WO2020082798A1 - Data-processing-based drug cost control method and apparatus for traditional chinese medicine prescription - Google Patents

Data-processing-based drug cost control method and apparatus for traditional chinese medicine prescription Download PDF

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Publication number
WO2020082798A1
WO2020082798A1 PCT/CN2019/095031 CN2019095031W WO2020082798A1 WO 2020082798 A1 WO2020082798 A1 WO 2020082798A1 CN 2019095031 W CN2019095031 W CN 2019095031W WO 2020082798 A1 WO2020082798 A1 WO 2020082798A1
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chinese medicine
medicine
cost
prescription
drug
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PCT/CN2019/095031
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French (fr)
Chinese (zh)
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袁刚
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平安医疗健康管理股份有限公司
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the present application relates to the medical technology field, and in particular to a data processing method and device for controlling the cost of traditional Chinese medicine prescription drugs.
  • 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.
  • the embodiments of the present application provide a data processing method and device for controlling the cost of traditional Chinese medicine prescription drugs based on data processing.
  • 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 use monitoring of medical units, and have more applicability. Strong.
  • an embodiment of the present application provides a data processing-based method for controlling the cost of prescription drugs for traditional Chinese medicine.
  • 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.
  • the risk of the traditional Chinese medicine decoction drug cost exceeding the standard will be controlled for the medical unit to be monitored based on the daily average cost of the unilateral single-type drugs of the various Chinese medicine decoction pieces.
  • an embodiment of the present application provides a data processing-based Chinese medicine prescription drug cost control device, which 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 various Chinese medicine slices included in each piece of Chinese medicine slices of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit, and determine the location based on the medicine information of the Chinese medicine slices of the various Chinese medicine slices Describe the average daily cost of single-party single-type drugs for various Chinese herbal medicines;
  • the medication evaluation unit is used to determine the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicines determined by the above-mentioned medical information processing unit, and the threshold of the medication standard corresponding to the medical unit to be monitored Whether the cost of medicine exceeds the standard;
  • the medication risk control unit is used to determine the daily average cost of the unilateral and single-type medicines of the various herbal medicine pieces determined by the pharmaceutical information processing unit when the medication evaluation unit determines that the medicine cost of the herbal medicine pieces of the medical unit to be monitored exceeds the standard.
  • the medical unit to be monitored carries out the risk control of exceeding the cost of Chinese herbal medicines.
  • an embodiment of the present application provides a terminal device.
  • the terminal device includes a processor and a memory, and the processor and the memory are connected to each other.
  • the memory is used to store a computer program that supports the terminal device to execute the method provided in the first aspect and / or any possible implementation manner of the first aspect
  • the computer program includes program instructions
  • the processor is configured to call the foregoing Program instructions to execute the method provided in the first aspect and / or any possible implementation manner of the first aspect.
  • 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.
  • the operation of monitoring the medication use of each medical unit is simple, which can improve the accuracy of the medication monitoring of the medical unit, improve the reliability of the medication monitoring of the medical unit, and increase the effective utilization of medical resources. More applicable.
  • FIG. 1 is a schematic flow chart of a method for controlling cost of traditional Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
  • FIG. 2 is another schematic flowchart of a data processing-based method for controlling cost of prescription drugs of traditional Chinese medicine provided by an embodiment of the present application;
  • FIG. 3 is a schematic structural diagram of an embodiment of a data processing-based Chinese medicine prescription drug cost control device 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 method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing, which can be based on the medical units (or representatives (or teams) of medical units) of various hospitals, departments of various hospitals, various clinics and even various physicians.
  • Unilateral single-type daily drug cost i.e. the average daily cost of a single type of Chinese herbal medicine in various types of Chinese herbal medicines included in a single Chinese medicine prescription
  • the medical unit's prescriptions will be publicized for the unilateral single-type medicines of various types of Chinese herbal medicines and the daily average cost of the Chinese herbal medicines will exceed the standard, and / or the single-party single-type medicines will be rejected
  • the risk of excessive Chinese medicine decoction medicine cost exceeding the standard of the Chinese medicine decoction medicine cost reimbursement corresponding to the daily average cost exceeds the risk control 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 made by various doctors of various medical units for the conditions of various patients, or prescriptions prescribed by various doctors for the conditions of various patients, or prescription papers, etc., There are no restrictions. 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 Chinese herbal medicines, the cost of Chinese herbal medicines, the use of Chinese herbal medicines, and the number of days of Chinese herbal medicines used. 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. Therefore, based on the daily average cost of each medical unit's unilateral single type of drugs, it is possible to evaluate whether the medical cost of the traditional Chinese medicine prescription of each medical unit exceeds the standard, so as to realize the monitoring of the drug use of each medical unit.
  • the operation is simple and can be better and more comprehensive. Covers the monitoring of the use of various Chinese medicine prescriptions in medical units. At the same time, 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 Chinese medicine prescriptions of each medical unit shall be publicized for the daily average cost of unilateral single type drugs, and / or the medical expenses corresponding to the daily average cost of unilateral single type drugs shall be rejected.
  • the reliability of the risk control of Chinese medicine decoction pieces with over-the-counter prescriptions for traditional Chinese medicine prescriptions can improve the controllability of the prescription of the medical unit, thereby improving the effective utilization of medical resources and making it more applicable.
  • 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 method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing 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-mentioned medication monitoring unit is used for a client and / or human-computer interaction device that monitors medication for various medical units, and no limitation is made here.
  • the terminal device will be taken as an example for description below.
  • FIG. 1 is a schematic flowchart of a data processing method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application.
  • the method for controlling the cost of traditional Chinese medicine prescription drugs 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 S14.
  • 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.
  • any medical unit may be monitored by the medication monitoring unit, so the selected monitoring object may be the medical unit to be monitored.
  • 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 cost of a single type of single type of medicine for any kind of Chinese medicine decoction included in any Chinese medicine prescription (referred to as a single side for convenience of description) based on the above-mentioned various forms of Chinese medicine prescriptions. Evaluate the use of Chinese herbal medicines in medical units based on the average daily cost of a single type of single medicine of any Chinese herbal medicines based on any Chinese medicine prescription.
  • the medical unit Based on the daily average cost of a single type of single-piece medicine of any one of the traditional Chinese medicine decoctions included in the prescription, the medical unit evaluates the use of traditional Chinese medicine decoction pieces with a finer particle size and stricter and more effective drug monitoring.
  • the daily average cost of any kind (ie single type) of Chinese herbal medicines included in a single prescription of traditional Chinese medicine as an example for explanation, hereafter referred to as the daily average cost of a single single type of medicine.
  • 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, the way of using the medicine (or the way of taking the medicine) Etc.) and the number of days the drug is used, which can be determined according to the actual application scenario, without limitation.
  • 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 traditional Chinese medicine decoction drug 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 the medicine is used.
  • 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.
  • the total drug cost of any one of the traditional Chinese medicine decoctions in the single Chinese medicine prescription 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 medicine cost of any one of the above-mentioned Chinese medicine decoctions included in each dose of Chinese medicine decoction is the product of the unit price of the Chinese medicine decoction in the Chinese medicine decoction and the dose of the Chinese medicine decoction in a single Chinese medicine decoction.
  • 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 (1):
  • the total drug cost of the single-party single-type traditional Chinese medicine pieces is the cumulative value of the single-type traditional Chinese medicine pieces included in each dose of the single-piece traditional Chinese medicine pieces.
  • 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 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 a single type of medicine corresponding to various Chinese medicine pieces, that is, the single party corresponding to various Chinese medicine pieces The daily average cost threshold for various types of medicines, etc.
  • 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 for a single type of single medicine can be set higher, namely 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, which can then be based on The above-mentioned determined number of over-standard TCM decoctions in the TCM prescriptions of the medical unit to be monitored is combined with the over-standard TCM decoction threshold corresponding to the medical unit to be monitored to determine whether the medical cost of the TCM decoctions of the medical unit exceeds the standard.
  • the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is greater than its corresponding over-standard TCM decoction threshold value, it can be determined that the medication of the TCM decoction piece in the medical unit to be monitored is over-standard, that is, the medication cost of the medical unit to be monitored exceeds the standard.
  • the daily average cost of one or more types of traditional Chinese medicine decoction pieces of the medical unit to be monitored is greater than that of various types of traditional Chinese medicines
  • the daily average cost threshold of the unilateral single type of medicine corresponding to the piece of decoction can be determined, the daily average cost of the unilateral single type of medicine of the above various types of Chinese medicine decoction exceeds the corresponding daily average cost threshold of the unilateral single type of medicine. Average cost difference.
  • the daily average cost of the unilateral single-type medicines of the above-mentioned various types of Chinese herbal medicines and / or the daily average cost difference of the unilateral single-type medicines corresponding to various types of Chinese herbal medicine pieces can be published .
  • the physician of the medical unit to be monitored controls the prescribing of various types of Chinese herbal medicines in the prescription of traditional Chinese medicine to avoid the medical unit to be monitored.
  • the single-party single-type medicine can also be publicized on the information announcement interface of each department of the medical unit to be monitored, and / or The homepage of the prescribing tool of each doctor in the monitoring medical unit is publicized on the front page, which can be determined according to the actual application scenario, and is not limited here.
  • the medicine monitoring operation of the Chinese medicine prescription of each medical unit is simple, which can improve the accuracy of the medicine monitoring of the Chinese medicine prescription of the medical unit, improve the reliability of the medicine monitoring of the medical unit, and thus can improve
  • the reliability of the risk control of the drug cost exceeding the standard for the prescription of each medical unit's prescriptions for the daily average cost of the single-party single-type drugs is exceeded for each medical unit's prescription
  • the reliability of the prescribing medicine for the Chinese medicine prescription of the medical unit is improved Control, which can improve the effective utilization of medical resources and have greater applicability.
  • FIG. 2 is another schematic flowchart of a data processing-based method for controlling the cost of traditional Chinese medicine prescription drugs provided by an embodiment of the present application.
  • the method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing provided by the embodiments of the present application can realize the monitoring of the medication situation of the medical unit to be monitored in a single assessment cycle.
  • the method can be implemented by the following steps S21 to S26 Be explained.
  • 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.
  • the unilateral single-type drug day of each TCM decoction 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 meets the following formula (4):
  • 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 Chinese herbal medicine prescriptions of any one of the above-mentioned traditional Chinese medicine pieces in the single assessment 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 specific implementation method for determining whether the drug cost of the medical unit to be monitored exceeds the standard according to the daily average cost of the single-party single-type drugs of the medical unit to be monitored and the threshold of the drug standard corresponding to the medical unit to be monitored can be found in the above The implementation provided by step S13 in the embodiment will not be repeated here.
  • 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 of the assessment index determined by the information can determine whether the medical cost of the medical unit exceeds the standard. For the implementation, see the implementation provided by step S13 in the above embodiment And will not be repeated here.
  • the average daily cost of the unilateral single type of medicine in the traditional Chinese medicine prescription of the medical unit to be monitored is publicized to achieve the risk control of over-standard drug cost for the prescription medicine of the Chinese medicine prescription of the medical unit to be monitored. For details, see the implementation provided in step S14 in the above embodiment The method will not be repeated here.
