的中药饮片信息,并根据所述各种中药饮片的中药饮片信息确定所述各种中药饮片的单方单种类药品日均费用;
    药品费用监控单元,用于确定所述药品信息处理单元确定的所述单方日均药品费用和所述各种中药饮片的单方单种类药品日均费用是否大于或者等于所述待监控医疗单位的用药指标参数阈值;
    药品费用超标预警单元,用于在所述药品费用监控单元确定所述单方日均药品费用和所述各种中药饮片的单方单种类药品日均费用大于或者等于所述用药指标参数阈值时,向所述待监控医疗单位发送中药饮片药品费用超标的预警信息。
  11. 根据权利要求10所述的装置,其特征在于,所述中药饮片药品费用超标的预警信息包括药品费用超标预警标识;
    所述药品费用超标预警单元,用于:
    输出药品费用超标预警标识至所述待监控医疗单位的医师开方工具首页,基于所述医师开方工具首页上显示的所述药品费用超标预警标识,向所述待监控医疗单位的医师发出所述中药处方中中药饮片的药品费用超标预警,以提示所述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。
  12. 根据权利要求10所述的装置,其特征在于,所述用药处方包括所述待监控医疗单位在当前考核周期内的所有中药处方;
    所述药品费用超标预警单元,用于:
    根据所述单方日均药品费用和所述各种中药饮片的单方单种类药品日均费用,确定所述所有中药处方中中药饮片的药品费用超标数据;
    根据所述药品费用超标数据向所述待监控医疗单位发送中药饮片药品费用超标预警信息,基于所述中药饮片药品费用超标预警信息向所述待监控医疗单位发送控制中药处方的中药饮片开方用药,以防止 在当前考核周期之后的一个或者多个考核周期内中药处方的中药饮片药品费用持续超标的预警;
    其中,所述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。
  13. 根据权利要求10-12任一项所述的装置,其特征在于,所述各剂中药饮片的药品信息至少包括药品费用和药品使用天数;
    所述药品信息处理单元用于:
    获取所述各剂中药饮片所包括的各种中药饮片的药品费用,根据所述各种中药饮片的药品费用确定所述中药处方的药品总费用;
    根据所述各剂中药饮片的药品使用天数确定所述中药处方的药品使用总天数,根据所述药品总费用和所述药品使用总天数确定所述待监控医疗单位的单方日均药品费用。
  14. 根据权利要求10-12任一项所述的装置,其特征在于,所述中药饮片信息中至少包括中药饮片的药品费用和药品使用天数;所述药品信息处理单元用于:
    获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据所述各种中药饮片的药品费用确定出所述中药处方中任一种中药饮片在单个中药处方中的药品总费用;
    根据所述各剂中药饮片的药品使用天数确定所述中药处方的所述任一种中药饮片在单个中药处方中的药品使用总天数;
    根据所述任一种中药饮片的所述药品总费用和所述药品使用总天数确定所述任一种中药饮片的单方单种类药品日均费用,以得到所述各种中药饮片的单方单种类药品日均费用。
  15. 根据权利要求14所述的装置,其特征在于,所述药品信息处理单元用于:
    获取所述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用,根据所述任一剂中药饮片所包括的所述任一种中药饮片的药品费用,确定所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用;
    根据所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。
  16. 根据权利要求14所述的装置,其特征在于,所述药品信息处理单元用于:
    获取所述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据所述任一种中药饮片的单价和所述剂量确定所述任一种中药饮片在所述中药处方中的药品总费用;
    根据所述任一种中药饮片在所述中药处方中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。
  17. 根据权利要求14-16任一项所述的装置,其特征在于,所述药品信息处理单元用于:
    根据所述各剂中药饮片的药品使用天数确定所述中药处方中所述任一种中药饮片在所述中药处方中的药品使用总天数,其中所述任一种中药饮片在所述中药处方中的药品使用总天数为所述各剂中药饮片的药品使用天数的累计值;
    根据所述任一种中药饮片在所述中药处方中的药品使用总天数和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品使用总天数。
  18. 根据权利要求10-17任一项所述的装置,其特征在于,所述用药指标参数阈值包括:单方日均药品费用阈值和中药饮片的单方单种类药品日均费用阈值;
    所述药品费用监控单元还用于:
    根据所述待监控医疗单位的单位属性信息确定所述待监控医疗单位的单方日均药品费用阈值;
    根据所述待监控医疗单位的单位属性信息和/或所述各种中药饮片的药品属性信息,确定所述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值,其中,一个单方单种类药品日均费用阈值至少对应一种中药饮片,以得到所述各种中药饮片对应的单方单种类药品日均费用阈值;
    其中,所述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,所述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。
  19. 一种终端设备,其特征在于,包括处理器和存储器,所述处理器和所述存储器相互连接,其中,所述存储器用于存储计算机程序,所述计算机程序包括程序指令,所述处理器被配置用于调用所述程序指令,执行如权利要求1-9任一项所述的方法。
  20. 一种计算机可读存储介质,其特征在于,所述计算机可读存储介质存储有计算机程序,所述计算机程序被处理器执行以实现权利要求1-9任一项所述的方法。
PCT/CN2019/095021 2018-10-22 2019-07-08 基于数据处理的中药处方药品费用超标预警方法及装置 WO2020082794A1 (zh)

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