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 PDFInfo
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
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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
Description
Claims (20)
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
- 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。
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