  • the medical expense reimbursement request for the Chinese medicine decoctions submitted by the medical unit to be monitored may also be received or
  • the assessment standard for the daily average cost of the unilateral and single-type drugs of the traditional Chinese medicine decoction pieces of the medical unit to be monitored can be implemented by rejecting the medical expense reimbursement request or the drug cost claim request of the medical unit to be monitored.
  • the punishment is to control the medical unit's risk of prescribing the cost of prescription medicine for the medical unit.
  • the medical unit may receive the medical expense reimbursement and / or request for that day as reported by the medical unit. The medical unit reported that the reimbursement of all prescription drugs for that day failed.
  • the terminal device receives the reimbursement of the prescription drug cost of the day reported by the medical unit and / Or when requesting a claim, the medical unit may be fed back the day ’s prescription drug cost to refuse reimbursement or claim, and then the medical unit may be prompted to self-control the daily average cost of the unilateral single type of medicine in the prescription of traditional Chinese medicine decoction in order to achieve The prescription risk control of the medical unit's drug cost exceeding the standard.
  • the terminal device can calculate the daily average cost of the unilateral single type of medicine for various Chinese herbal medicines in the traditional Chinese medicine prescription of the medical unit to be monitored and its corresponding daily average cost threshold of the unilateral single type of medicine The difference.
  • the terminal device When the terminal device receives the medical expense reimbursement and / or claim request from the medical unit to be monitored, the daily average cost and the unilateral single type of medicine for each kind of Chinese medicine decoction in the traditional Chinese medicine prescription of the medical unit to be monitored.
  • the unit carries out prescription risk control for the cost of traditional Chinese medicine decoction pieces exceeding the standard.
  • the terminal device when the terminal device determines that the medical cost of a variety of traditional Chinese medicine decoctions in a certain prescription period (such as a day or a week, etc.) of the medical unit to be monitored exceeds the standard, for example, the medical to be monitored
  • the daily average cost of a single type of single medicine for a variety of Chinese herbal medicines in a unit ’s prescription is greater than the daily average cost threshold for a single type of medicine corresponding to a variety of Chinese herbal medicines
  • the terminal device can The evaluation cycle (the daily average cost of a single single type of medicine for multiple Chinese herbal medicines in a single day prescription exceeds a certain day, such as Monday) after the next evaluation cycle (the daily average cost of a single single type of medicine for multiple Chinese herbal medicines in a single day prescription At the beginning of the second day of the overdue day, for example, on Tuesday), the daily average cost overdose report for the single-party single-type medicines of multiple Chinese herbal medicines in the Chinese medicine prescription of
  • the report on the daily average cost of the single party and single type of medicine is used to remind the medical unit to be monitored that the Chinese medicine decoction exceeds the standard in the evaluation cycle, and can remind the medical unit to be monitored if it continues in the next evaluation cycle or within a specified time If there are still multiple types of TCM decoction pieces that exceed the daily average daily cost for multiple types of TCM decoction pieces in multiple assessment cycles, the medical unit to be monitored will be penalized for the over-the-counter average daily cost of the TCM decoction single type and single type medicines.
  • the above-mentioned penalties include the refusal of reimbursement or claims for all the medical expenses corresponding to the daily average cost of the unilateral single type medicines of the Chinese medicine decoction pieces of the medical unit to be monitored, or the unilateral single type medicines of the traditional Chinese medicine decoction pieces of the medical unit to be monitored.
  • the part of the drug cost corresponding to the average cost exceeding the standard refuses to be reimbursed or settled.
  • the above-mentioned daily average cost report of the single-party single-type drugs is used to prompt the medical unit to be monitored to self-control the daily average cost of the single-party single-type drugs of various Chinese herbal medicines in the prescriptions of traditional Chinese medicines, so as to realize that the medical cost of the medical unit to be monitored exceeds the standard Risk control.
  • the embodiments of the present application can improve the medication controllability of the prescription of the medical unit, thereby improving the effective utilization rate of medical resources and having greater applicability.
  • FIG. 3 is a schematic structural diagram of an embodiment of a data processing-based Chinese medicine prescription drug cost control device provided by an embodiment of the present application.
  • the device for controlling the cost of traditional Chinese medicine prescription drugs based on data processing provided by the embodiments of the present application 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 various Chinese medicine slices included in each piece of Chinese medicine slices of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit 31, and according to the medicine information of the Chinese medicine slices of the various Chinese medicine slices Determine the average daily cost of the single-party single-type drugs of the various Chinese herbal medicines.
  • the medication evaluation unit 33 is used to determine the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicine pieces determined by the drug information processing unit 32 and the medication standard threshold corresponding to the medical unit to be monitored Whether the drug cost of Chinese herbal decoction exceeds the standard;
  • the medication risk control unit 34 is used to determine the daily average value of the unilateral and single-type medicines of the various TCM decoctions determined by the drug information processing unit 32 when the drug evaluation unit 33 determines that the drug cost of the TCM decoctions of the medical unit to be monitored exceeds the standard Expenses:
  • the above-mentioned medical units to be monitored are subject to the risk control that the cost of Chinese herbal medicines exceeds the standard.
  • the above-mentioned medication risk control unit 34 is used to:
  • the difference between the daily average cost of the unilateral single-type drugs of the above-mentioned various Chinese herbal medicines and / or the average daily cost of the unilateral single-type medicines of the various traditional Chinese medicine slices determined by the above-mentioned pharmaceutical information processing unit Publicize, based on the publicized daily average cost of the above-mentioned various Chinese herbal medicines, and / or the difference between the above-mentioned medical expenses, prompt the above-mentioned medical unit to control the use of Chinese herbal medicines in the prescription of traditional Chinese medicines, so as to realize the prescription of Chinese medicines. Risk control of excessive costs; and / or
  • the above drug cost reimbursement request is rejected to realize the risk of exceeding the standard of the drug cost of the Chinese herbal medicines control.
  • 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 medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type drugs of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the medication evaluation unit 33 is further used to:
  • the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the above-mentioned various Chinese herbal medicine pieces determine the daily average cost threshold of the single-party single-type medicine corresponding to any of the above-mentioned Chinese herbal medicine pieces, of which, one The threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine;
  • 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 medication standard threshold corresponding to the medical unit to be monitored further includes an over-standard Chinese medicine decoction threshold; the medication evaluation unit 33 is used to:
  • the over-standard Chinese-medicine pieces of the above-mentioned various Chinese-medicine-pieces are determined.
  • Average cost threshold
  • the above-mentioned data processing-based Chinese medicine prescription drug cost control device may execute the implementation manners provided by the above steps in FIGS. 1 to 2 through various built-in functional modules.
  • the above-mentioned data processing-based Chinese medicine prescription drug cost control device may be the terminal device described in the foregoing embodiments, which is not limited herein.
  • the above-mentioned data acquisition unit 31 may be used to perform the acquisition of traditional Chinese medicine prescriptions of the medical unit to be monitored in the above steps and the information of traditional Chinese medicine pieces of various traditional Chinese medicine pieces in the traditional Chinese medicine prescription.
  • the above-mentioned medicine information processing unit 32 can be used to perform the processing of the medicine cost of various Chinese medicine decoctions included in the Chinese medicine prescription of the medical unit to be monitored in each of the above steps and the average daily cost of the unilateral single-type medicines of various Chinese medicine decoctions in a single evaluation period
  • specific implementation methods please refer to the implementation methods provided in the above steps, which will not be repeated here.
  • the above-mentioned medication evaluation unit 33 may be used to execute the above-mentioned various steps to determine the unilateral single-type medicines of various Chinese herbal medicines in the traditional Chinese medicine prescription of the medical unit to be monitored based on the unit attribute information of the medical unit to be monitored and / or the quantity information of the medicines of various Chinese medicine pieces Thresholds for evaluation indicators such as daily average cost caps and other monitoring methods, as well as implementation methods for judging whether the cost of traditional Chinese medicine prescriptions of the medical units to be monitored exceeds the standard based on the daily average cost of each type of single-piece and single-type drugs in the traditional Chinese medicine prescriptions of the medical units to be monitored For details, please refer to the implementation provided by the above steps, which will not be repeated here.
  • the above-mentioned medication risk control unit 34 may be used to implement the above-mentioned risk control methods such as the risk control of excessive consumption of TCM decoction pieces based on the medication situation of the medical unit to be monitored in the above steps.
  • risk control methods such as the risk control of excessive consumption of TCM decoction pieces based on the medication situation of the medical unit to be monitored in the above steps.
  • the above-mentioned medication monitoring device can improve the medication controllability of the prescription of the medical unit, thereby improving the effective utilization rate of medical resources and having greater applicability.
  • 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 and a memory 402.
  • the processor 401 and the memory 402 are connected via a bus 403.
  • the memory 402 is used to store a computer program, and the computer program includes program instructions, and the processor 401 is 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.
  • the risk of the traditional Chinese medicine decoction drug cost exceeding the standard will be controlled for the medical unit to be monitored based on the daily average cost of the unilateral single-type drugs of the various Chinese medicine decoction pieces.
  • the foregoing processor 401 is configured to:
  • the daily average cost and / or the difference between the above-mentioned drug costs of various Chinese herbal medicines and various Chinese herbal medicines prompts the above-mentioned medical unit to control the use of Chinese herbal medicines in the prescription of Chinese herbal medicines, so as to realize the risk control of excessive medical expenses of Chinese herbal medicines in Chinese medicine prescriptions; and / or
  • the above drug cost reimbursement request is rejected to realize the risk of exceeding the standard of the drug cost of the Chinese herbal medicines control.
  • the foregoing processor 401 is configured 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 medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type medicines of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the processor 401 is further used to:
  • the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the above-mentioned various Chinese herbal medicine pieces determine the daily average cost threshold of the single-party single-type medicine corresponding to any of the above-mentioned Chinese herbal medicine pieces, of which, one The threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine;
  • 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 medication standard threshold corresponding to the medical unit to be monitored further includes an over-standard threshold of Chinese herbal medicine slices; the processor 401 is used to:
  • the over-standard Chinese-medicine pieces of the above-mentioned various Chinese-medicine-pieces are determined.
  • Average cost threshold
  • 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. 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.
  • 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.
  • the implementation manners provided by the above steps And will not be repeated here.
  • the terminal device publicizes the prescription of the traditional Chinese medicine of each medical unit based on the medication situation of each medical unit, and / or the reimbursement of the drug cost corresponding to the daily average cost of the unilateral single type of drug that rejects the traditional Chinese medicine decoction and the standard
  • the reliability of the risk control of excessive drug use such as claims or claims can improve the controllability of the medication prescribed by the medical unit, which can increase the effective utilization of medical resources and have greater applicability.
  • 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 method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing please refer to the implementation provided in the above steps for details, which will not be repeated here.
  • the above-mentioned computer-readable storage medium may be the data processing-based Chinese medicine prescription drug cost control device provided in any of the foregoing embodiments or the internal storage unit of the above-mentioned 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

Disclosed are a data-processing-based drug cost control method and apparatus for a traditional Chinese medicine prescription. The method comprises: acquiring a traditional Chinese medicine prescription of a medical unit to be monitored (S11), wherein the traditional Chinese medicine prescription comprises at least one dose of traditional Chinese medicine decoction pieces, and one dose of traditional Chinese medicine decoction pieces comprises at least one kinds of traditional Chinese medicine decoction pieces; acquiring drug information of various kinds of traditional Chinese medicine decoction pieces comprised in each dose of traditional Chinese medicine decoction pieces of the traditional Chinese medicine prescription, and determining an average daily cost of a single kind of drugs in a single prescription of the various kinds of traditional Chinese medicine decoction pieces according to the drug information of the various kinds of traditional Chinese medicine decoction pieces (S12); according to the average daily cost of a single kind of drugs in a single prescription of the various kinds of traditional Chinese medicine decoction pieces, determining whether a drug cost of the traditional Chinese medicine decoction pieces of the medical unit to be monitored exceeds a standard (S13); and if so, controlling a drug cost over-standard risk of the traditional Chinese medicine decoction pieces on the basis of the average daily cost of a single kind of drugs in a single prescription (S14). Using the solution can improve the accuracy of drug use monitoring on a traditional Chinese medicine decoction piece of a medical unit and improve the reliability of drug use monitoring on the medical unit, and the solution is of great applicability.

Description

基于数据处理的中药处方药品费用控制方法及装置Chinese medicine prescription drug cost control method and device based on data processing
本申请要求于2018年10月22日提交中国专利局、申请号为201811232979.X、申请名称为“基于数据处理的中药处方药品费用控制方法及装置”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application requires the priority of the Chinese patent application submitted to the China Patent Office on October 22, 2018, with the application number 201811232979.X and the application name "Data processing-based traditional Chinese medicine prescription drug cost control method and device", all of its content Incorporated by reference in this application.
技术领域Technical field
本申请涉及医疗技术领域,尤其涉及一种基于数据处理的中药处方药品费用控制方法及装置。The present application relates to the medical technology field, and in particular to a data processing method and device for controlling the cost of traditional Chinese medicine prescription drugs.
背景技术Background technique
当前为了规范各个医疗单位的用药标准,规避大处方行为,从而避免药品的滥用和浪费,起到合理施治的目的,各式各样的用药监控机制应运而生。各式各样的用药监控机制用于对各个医疗单位进行用药监控,包括但不限于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表)进行用药监控。At present, in order to standardize the medication standards of various medical units, circumvent large prescriptions, thereby avoiding the abuse and waste of drugs, and serve the purpose of reasonable treatment, various medication monitoring mechanisms have emerged. 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.
现有技术中,对于各个医疗单位的用药标准的评价主要是采用次均中药处方标准,也就是将每个中药处方的中药饮片日均费用(简称次均中药处方费用)作为各个医疗单位的用药评价标准。其中,上述次均中药处方费用的用药评价标准是采用处方总额除以处方数量的计算方式来计算得到。现有技术采用次均中药处方费用作为各个医疗单位的中药处方的用药评价标准导致各个医疗单位为了规避大处方行为被考核,通常会采用缩减处方天数来减低次均中药处方费用,或者通过分解处方的方式将单个处方总额较大的大处方分解为多个单个处方总额较小的小处方等方式来降低次均中药处方费用,从而规避大处方的监控。现有技术的用药评价方式使得各个医疗单位的用药监控的漏洞较大,对各个医疗单位的用药评价的准确率低,适用性弱。In the prior art, 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. Among them, 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. Usually, 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.
发明内容Summary of the invention
本申请实施例提供一种基于数据处理的中药处方药品费用控制方法及装置,操作简单,可提高对医疗单位的中药处方的用药监控精度,提高对医疗单位的用药监控的可靠性,适用性更强。The embodiments of the present application provide a data processing method and device for controlling the cost of traditional Chinese medicine prescription drugs based on data processing. 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 use monitoring of medical units, and have more applicability. Strong.
第一方面,本申请实施例提供了一种基于数据处理的中药处方药品费用控制方法,该方法包括:In a first aspect, an embodiment of the present application provides a data processing-based method for controlling the cost of prescription drugs for traditional Chinese medicine. The method includes:
获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;Obtaining a prescription of traditional Chinese medicine for the medical unit to be monitored. 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.
获取上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据上述各种中药饮片的中药饮片药品信息确定上述各种中药饮片的单方单种类药品日均费用;Obtain the information of the Chinese herbal medicines of various Chinese herbal medicines included in the various Chinese herbal medicines of the above-mentioned Chinese medicine prescriptions, and determine the average daily cost of the single Chinese medicines of the various Chinese herbal medicines based on the information of the Chinese herbal medicines of the various Chinese herbal medicines;
根据上述各种中药饮片的单方单种类药品日均费用和上述待监控医疗单位对应的用药标准阈值,确定上述待监控医疗单位的中药饮片的药品费用是否超标;According to the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicines and the threshold of the medication standard corresponding to the above-mentioned medical unit to be monitored, determine whether the medical expenses of the traditional Chinese medicines of the above-mentioned medical unit exceed the standard;
若上述待监控医疗单位的中药饮片的药品费用超标,则基于上述各种中药饮片的单方单种类药品日均费用对上述待监控医疗单位进行中药饮片药品费用超标的风险控制。If the medicine cost of the traditional Chinese medicine decoction pieces in the medical unit to be monitored exceeds the standard, the risk of the traditional Chinese medicine decoction drug cost exceeding the standard will be controlled for the medical unit to be monitored based on the daily average cost of the unilateral single-type drugs of the various Chinese medicine decoction pieces.
第二方面,本申请实施例提供了一种基于数据处理的中药处方药品费用控制装置,该装置包括:In a second aspect, an embodiment of the present application provides a data processing-based Chinese medicine prescription drug cost control device, which includes:
数据获取单元,用于获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;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;
药品信息处理单元,用于获取上述数据获取单元获取的上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用;The medicine information processing unit is used to obtain the medicine information of various Chinese medicine slices included in each piece of Chinese medicine slices of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit, and determine the location based on the medicine information of the Chinese medicine slices of the various Chinese medicine slices Describe the average daily cost of single-party single-type drugs for various Chinese herbal medicines;
用药评价单元,用于根据上述药品信息处理单元确定的上述各种中药饮片的单方单种类药品日均费用,和所述待监控医疗单位对应的用药标准阈值确定所述待监控医疗单位的中药饮片的药品费用是否超标;The medication evaluation unit is used to determine the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicines determined by the above-mentioned medical information processing unit, and the threshold of the medication standard corresponding to the medical unit to be monitored Whether the cost of medicine exceeds the standard;
用药风险控制单元,用于在上述用药评价单元确定上述待监控医疗单位的中药饮片的药品费用超标时,基于上述药品信息处理单元确定的上述各种中药饮片的单方单种类药品日均费用对上述待监控医疗单位进行中药饮片药品费用超标的风险控制。The medication risk control unit is used to determine the daily average cost of the unilateral and single-type medicines of the various herbal medicine pieces determined by the pharmaceutical information processing unit when the medication evaluation unit determines that the medicine cost of the herbal medicine pieces of the medical unit to be monitored exceeds the standard. The medical unit to be monitored carries out the risk control of exceeding the cost of Chinese herbal medicines.
第三方面,本申请实施例提供了一种终端设备,该终端设备包括处理器和存储器,该处理器和存储器相互连接。该存储器用于存储支持该终端设备执行上述第一方面和/或第一方面任一种可能的实现方式提供的方法的计算机程序,该计算机程序包括程序指令,该处理器被配置用于调用上述程序指令,执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。In a third aspect, an embodiment of the present application provides a terminal device. The terminal device includes a processor and a memory, and the processor and the memory are connected to each other. The memory is used to store a computer program that supports the terminal device to execute 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 processor is configured to call the foregoing Program instructions to execute the method provided in the first aspect and / or any possible implementation manner of the first aspect.
第四方面,本申请实施例提供了一种计算机可读存储介质,该计算机可读存储介质存储有计算机程序,该计算机程序包括程序指令,该程序指令当被处理器执行时使该处理器执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。According to a fourth aspect, 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.
基于本申请实施例提供的方法实现对各医疗单位的用药监控操作简单,可提高对医疗单位的用药监控的准确性,提高对医疗单位的用药监控的可靠性,提高医疗资源的有效利用率,适用性更强。Based on the method provided by the embodiments of the present application, the operation of monitoring the medication use of each medical unit is simple, which can improve the accuracy of the medication monitoring of the medical unit, improve the reliability of the medication monitoring of the medical unit, and increase the effective utilization of medical resources. More applicable.
附图说明BRIEF DESCRIPTION
图1是本申请实施例提供的基于数据处理的中药处方药品费用控制方法的一流程示意图;FIG. 1 is a schematic flow chart of a method for controlling cost of traditional Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
图2是本申请实施例提供的基于数据处理的中药处方药品费用控制方法的另一流程示意图;FIG. 2 is another schematic flowchart of a data processing-based method for controlling cost of prescription drugs of traditional Chinese medicine provided by an embodiment of the present application;
图3是本申请实施例提供的基于数据处理的中药处方药品费用控制装置的实施例结构示意图;FIG. 3 is a schematic structural diagram of an embodiment of a data processing-based Chinese medicine prescription drug cost control device provided by an embodiment of the present application;
图4是本申请实施例提供的终端设备的实施例结构示意图。4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
具体实施方式detailed description
本申请实施例提供了一种基于数据处理的中药处方药品费用控制方法,可基于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表(或称团队))的单方单种类药品日均费用(即单个中药处方中所包括的各种类中药饮片中单个种类的中药饮片的药品日均费用)来评价各个医疗单位(包括医院、科室、诊所或者医师)的中药处方的药品费用是否超标(或称合理)。基于医疗单位的中药处方的中药饮片的药品费用情况对医疗单位的处方进行各种类的中药饮片的单方单种类药品日均费用的中药饮片药品费用超标的公示,和/或拒绝单方单种类药品日均费用超标对应的中药饮片药品费用报销等中药处方的中药饮片药品费用超标风险控制,以避免医疗资源的浪费。为方便描述,上述各个医院、各个医院的科室、各个诊所乃至各个医师等等医疗单位或者医疗单位的代表所表示的考核维度将以医疗单位的这个考核维度为例进行说明,下面不再赘述。The embodiments of the present application provide a data processing method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing, which can be based on the medical units (or representatives (or teams) of medical units) of various hospitals, departments of various hospitals, various clinics and even various physicians. Unilateral single-type daily drug cost (i.e. the average daily cost of a single type of Chinese herbal medicine in various types of Chinese herbal medicines included in a single Chinese medicine prescription) to evaluate the Chinese medicine of each medical unit (including hospitals, departments, clinics or physicians) Whether the cost of prescription drugs exceeds the standard (or reasonable). Based on the medical costs of Chinese herbal medicines based on the Chinese medicine prescription of the medical unit, the medical unit's prescriptions will be publicized for the unilateral single-type medicines of various types of Chinese herbal medicines and the daily average cost of the Chinese herbal medicines will exceed the standard, and / or the single-party single-type medicines will be rejected The risk of excessive Chinese medicine decoction medicine cost exceeding the standard of the Chinese medicine decoction medicine cost reimbursement corresponding to the daily average cost exceeds the risk control to avoid the waste of medical resources. For the convenience of description, 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.
本申请实施例所提供的中药处方可包括各个医疗单位的各个医师针对各个病患的病症所开具的处方,或称各个医师针对各个病患的病症所开具的药方,或称处方笺等,在此不做限制。为方便描述,下面将以处方为例进行说明。通常来讲,各个医疗单位的各个医师 所开具的处方中可包括但不限于处方开具时间、处方编号、科室编号、病患个人信息、中药饮片的药品详情以及医师签字,具体可根据实际应用场景确定,在此不做限制。换句话说,无论是单个处方总额较大的大处方,还是单个处方总额较小的小处方,或者其他更多表现形式的处方,每个处方中均会有各个种类的中药饮片的药品详情,包括但不限于中药饮片的名称、中药饮片的费用、中药饮片的使用方式以及中药饮片的药品使用天数等。因此无论是大处方还是小处方还是其他,均离不开中药饮片的药品详情。因此,基于各个医疗单位的单方单种类药品日均费用实现对各个医疗单位的中药处方的药品费用是否超标进行评价从而实现对各个医疗单位的用药监控,操作简单并且可更好地、更加全面地覆盖到对医疗单位的各个中药处方的用药监控。同时基于医疗单位的单方单种类药品日均费用实现对各个医疗单位的用药监控更加准确到位,从而可提高对各个医疗单位的用药监控的准确率。基于各个医疗单位的中药处方中中药饮片的药品费用情况对各个医疗单位的中药处方进行单方单种类药品日均费用超标的公示、和/或拒绝单方单种类药品日均费用超标对应的药品费用报销等中药处方的中药饮片药品费用超标的风险控制的可靠性,可提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更高。The prescriptions for traditional Chinese medicine provided in the embodiments of the present application may include prescriptions made by various doctors of various medical units for the conditions of various patients, or prescriptions prescribed by various doctors for the conditions of various patients, or prescription papers, etc., There are no restrictions. 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. In other words, whether it is a large prescription with a large total prescription, a small prescription with a small total prescription, or other prescriptions with more manifestations, each prescription will have various types of medicine details of Chinese herbal medicines. Including but not limited to the name of Chinese herbal medicines, the cost of Chinese herbal medicines, the use of Chinese herbal medicines, and the number of days of Chinese herbal medicines used. 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. Therefore, based on the daily average cost of each medical unit's unilateral single type of drugs, it is possible to evaluate whether the medical cost of the traditional Chinese medicine prescription of each medical unit exceeds the standard, so as to realize the monitoring of the drug use of each medical unit. The operation is simple and can be better and more comprehensive. Covers the monitoring of the use of various Chinese medicine prescriptions in medical units. At the same time, 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. Based on the medical expenses of Chinese medicine prescriptions of each medical unit, the Chinese medicine prescriptions of each medical unit shall be publicized for the daily average cost of unilateral single type drugs, and / or the medical expenses corresponding to the daily average cost of unilateral single type drugs shall be rejected The reliability of the risk control of Chinese medicine decoction pieces with over-the-counter prescriptions for traditional Chinese medicine prescriptions can improve the controllability of the prescription of the medical unit, thereby improving the effective utilization of medical resources and making it more applicable.
这里,中药饮片是中药材经过按中医药理论、中药炮制方法,经过加工炮制后的可直接用于中医临床的中药。由此表明,中药材、中药饮片并没有绝对的界限,中药饮片包括了部分经产地加工的中药切片,原形药材饮片以及经过切制、炮炙的饮片。为方便描述,下面将以中药饮片为例进行说明。Here, 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. This shows that there is no absolute boundary between Chinese medicinal materials and Chinese herbal decoctions. 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.
常见的中药饮片的品种包括但不限于:1、干姜;2、炮姜;3、姜炭;4、大黄;5、酒大黄;6、熟大黄;7、大黄炭;8、栀子;9、焦栀子;10、炒栀子;11、黄芪;12、炙黄芪;13、黄连;14、酒黄连;15、姜黄连;16、萸黄连;17、麻黄;18、炙麻黄;19、丹参;20、酒丹参;21、何首乌;22、制何首乌;23、甘草;24、炙甘草;25、石膏;26、煅石膏;27、白术;28、炒白术;29、焦白术;30、赤芍;31、白芍;32、炒白芍;33、酒白芍;34、生地黄;35、熟地黄;36、当归;37、酒当归;38、槟榔;39、焦槟榔;40、延胡索;41、醋延胡索;42、槐花;43、槐花炭;44、黄芩;45、酒黄芩;46、三七粉;47、红参;48、冰片;49、红粉;50、轻粉;51、玄明粉;52、芒硝;53、青黛;54、滑石粉;55、赭石;56、煅赭石;57、芦荟;58、儿茶;59、制川乌;60、制草乌;61、黑顺片;62、白附片;63、淡附片;64、炮附片;65、巴豆霜;66、千金子霜;67、马钱子粉;68、米斑蝥;69、朱砂;70、雄黄;71、炒谷芽;72、煅牡蛎;73、炒稻芽;74、醋香附;75、醋柴胡;76、酒肉苁蓉;77、煅龙齿;78、煅石决明;79、醋龟甲;80、焦六神曲。上述中药饮片仅是示例,并非穷举,具体可根据实际应用场景需求确定,在此不做限制。Common varieties of Chinese herbal medicines include but are not limited to: 1, dried ginger; 2, gun ginger; 3, ginger charcoal; 4, rhubarb; 5, wine rhubarb; 6, cooked rhubarb; 7, rhubarb charcoal; 8, gardenia; 9. Jiao Gardenia; 10. Fried Gardenia; 11. Astragalus; 12. Roasted Astragalus; 13, Coptis chinensis; 14, Wine Coptis chinensis; 15, Turmeric Coptis; 16, Cornus Coptidis; 17, Ephedra; 18, Roasted Ephedra; 19 , Salvia; 20, wine salvia; 21, Polygonum multiflorum; 22, prepared Polygonum multiflorum; 23, licorice; 24, licorice; 25, gypsum; 26, calcined gypsum; 27, Atractylodes; 28, fried Atractylodes; 29, burned Atractylodes; 30 , Red peony; 31, white peony; 32, fried white peony; 33, wine white peony; 34, raw rehmannia glutinosa; 35, cooked rehmannia glutinosa; 36, angelica; 37, wine angelica; 38, betel nut; 39, Jiao betel nut; 40 , Yanhusuo; 41, vinegar yanhusuo; 42, Huaihua; 43, Huaihua charcoal; 44, Scutellaria; 45, Scutellaria baicalensis; 46, Panax notoginseng powder; 47, red ginseng; 48, borneol; 49, red powder; 50, light Powder; 51, Xuanming powder; 52, thenardite; 53, Qingdai; 54, talc powder; 55, ocher; 56, calcined ocher; 57, aloe vera; 58, catechin; 59, Chuanwu; 60, Caowu; 61. Hei Shun ; 62, white attached tablets; 63, light attached tablets; 64, gun attached tablets; 65, croton cream; 66, Qianjin cream; 67, horse mackerel powder; 68, rice cantharidin; 69, cinnabar; 70, realgar; 71, fried grain buds; 72, calcined oysters; 73, fried rice buds; 74, vinegar incense; 75, vinegar Bupleurum; 76, wine cistanche; 77, calcined dragon teeth; 78, calcined cassia; 79, vinegar Tortoiseshell; 80, Jiao Liushenqu. 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.
本申请实施例提供的基于数据处理的中药处方药品费用控制方法可由药品监督管理局、卫生委员会、卫生与健康委员会以及医疗理赔单位等用药监控单位所关联的终端设备执行。例如上述用药监控单位用于对各个医疗单位进行用药监控的客户端和/或人机交互设备等,在此不做限制。为方便描述,下面将以终端设备为例进行说明。The method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing provided by the embodiments of the present application 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. For example, the above-mentioned medication monitoring unit is used for a client and / or human-computer interaction device that monitors medication for various medical units, and no limitation is made here. For convenience of description, the terminal device will be taken as an example for description below.
实施例一:Example one:
参见图1,图1是本申请实施例提供的基于数据处理的中药处方药品费用控制方法的一流程示意图。本申请实施例提供的基于数据处理的中药处方药品费用控制方法,可通过如下步骤S11至S14中各个步骤所提供的实现方式进行说明。Referring to FIG. 1, FIG. 1 is a schematic flowchart of a data processing method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application. The method for controlling the cost of traditional Chinese medicine prescription drugs 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 S14.
S11,获取待监控医疗单位的中药处方。S11. Obtain the Chinese medicine prescription of the medical unit to be monitored.
在一些可行的实施方式中,上述待监控医疗单位可为用药监控单位所监控的任一医疗单位,具体可根据实际应用场景确定,在此不做限制。换句话说,任一医疗单位都可能被 用药监控单位作为监控对象,因此被选中的监控对象则可为待监控医疗单位。为方便描述,下面将以待监控医疗单位为例进行说明。In some feasible implementation manners, 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. In other words, any medical unit may be monitored by the medication monitoring unit, so the selected monitoring object may be the medical unit to be monitored. For convenience of description, the medical unit to be monitored will be described as an example below.
在一些可行的实施方式中,上述医疗单位的中药处方可包括待监控医疗单位的任意一个中药处方,也可以是待监控医疗单位在任一日的单日时间内所产生的所有中药处方(即多个中药处方)。其中,上述所有中药处方包括但不限于单日时间内医院的所有科室所有医师所开具的所有中药处方、单日时间内医院的某一个科室的所有医师所开具的所有中药处方,或者单日时间内医院的某一个科室的某一个医师所开具的所有中药处方中的任一种情况。其中,上述中药处方所表示的具体情况根据实际应用场景中对医疗单位进行用药评价的考核维度确定,在此不做限制。本申请实施例提供的方法可基于上述各种表现形式的中药处方计算任一中药处方(为方便描述可简称单方)中所包括的任一种中药饮片的单方单种类药品日均费用,进而可基于任一中药处方的任一种中药饮片的单方单种类药品日均费用对医疗单位的中药饮片的用药情况进行评价。基于单方中所包括的任一种中药饮片的单方单种类药品日均费用对医疗单位进行中药饮片的用药情况评价,粒度更细,用药监控更加严格有效。为方便描述,下面将以单个中药处方所包括的任一种(即单种类)中药饮片的药品日均费用为例进行说明,以下简称单方单种类药品日均费用。In some feasible implementation manners, 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). Among them, 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. Among them, 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 cost of a single type of single type of medicine for any kind of Chinese medicine decoction included in any Chinese medicine prescription (referred to as a single side for convenience of description) based on the above-mentioned various forms of Chinese medicine prescriptions. Evaluate the use of Chinese herbal medicines in medical units based on the average daily cost of a single type of single medicine of any Chinese herbal medicines based on any Chinese medicine prescription. Based on the daily average cost of a single type of single-piece medicine of any one of the traditional Chinese medicine decoctions included in the prescription, the medical unit evaluates the use of traditional Chinese medicine decoction pieces with a finer particle size and stricter and more effective drug monitoring. For convenience of description, the following will take the daily average cost of any kind (ie single type) of Chinese herbal medicines included in a single prescription of traditional Chinese medicine as an example for explanation, hereafter referred to as the daily average cost of a single single type of medicine.
通俗来讲,针对中药饮片的中药处方(为方便描述可简称处方)来说,一个处方可以包括一剂或者多剂中药饮片,其中每剂药中药饮片中可包括一个或者多个品种(或称种类,或者种)的中药饮片。换句话说,就是一个处方上可以包括一剂或者多剂的中药饮片,其中每剂中药饮片中包括一个或者多个品种的中药饮片,这多个品种的中药饮片中每个品种的中药饮片都有各自的单价,并且该在处方中均有各自的剂量。一剂中药饮片中的所有品种的中药饮片混合在一起使用,一剂中药饮片中所有品种的中药饮片的服用方式是混合之后一起放入砂锅或者搪瓷盘进行煎煮,最后得到一碗药汤。因此,单个处方中所有中药饮片(也是任一种中药饮片)的药品使用天数就是该处方中每剂中药饮片的药品使用天数累加值,为方便描述也可称为药品使用总天数为例进行说明等。比如,单个处方中所包括的中药饮片有M剂,每剂中药饮片的使用天数是一天,则上述处方中所包括的中药饮片的药品使用总天数则为M(即M*1)天。换句话说,上述处方中所包括的各种中药饮片的药品使用总天数均为M天。Generally speaking, for the prescription of Chinese herbal medicine (referred to as a prescription for convenience), 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. In other words, a prescription can include one or more doses of Chinese medicine decoctions, each of which includes one or more varieties of Chinese medicine decoctions. There are respective unit prices, and each dose should be included in the prescription. 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. Therefore, the number of days of use of all Chinese herbal medicines in a single prescription (also any type of Chinese herbal medicines) 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.
在一些可行的实施方式中,终端设备可与待监控医疗单位的数据系统对接,获取待监控医疗单位的数据系统准入资格,进而可基于待监控医疗单位的数据系统准入资格从待监控医疗单位的数据系统中获取待监控医疗单位的中药处方。可选的,终端设备也可基于待监控医疗单位所提供了医疗理赔数据,从医疗理赔数据中筛选得到医疗单位的中药处方等处方数据。可选的,终端设备也可基于大数据分析,从各个医疗单位的病患就诊记录中筛选得到待监控医疗单位的中药处方等处方数据,等等。终端设备可基于上述数据获取方式之外的任一数据获取路径获取得到待监控医疗单位的中药处方,具体可根据实际应用场景确定,在此不做限制。In some feasible implementation manners, 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. Optionally, 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. Optionally, 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.
可以理解,这里待监控医疗单位的中药处方中任一中药处方上均可包括该中药处方中所开药品的药品详情,包括但不限于药品名称、药品费用,药品使用方式(或称药品服用方式等)以及药品使用天数,具体可根据实际应用场景确定,在此不做限制。It is understandable that 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, the way of using the medicine (or the way of taking the medicine) Etc.) and the number of days the drug is used, which can be determined according to the actual application scenario, without limitation.
S12,获取上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据上述各种中药饮片的中药饮片药品信息确定上述各种中药饮片的单方单种类药品日均费用。S12. Obtain the information of the Chinese herbal medicines of various Chinese herbal medicines included in the various Chinese herbal medicines of the above-mentioned Chinese medicine prescriptions, and determine the daily average cost of each type of single Chinese medicine of the above Chinese herbal medicines according to the information of the Chinese herbal medicines of the various Chinese medicines .
在一些可行的实施方式中,终端设备获取得到待监控医疗单位的中药处方(比如单个中药处方,或简称单方)之后,可获取上述单个中药处方中所包括的各剂中药饮片的中药 饮片药品信息,包括但不限于中药饮片的药品费用和药品使用天数。基于待监控医疗单位的单个中药处方可以获取上述单个中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定上述单个中药处方中任一种中药饮片在单个中药处方中的药品总费用。其中,在上述单个中药处方中任一种中药饮片的药品总费用是上述单个中药处方中一剂或者多剂中药饮片中各剂中药饮片所包括的上述任一种中药饮片的费用累加值。其中,每剂中药饮片中所包括的上述任一种中药饮片的药品费用是该剂中药饮片中该种中药饮片的单价与该种中药饮片在单剂中药饮片中的剂量的乘积。可选的,上述单种中药饮片在单个中药处方中的药品总费用为该种中药饮片的单价与该种中药饮片在单个中药处方中的剂量总和的乘积,具体可根据实际应用场景确定单个中药处方中单种类中药饮片的药品总费用,在此不做限制。In some feasible implementation manners, 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 traditional Chinese medicine decoction drug 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 the medicine is used. Based on the single Chinese medicine prescription of the medical unit to be monitored, 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. Wherein, the total drug cost of any one of the traditional Chinese medicine decoctions in the single Chinese medicine prescription 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. Wherein, the medicine cost of any one of the above-mentioned Chinese medicine decoctions included in each dose of Chinese medicine decoction is the product of the unit price of the Chinese medicine decoction in the Chinese medicine decoction and the dose of the Chinese medicine decoction in a single Chinese medicine decoction. Optionally, 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.
在一些可行的实施方式中,根据中药饮片中各剂中药饮片的药品使用天数可确定上述任一种中药饮片在单个中药处方中的药品使用总天数,根据上述任一种中药饮片在上述单个中药处方中的药品总费用和上述药品使用总天数可确定上述任一种中药饮片的单方单种类药品日均费用。上述单个中药处方任一种中药饮片的药品使用总天数为单个中药处方中一剂或者多剂中药饮片中各剂中药饮片的药品使用天数累加值,具体可参见上述步骤S11中所描述的实现方式,在此不做限制。待监控医疗单位的单个中药处方中单种类中药饮片的单方单种类药品日均费用表示待监控医疗单位单个中药处方中单种类中药饮片的每日平均药品费用,其中,上述单个中药处方中任一种中药饮片的单方单种类药品日均费用可基于如下公式(1)计算得到:In some feasible embodiments, 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. For details, please refer to the implementation described in step S11 above , No restrictions here. 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 (1):
公式(1):单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。Formula (1): the average daily cost of a single-party single-type medicine = the total cost of a single-party single-type Chinese herbal medicine / the total number of days a single-side single-type Chinese herbal medicine uses.
其中,上述公式(1)中,上述单方单种类中药饮片的药品总费用为单个中药处方中各剂中药饮片所包含的单种类中药饮片的费用累加值。上述单方单种类中药饮片的药品使用总天数指该中药处方中所包括的一剂或者多剂中药饮片中各剂中药饮片的使用天数的累加值。In the above formula (1), the total drug cost of the single-party single-type traditional Chinese medicine pieces is the cumulative value of the single-type traditional Chinese medicine pieces included in each dose of the single-piece traditional Chinese medicine pieces. 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.
S13,根据上述各种中药饮片的单方单种类药品日均费用和上述待监控医疗单位对应的用药标准阈值,确定上述待监控医疗单位的中药饮片的药品费用是否超标。S13. Determine whether the medicine cost of the Chinese medicine decoction piece of the medical unit to be monitored exceeds the standard according to the daily average cost of the single medicine of the various Chinese medicine decoction pieces and the threshold of the medication standard corresponding to the medical unit to be monitored.
在一些可行的实施方式中,针对不同种类的中药饮片对医疗单位进行药品费用监控时,可基于各个不同种类的中药饮片的药品类型、药品用途(例如药品所针对的疾病类型)、药品供应渠道或者药品来源等药品属性信息设定用于对不同种类中药饮片进行药品费用监控的考核指标阈值,例如各种中药饮片对应的单方单种类药品日均费用阈值,即各种中药饮片对应的单方单种类药品日均费用阈值等等。例如,基于各个不同种类的中药饮片所针对的疾病类型或者药品来源等药品特点,不同种类中药饮片对应的单方单种类药品日均费用可不尽相同。例如,对于药品来源比较困难或者所针对的疾病类型是特病等药品特点使得中药饮片成本价较高的中药饮片种类,则可将其单方单种类药品日均费用阈值设置得较高一些,即其对应的用药评价标准的考核指标阈值则可设定为较高的考核指标等等,具体可根据实际应用场景确定,在此不做限制。基于上述医疗单位的单个种类中药饮片的单方单种类药品日均费用,结合该种中药饮片对应的单方单种类药品日均费用阈值可确定该种中药饮片是否为超标中药饮片。换句话说,就是该种中药饮片的单方单种类药品日均费用是否大于其对应的单方单种类药品日均费用阈值。当该种中药饮片的单方单种类药品日均费用是否大于其对应的单方单种类药品日均费用阈值时,则可确定该种中药饮片为超标中药饮片,否则为非超标中药饮片。In some feasible implementations, 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 a single type of medicine corresponding to various Chinese medicine pieces, that is, the single party corresponding to various Chinese medicine pieces The daily average cost threshold for various types of medicines, etc. For example, based on the drug characteristics such as the disease type or drug source targeted by different types of traditional Chinese medicine decoctions, the daily average cost of a single type of single type of drugs corresponding to different types of traditional Chinese medicine decoctions may vary. For example, for the types of Chinese herbal medicines where the source of medicine is difficult or the disease type is special disease and other medicine characteristics make the cost of Chinese herbal medicines higher, then the daily average cost threshold for a single type of single medicine can be set higher, namely 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. Based on the daily average cost of a single type of Chinese herbal medicines in the above-mentioned medical unit, combined with the daily average cost threshold of a single type of Chinese medicine corresponding to the Chinese herbal medicines, it can be determined whether the Chinese herbal medicines are over-standard Chinese herbal medicines. In other words, it is whether the average daily cost of the single-party single-type medicine of this kind of Chinese herbal decoction is greater than its corresponding average daily cost threshold of the single-party single-type medicine. When the daily average cost of the unilateral single type medicine of this kind of traditional Chinese medicine decoction is greater than the corresponding daily average cost threshold of the corresponding unilateral single type of medicine, it can be determined that this kind of traditional Chinese medicine decoction is an over-standard traditional Chinese medicine decoction, otherwise it is a non-extra-standard Chinese traditional medicine decoction.
在一些可行的实施方式中,还可根据各个医疗单位的单位属性信息预先设定各个医疗 单位的中药饮片的用药监控标准和/或用药评价标准的考核指标阈值,例如超标中药饮片的数量达标上限,或称超标中药饮片阈值等。例如,针对待监控医疗单位进行中药饮片的用药监控时,可基于待监控医疗单位的历史用药记录或者药品使用政策等信息设定待监控医疗单位对应中药饮片用药的超标中药饮片阈值,进而可基于上述确定的待监控医疗单位的中药处方中超标中药饮片的数量,结合该待监控医疗单位对应的超标中药饮片阈值确定该医疗单位的中药饮片的药品费用是否超标。换句话说,就是该待监控医疗单位的中药处方中超标中药饮片的数量是否小于或者等于其对应的超标中药饮片阈值。若该待监控医疗单位的中药处方中超标中药饮片的数量小于或者等于其对应的超标中药饮片阈值,则可确定待监控医疗单位的中药饮片的用药是达标的。若待监控医疗单位的中药处方中超标中药饮片的数量大于其对应的超标中药饮片阈值,则可确定待监控医疗单位的中药饮片的用药是超标的,即待监控医疗单位的用药费用超标。In some feasible implementation manners, 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. For example, when monitoring the usage of TCM decoctions for medical units to be monitored, 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, which can then be based on The above-mentioned determined number of over-standard TCM decoctions in the TCM prescriptions of the medical unit to be monitored is combined with the over-standard TCM decoction threshold corresponding to the medical unit to be monitored to determine whether the medical cost of the TCM decoctions of the medical unit exceeds the standard. In other words, whether the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is less than or equal to its corresponding over-standard TCM decoction piece threshold. If the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is less than or equal to its corresponding over-standard TCM decoction threshold value, it can be determined that the medication of the TCM decoction piece to be monitored is in compliance with the standard. If the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is greater than its corresponding over-standard TCM decoction threshold value, it can be determined that the medication of the TCM decoction piece in the medical unit to be monitored is over-standard, that is, the medication cost of the medical unit to be monitored exceeds the standard.
S14,若上述待监控医疗单位的中药饮片的药品费用超标,则基于上述各种中药饮片的单方单种类药品日均费用对上述待监控医疗单位进行中药饮片药品费用超标的风险控制。S14, if the medicine cost of the Chinese medicine decoction piece in the medical unit to be monitored exceeds the standard, the risk of the Chinese medicine decoction piece medicine cost exceeding the standard is controlled for the medical unit to be monitored based on the daily average cost of the unilateral single-type medicine of the various Chinese medicine decoction pieces.
在一些可行的实施方式中,当上述待监控医疗单位的中药饮片的药品费用超标,例如待监控医疗单位的某一个或者多个种类的中药饮片的单方单种类药品日均费用大于各种类中药饮片对应的单方单种类药品日均费用阈值时,可确定上述各种类中药饮片的单方单种类药品日均费用中超出其所对应的单方单种类药品日均费用阈值部分的单方单种类药品日均费用差值。基于上述单方单种类药品日均费用差值,可将上述各种类中药饮片的单方单种类药品日均费用、和/或各种类中药饮片对应的单方单种类药品日均费用差值进行公示。基于公示的单方单种类药品日均费用和/或单方单种类药品日均费用差值提示待监控医疗单位的医师控制中药处方中各种类中药饮片的开方用药,避免该待监控医疗单位的医师在开方过程中随意用药造成药品等医疗资源的浪费,实现对待监控医疗单位的中药处方的药品费用超标风险控制。可选的,基于上述各种类中药饮片对应的单方单种类药品日均费用和/或单方单种类药品日均费用差值可在该待监控医疗单位的单位大厅公告界面(例如单位大厅的消息公告显示屏)上进行公示或者在用药监管单位所出的医疗单位用药监控日报上进行公示,以控制待监控医疗单位及其各个医师的中药处方开方用药,避免待监控医疗单位的中药处方中各种类中药饮片的单方单种类药品日均费用持续超标带来的医疗资源浪费,实现对该待监控医疗单位的用药超标风险控制。可选的,基于上述单方单种类药品日均费用和/或单方单种类药品日均费用差值也可在该待监控医疗单位的各个科室的信息公告界面上进行公示,和/或在该待监控医疗单位的各个医师的开方工具的首页上进行公示等,具体可根据实际应用场景确定,在此不做限制。In some feasible implementation manners, when the medical cost of the traditional Chinese medicine decoction pieces of the medical unit to be monitored exceeds the standard, for example, the daily average cost of one or more types of traditional Chinese medicine decoction pieces of the medical unit to be monitored is greater than that of various types of traditional Chinese medicines When the daily average cost threshold of the unilateral single type of medicine corresponding to the piece of decoction can be determined, the daily average cost of the unilateral single type of medicine of the above various types of Chinese medicine decoction exceeds the corresponding daily average cost threshold of the unilateral single type of medicine. Average cost difference. Based on the above-mentioned daily average cost difference of the unilateral single-type medicines, the daily average cost of the unilateral single-type medicines of the above-mentioned various types of Chinese herbal medicines and / or the daily average cost difference of the unilateral single-type medicines corresponding to various types of Chinese herbal medicine pieces can be published . Based on the published daily average cost of single-party single-type drugs and / or the difference between the daily average cost of single-party single-type drugs, the physician of the medical unit to be monitored controls the prescribing of various types of Chinese herbal medicines in the prescription of traditional Chinese medicine to avoid the medical unit to be monitored. During the prescribing process, doctors randomly use medicines to cause the waste of medical resources such as medicines, and realize the risk control of exceeding the drug cost of the traditional Chinese medicine prescription of the medical unit to be monitored. Optionally, based on the above-mentioned various types of traditional Chinese medicine pieces corresponding to the daily average cost of the unilateral single type of drugs and / or the daily average cost difference of the unilateral single type of drugs can be announced in the unit lobby announcement interface of the medical unit to be monitored (such as the message of the unit lobby Announcement on the display screen) or on the daily drug monitoring daily report of the medical unit issued by the drug regulatory unit to control the prescription of the Chinese medicine prescription of the medical unit to be monitored and its various doctors, to avoid the Chinese medicine prescription of the medical unit to be monitored Various types of Chinese medicine decoction pieces of single-party single-type drugs continue to exceed the standard daily medical costs caused by waste of medical resources, to achieve the monitoring of medical units to be monitored drug over-risk risk. Optionally, based on the above-mentioned daily average cost of the single-party single-type medicine and / or the difference between the daily average cost of the single-party single-type medicine, it can also be publicized on the information announcement interface of each department of the medical unit to be monitored, and / or The homepage of the prescribing tool of each doctor in the monitoring medical unit is publicized on the front page, which can be determined according to the actual application scenario, and is not limited here.
基于本申请实施例提供的方法实现对各医疗单位的中药处方的用药监控操作简单,可提高对医疗单位的中药处方的用药监控准确性,提高对医疗单位的用药监控的可靠性,进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行单方单种类药品日均费用超标的公示等用药处方的药品费用超标风险控制的可靠性,提高该医疗单位的中药处方的开方用药的可控性,从而可提高医疗资源的有效利用率,适用性更强。Based on the method provided in the embodiments of the present application, the medicine monitoring operation of the Chinese medicine prescription of each medical unit is simple, which can improve the accuracy of the medicine monitoring of the Chinese medicine prescription of the medical unit, improve the reliability of the medicine monitoring of the medical unit, and thus can improve Based on the medical situation of each medical unit, the reliability of the risk control of the drug cost exceeding the standard for the prescription of each medical unit's prescriptions for the daily average cost of the single-party single-type drugs is exceeded for each medical unit's prescription, and the reliability of the prescribing medicine for the Chinese medicine prescription of the medical unit is improved Control, which can improve the effective utilization of medical resources and have greater applicability.
实施例二:Example 2:
参见图2,图2是本申请实施例提供的基于数据处理的中药处方药品费用控制方法的另一流程示意图。本申请实施例提供的基于数据处理的中药处方药品费用控制方法可实现对待监控医疗单位在单个考核周期内的用药情况进行监控,该方法可通过如下步骤S21至S26中各个步骤所提供的实现方式进行说明。Referring to FIG. 2, FIG. 2 is another schematic flowchart of a data processing-based method for controlling the cost of traditional Chinese medicine prescription drugs provided by an embodiment of the present application. The method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing provided by the embodiments of the present application can realize the monitoring of the medication situation of the medical unit to be monitored in a single assessment cycle. The method can be implemented by the following steps S21 to S26 Be explained.
S21,获取待监控医疗单位的中药处方。S21. Obtain the Chinese medicine prescription of the medical unit to be monitored.
在一些可行的实施方式中,上述获取待监控医疗单位的中药处方的实现方式可参见上 述实施例中步骤S11所提供的实现方式,在此不再赘述。In some feasible implementation manners, 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.
可选的,在一些可行的实施方式中,上述医疗单位的中药处方还可包括待监控医疗单位在单个考核周期内产生的所有中药处方,其中上述单个考核周期为一日或者大于一日,例如一个星期、一个月、一个季度或者一年等,在此不做限制。为方便描述,上述待监控医疗单位在单个考核周期内所产生的所有中药处方可以单考核周期处方为例进行说明。Optionally, in some feasible implementation manners, 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. For the convenience of description, 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.
可选的,上述医疗单位的单考核周期处方可以是指医疗单位的任一考核周期内所开具的所有中药处方,包括但不限于单个考核周期内医院的所有科室所有医师所开具的所有中药处方、单个考核周期内医院的某一个科室的所有医师所开具的所有中药处方,或者单个考核周期内医院的某一个科室的某一个医师所开具的所有中药处方中的任一种情况。其中,上述单考核周期处方所表示的具体情况根据实际应用场景中对医疗单位进行用药监控的考核维度(例如针对医疗单位进行用药监控、针对医疗单位的某一个科室进行用药监控或者针对医疗单位的某一个科室的某一个医师进行用药监控等)确定,在此不做限制。为方便描述,下面将以单个考核周期内医院的所有科室所有医师所开具的所有处方为例进行说明,以下简称单考核周期处方。Optionally, 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. Among them, 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. 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.
可以理解,这里待监控医疗单位的单考核周期处方中所包括的任一中药处方上均可包括该中药处方中所包括的中药饮片的药品详情,包括但不限于药品名称、药品费用,药品使用方式以及药品使用天数,具体可根据实际应用场景确定,在此不做限制。It is understandable that 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.
S22,获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用。S22. Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine the total amount of medicines in any single Chinese medicine decoction of any one of the Chinese medicine decoctions according to the medicine costs of the above Chinese medicine decoctions cost.
S23,根据各种中药饮片的在单个中药处方中的药品总费用和药品使用总天数确定各种中药饮片的单方单种类药品日均费用。S23. Determine the daily average cost of a single type of single medicine for various Chinese herbal medicines according to the total cost of medicines in a single Chinese medicine prescription and the total number of days of use of various Chinese herbal medicines.
在一些可行的实施方式中,上述基于待监控医疗单位的中药处方所包括的各剂中药饮片中各种中药饮片的中药饮片药品信息,确定单个中药处方中各种中药饮片的单方单种类药品日均费用的具体实现方式可参见上述实施例中步骤S12所提供的实现方式,在此不再赘述。In some feasible implementation manners, based on the TCM drug information of each TCM decoction in each of the TCM decoctions included in the TCM prescriptions of the medical unit to be monitored, the unilateral single-type drug day of each TCM decoction in a single TCM prescription is determined For the specific implementation manner of the average cost, refer to the implementation manner provided in step S12 in the foregoing embodiment, and details are not described herein again.
可选的,在一些可行的实施方式中,基于上述待监控医疗单位在单个考核周期内的多个中药处方可处理得到单种类中药饮片在单个中药处方中的药品日均费用,也就是待监控医疗单位的单个种类中药饮片的单方单种类药品日均费用。例如,在一日,一个星期,一个月,一个季度或者一年等单个考核周期内待监控医疗单位的各种中药饮片的单方单种类药品日均费用等。为方便描述,下面可以以待监控医疗单位在一个考核周期内各种中药饮片的单方单种类药品日均费用为例进行说明,简称单考核周期处方各种中药饮片的单方单种类药品日均费用。Optionally, in some feasible implementation manners, based on the multiple traditional Chinese medicine prescriptions of the medical unit to be monitored in a single assessment cycle, 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. For the convenience of description, 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. .
在一些可行的实施方式中,基于待监控医疗单位在单考核周期内的所有中药处方,可获取上述所有中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用。根据上述任一剂中药饮片所包括的该种中药饮片(即上述任一种中药饮片)的药品费用,确定该种中药饮片在上述所有中药处方的各剂中药饮片中的药品总费用。根据该种中药饮片在上述所有中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定该种中药饮片在单个中药处方中的药品总费用。假设,待监控医疗单位在单考核周期内的所有中药处方为X个,每个中药处方中包括Y剂中药饮片,则上述所有中药处方中所包括的中药饮片为X*Y剂。假设,上述任一种中药饮片在上述Y剂中药饮片中任一剂中药饮片中的剂量为Z,上述任一种中药饮片的单价为a,则上述任一种中药饮片在任一剂的单剂中药饮片中的药品费用为a*Z,任一种中药饮片在上述Y剂中药饮片中的药品总费用为a*Z*Y。In some feasible implementation manners, based on all Chinese medicine prescriptions of the medical unit to be monitored within a single assessment period, 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. Suppose that there are 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. Assuming that the dosage of any one of the above-mentioned Chinese herbal medicines in any of the above-mentioned Y-medicinal Chinese herbal medicines is Z, and the unit price of any of the above Chinese herbal medicines is a, then any one of the above Chinese herbal medicines in any single dose The cost of medicines in Chinese herbal medicines is a * Z, and the total cost of any kind of traditional Chinese medicines in the above-mentioned Y-medicine herbal medicines is a * Z * Y.
上述任一种中药饮片在单个中药处方中的药品总费用满足如下公式(2):The total drug cost of any one of the above-mentioned Chinese medicine decoction pieces in a single Chinese medicine prescription meets the following formula (2):
公式(2):单方单种类中药饮片的药品总费用=单种类中药饮片的单价*单种类中药饮片的单剂剂量*中药处方的中药饮片总剂数/中药处方的处方数量=a*Z*Y/X。Formula (2): the total cost of medicines for a single type of Chinese herbal medicine pieces = the unit price of a single type of Chinese herbal medicine pieces * the single dose of single type Chinese herbal medicine pieces * the total number of Chinese medicine prescription pieces of traditional Chinese medicine prescriptions / the number of prescriptions of Chinese medicine prescriptions = a * Z * Y / X.
上述任一种中药饮片的单方单种类药品日均费用满足如下公式(3):The daily average cost of a single type of single-type medicine of any of the above-mentioned Chinese herbal medicines meets the following formula (3):
公式(3):单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。Formula (3): the average daily cost of a single-party single-type medicine = the total cost of a single-party single-type Chinese herbal medicine / the total number of days a single-side single-type Chinese herbal medicine uses.
其中,上述单方单种类中药饮片的药品使用总天数为上述单考核周期内上述任一种中药饮片在单个中药处方中的药品使用总天数。根据上述单个考核周期内的所有中药处方中所包括的各剂中药饮片的药品使用天数,可确定所有中药处方中任一种中药饮片在所有中药处方中的药品使用总天数。其中上述任一种中药饮片在上述所有中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值。根据上述任一种中药饮片在上述所有中药处方中的药品使用总天数和上述中药处方的处方数量,可确定上述任一种中药饮片在单个中药处方中的药品使用总天数。Wherein, 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. Wherein, 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.
其中,上述任一种中药饮片在单个中药处方中的药品使用总天数,即单方单种类中药饮片的药品使用总天数满足如下公式(4):Among them, 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 meets the following formula (4):
公式(4):单方单种类中药饮片的药品使用总天数=单考核周期内所有中药处方中各剂中药饮片的药品使用天数的累计值/单考核周期内所有中药处方的处方数量。Formula (4): the total number of days of medicine usage for single-party 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.
可选的,在一些可行的实施方式中,基于待监控医疗单位在单考核周期内的所有中药处方,获取上述所有中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用;Optionally, in some feasible implementation manners, based on all the Chinese medicine prescriptions in the single assessment period of the medical unit to be monitored, 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;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用,即单方单种类中药饮片的药品总费用满足如下公式(5):Determine the total cost of any of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription 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, that is, the total cost of medicines in a single Chinese medicine prescription Satisfy the following formula (5):
公式(5):单方单种类中药饮片的药品总费用=单种类中药饮片的单价*中药处方的单种类中药饮片总剂量/中药处方的处方数量。Formula (5): the total cost of medicines for a single type of Chinese herbal medicine pieces = the unit price of a single type of Chinese herbal medicine pieces * the total dose of a single type of Chinese herbal medicines prescribed by a Chinese medicine prescription / the number of prescriptions of Chinese medicine prescriptions.
其中,上述中药处方的单种类中药饮片总剂量为上述任一种中药饮片在上述单考核周期内的所有中药处方中的总剂量。上述中药处方的处方数量为上述单考核周期内的所有中药处方的数量。Wherein, 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 Chinese herbal medicine prescriptions of any one of the above-mentioned traditional Chinese medicine pieces in the single assessment 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.
S24,根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息,确定上述各种中药饮片中任一种药饮片对应的单方单种类药品日均费用阈值。S24. Determine, based on the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the various Chinese herbal medicine pieces, the daily average cost threshold of the unilateral single type of medicine corresponding to any of the various Chinese herbal medicine pieces.
S25,根据上述各种中药饮片的单方单种类药品日均费用和上述待监控医疗单位对应的用药标准阈值,确定上述待监控医疗单位的中药饮片的药品费用是否超标。S25. Determine whether the medicine cost of the Chinese medicine decoction piece of the medical unit to be monitored exceeds the standard according to the daily average cost of the single Chinese medicine of the various Chinese medicine decoction pieces and the medication standard threshold corresponding to the medical unit to be monitored.
在一些可行的实施方式中,上述根据待监控医疗单位的单方单种类药品日均费用,和待监控医疗单位对应的用药标准阈值确定待监控医疗单位的药品费用是否超标的具体实现方式可参见上述实施例中步骤S13所提供的实现方式,在此不再赘述。In some feasible implementation manners, the specific implementation method for determining whether the drug cost of the medical unit to be monitored exceeds the standard according to the daily average cost of the single-party single-type drugs of the medical unit to be monitored and the threshold of the drug standard corresponding to the medical unit to be monitored can be found in the above The implementation provided by step S13 in the embodiment will not be repeated here.
可选的,在一些可行的实施方式中,针对不同医疗单位进行用药监控时,基于各个中药饮片的药品属性信息确定各个中药饮片对应的单方单种类药品日均费用阈值之后,还可进一步结合各个医疗单位的单位属性信息确定各个医疗单位的用药监控标准和/或用药评价标准的考核指标阈值,例如各个医疗单位对应的各个种类的中药饮片的单方单种类药品日均费用的达标上限,或称各种类的中药饮片对应的单方单种类药品日均费用阈值等。其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,具体可根据实际应用场景确定,在 此不做限制。例如,基于不同地域、不同城市、不同药品供应渠道或者不同病患流动量等参数所关联的不同医疗单元,用药监控的考核指标阈值可不尽相同。例如,对于物价较高的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较高所关联的医疗单元,则可将其对应的各种中药饮片的单方单种类药品日均费用的达标上限可在基于中药饮片的药品属性信息确定的单方单种类药品日均费用阈值的基础上,将上述单方单种类药品日均费用阈值设置得较高一些,即其对应的用药监控标准的考核指标阈值则可设定为较高的考核指标等。对于物价较低的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较低所关联的医疗单元,则可将其对应的各种中药饮片的单方单种类药品日均费用的达标上限可设置得较低一些,即其对应的用药监控标准的考核指标阈值则可设定为较低的考核指标等。具体可根据实际应用场景确定,在此不做限制。Optionally, in some feasible implementations, when drug monitoring is performed for different medical units, after determining 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, it can be further combined with each 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. Among them, 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. For example, for a medical unit associated with a city with a higher price or a medical unit associated with a higher drug cost caused by a drug supply channel, the corresponding daily average cost of a single type of single medicine for various Chinese herbal medicines The upper limit of the standard 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. For the medical units associated with the cities with lower prices or the medical units associated with the lower cost of medicines brought by the drug supply channels, 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.
在一些可行的实施方式中,基于上述确定的待监控医疗单位的各种中药饮片的单方单种类药品日均费用,结合基于待监控医疗单位的单位属性信息和/或各种中药饮片的药品属性信息所确定的考核指标阈值(即各种中药饮片对应的单方单种类药品日均费用上限)可确定该医疗单位的药品费用是否超标的实现方式可参见上述实施例中步骤S13所提供的实现方式,在此不再赘述。In some feasible implementation manners, based on the above determined daily average cost of each kind of single-medicine medicine of various Chinese medicine decoctions of the medical unit to be monitored, combined with unit attribute information based on the to-be-monitored medical unit and / or various Chinese medicine decoy drug attributes The threshold of the assessment index determined by the information (that is, the upper limit of the daily average cost of the single-party single-type drugs corresponding to various Chinese herbal medicines) can determine whether the medical cost of the medical unit exceeds the standard. For the implementation, see the implementation provided by step S13 in the above embodiment And will not be repeated here.
S26,若上述待监控医疗单位的中药饮片的药品费用超标,则基于上述各种中药饮片的单方单种类药品日均费用对上述待监控医疗单位进行中药饮片药品费用超标的风险控制。S26, if the medicine cost of the traditional Chinese medicine decoction pieces in the medical unit to be monitored exceeds the standard, the risk of the traditional Chinese medicine decoction medicine cost exceeding the standard is controlled for the medical unit to be monitored based on the daily average cost of the unilateral and single-type medicines of the various Chinese medicine decoction pieces.
在一些可行的实施方式中,基于上述待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用对上述待监控医疗单位的中药处方中中药饮片的单方单种类药品日均费用中超标部分的单方单种类药品日均费用差值进行公示,以实现对待监控医疗单位的中药处方的开方用药进行药品费用超标风险控制的实现方式可参见上述实施例中步骤S14所提供的实现方式,在此不再赘述。In some feasible implementation manners, based on the daily average cost of the unilateral single type of medicine in the traditional Chinese medicine prescription of the medical unit to be monitored, the average daily cost of the unilateral single type of medicine in the traditional Chinese medicine prescription of the medical unit to be monitored The daily average cost difference of the single-party single-type drugs in the over-standard part is publicized to achieve the risk control of over-standard drug cost for the prescription medicine of the Chinese medicine prescription of the medical unit to be monitored. For details, see the implementation provided in step S14 in the above embodiment The method will not be repeated here.
可选的,在一些可行的实施方式中,基于上述各种中药饮片对应的单方单种类药品日均费用差值,还可在接收到该待监控医疗单位提交的中药饮片的药品费用报销请求或者药品费用理赔请求时,可通过拒绝该待监控医疗单位的药品费用报销请求或者药品费用理赔请求,实现针对该待监控医疗单位的中药饮片的单方单种类药品日均费用超标的这项考核标准进行惩罚,以对该医疗单位进行中药饮片的开方用药药品费用的风险控制。例如,当该医疗单位的某一天的中药处方中超标中药饮片的数量大于或者等于超标中药饮片阈值时,可在接收到医疗单位提报的该天的药品费用报销和/或请求时,向该医疗单位反馈该天所有处方的药品费用的报销失败。换句话说,当该医疗单位的某一天的中药处方中多个种类的中药饮片对应的单方单种类药品日均费用超标时,终端设备接收到医疗单位提报的该天的处方药品费用报销和/或理赔请求时,可对该医疗单位反馈该天的处方药品费用拒绝报销或者理赔,进而可提示该医疗单位对每天处方中中药饮片的单方单种类药品日均费用进行自我把控以实现对该医疗单位的药品费用超标的处方风险控制。Optionally, in some feasible implementation manners, based on the daily average cost difference of the single-party single-type medicines corresponding to the above-mentioned various Chinese medicine decoctions, the medical expense reimbursement request for the Chinese medicine decoctions submitted by the medical unit to be monitored may also be received or When requesting a claim for drug expenses, the assessment standard for the daily average cost of the unilateral and single-type drugs of the traditional Chinese medicine decoction pieces of the medical unit to be monitored can be implemented by rejecting the medical expense reimbursement request or the drug cost claim request of the medical unit to be monitored. The punishment is to control the medical unit's risk of prescribing the cost of prescription medicine for the medical unit. For example, when the number of over-standard TCM decoction pieces in a TCM prescription of a certain day of the medical unit is greater than or equal to the over-standard TCM decoction piece threshold, the medical unit may receive the medical expense reimbursement and / or request for that day as reported by the medical unit. The medical unit reported that the reimbursement of all prescription drugs for that day failed. In other words, when the average daily cost of a single type of single medicine corresponding to multiple types of Chinese medicine decoction in a certain day of the Chinese medicine prescription of the medical unit exceeds the standard, the terminal device receives the reimbursement of the prescription drug cost of the day reported by the medical unit and / Or when requesting a claim, the medical unit may be fed back the day ’s prescription drug cost to refuse reimbursement or claim, and then the medical unit may be prompted to self-control the daily average cost of the unilateral single type of medicine in the prescription of traditional Chinese medicine decoction in order to achieve The prescription risk control of the medical unit's drug cost exceeding the standard.
可选的,在一些可行的实施方式中,当待监控医疗单位的中药处方中多个种类的中药饮片的用药超标,例如医疗单位单日处方对应的多个种类中药饮片的单方单种类药品日均费用大于单方单种类药品日均费用阈值时,终端设备可计算待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用与其对应的单方单种类药品日均费用阈值之间的差值。当终端设备接收到该待监控医疗单位的药品费用报销和/或理赔请求时,则可针对该待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用与单方单种类药品日均费用阈值之间的差值,对该待监控医疗单位单日处方的药品费用中关于超标中药饮片的单方单种类药品日均费用差值部分的药品费用拒绝报销或者理赔,以对该医疗单位进行中药处方的中药饮片药品费用超标的处方风险控制。Optionally, in some feasible implementation manners, when multiple types of traditional Chinese medicine decoction in the traditional Chinese medicine prescription of the medical unit to be monitored exceed the standard, for example, a single-type single-type drug day of multiple types of traditional Chinese medicine decoction corresponding to a single-day prescription of the medical unit When the average cost is greater than the daily average cost threshold of the unilateral single type of medicine, the terminal device can calculate the daily average cost of the unilateral single type of medicine for various Chinese herbal medicines in the traditional Chinese medicine prescription of the medical unit to be monitored and its corresponding daily average cost threshold of the unilateral single type of medicine The difference. When the terminal device receives the medical expense reimbursement and / or claim request from the medical unit to be monitored, the daily average cost and the unilateral single type of medicine for each kind of Chinese medicine decoction in the traditional Chinese medicine prescription of the medical unit to be monitored The difference between the average daily cost thresholds for the medical expenses of the single-day prescription of the medical unit to be monitored for the daily average cost difference of the unilateral single-type medicines that exceed the standard Chinese medicine decoction pieces. The unit carries out prescription risk control for the cost of traditional Chinese medicine decoction pieces exceeding the standard.
可选的,在一些可行的实施方式中,当终端设备确定待监控医疗单位某一个考核周期(例如一天或者一星期等)内的中药处方中多种中药饮片的药品费用超标,例如待监控医疗单位某个考核周期内的处方(例如单日处方)中多种中药饮片的单方单种类药品日均费用大于各种中药饮片对应的单方单种类药品日均费用阈值时,终端设备则可在该考核周期(单日处方中多种中药饮片的单方单种类药品日均费用超标是某一天,例如周一)之后的下一个考核周期(单日处方中多种中药饮片的单方单种类药品日均费用超标这天的第二天,例如周二)的开始时将该考核周期的中药处方中多种中药饮片的单方单种类药品日均费用超标报告传送给该待监控医疗单位。其中,该单方单种类药品日均费用超标报告用于提示该待监控医疗单位在该考核周期内中药饮片的用药超标,并可提醒该待监控医疗单位若在下一个考核周期或者指定时间内的连续多个考核周期内依然出现多个种类中药饮片的单方单种类药品日均费用超标,则将对该待监控医疗单位进行中药饮片的单方单种类药品日均费用超标的惩罚。其中,上述惩罚包括对该待监控医疗单位的中药饮片的单方单种类药品日均费用超标对应的药品费用的全部拒绝报销或者理赔,或者对该待监控医疗单位的中药饮片的单方单种类药品日均费用超标对应的药品费用的部分拒绝报销或者理赔等。上述单方单种类药品日均费用超标报告用于提示该待监控医疗单位对中药处方中各种中药饮片的单方单种类药品日均费用进行自我把控以实现对该待监控医疗单位的药品费用超标的风险控制。Optionally, in some feasible implementation manners, when the terminal device determines that the medical cost of a variety of traditional Chinese medicine decoctions in a certain prescription period (such as a day or a week, etc.) of the medical unit to be monitored exceeds the standard, for example, the medical to be monitored When the daily average cost of a single type of single medicine for a variety of Chinese herbal medicines in a unit ’s prescription (such as a single-day prescription) is greater than the daily average cost threshold for a single type of medicine corresponding to a variety of Chinese herbal medicines, the terminal device can The evaluation cycle (the daily average cost of a single single type of medicine for multiple Chinese herbal medicines in a single day prescription exceeds a certain day, such as Monday) after the next evaluation cycle (the daily average cost of a single single type of medicine for multiple Chinese herbal medicines in a single day prescription At the beginning of the second day of the overdue day, for example, on Tuesday), the daily average cost overdose report for the single-party single-type medicines of multiple Chinese herbal medicines in the Chinese medicine prescription of the assessment cycle is sent to the medical unit to be monitored. Among them, the report on the daily average cost of the single party and single type of medicine is used to remind the medical unit to be monitored that the Chinese medicine decoction exceeds the standard in the evaluation cycle, and can remind the medical unit to be monitored if it continues in the next evaluation cycle or within a specified time If there are still multiple types of TCM decoction pieces that exceed the daily average daily cost for multiple types of TCM decoction pieces in multiple assessment cycles, the medical unit to be monitored will be penalized for the over-the-counter average daily cost of the TCM decoction single type and single type medicines. Among them, the above-mentioned penalties include the refusal of reimbursement or claims for all the medical expenses corresponding to the daily average cost of the unilateral single type medicines of the Chinese medicine decoction pieces of the medical unit to be monitored, or the unilateral single type medicines of the traditional Chinese medicine decoction pieces of the medical unit to be monitored. The part of the drug cost corresponding to the average cost exceeding the standard refuses to be reimbursed or settled. The above-mentioned daily average cost report of the single-party single-type drugs is used to prompt the medical unit to be monitored to self-control the daily average cost of the single-party single-type drugs of various Chinese herbal medicines in the prescriptions of traditional Chinese medicines, so as to realize that the medical cost of the medical unit to be monitored exceeds the standard Risk control.
本申请实施例可提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。The embodiments of the present application can improve the medication controllability of the prescription of the medical unit, thereby improving the effective utilization rate of medical resources and having greater applicability.
实施例三:Example three:
参见图3,图3是本申请实施例提供的基于数据处理的中药处方药品费用控制装置的实施例结构示意图。本申请实施例提供的基于数据处理的中药处方药品费用控制装置包括:Referring to FIG. 3, FIG. 3 is a schematic structural diagram of an embodiment of a data processing-based Chinese medicine prescription drug cost control device provided by an embodiment of the present application. The device for controlling the cost of traditional Chinese medicine prescription drugs based on data processing provided by the embodiments of the present application includes:
数据获取单元31,用于获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片。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.
药品信息处理单元32,用于获取上述数据获取单元31获取的上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用。The medicine information processing unit 32 is configured to obtain the medicine information of various Chinese medicine slices included in each piece of Chinese medicine slices of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit 31, and according to the medicine information of the Chinese medicine slices of the various Chinese medicine slices Determine the average daily cost of the single-party single-type drugs of the various Chinese herbal medicines.
用药评价单元33,用于根据上述药品信息处理单元32确定的上述各种中药饮片的单方单种类药品日均费用,和所述待监控医疗单位对应的用药标准阈值确定所述待监控医疗单位的中药饮片的药品费用是否超标;The medication evaluation unit 33 is used to determine the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicine pieces determined by the drug information processing unit 32 and the medication standard threshold corresponding to the medical unit to be monitored Whether the drug cost of Chinese herbal decoction exceeds the standard;
用药风险控制单元34,用于在上述用药评价单元33确定上述待监控医疗单位的中药饮片的药品费用超标时,基于上述药品信息处理单元32确定的上述各种中药饮片的单方单种类药品日均费用对上述待监控医疗单位进行中药饮片药品费用超标的风险控制。The medication risk control unit 34 is used to determine the daily average value of the unilateral and single-type medicines of the various TCM decoctions determined by the drug information processing unit 32 when the drug evaluation unit 33 determines that the drug cost of the TCM decoctions of the medical unit to be monitored exceeds the standard Expenses: The above-mentioned medical units to be monitored are subject to the risk control that the cost of Chinese herbal medicines exceeds the standard.
在一些可行的实施方式中,上述用药风险控制单元34用于:In some feasible implementation manners, the above-mentioned medication risk control unit 34 is used to:
将上述药品信息处理单元确定的上述各种中药饮片的单方单种类药品日均费用、和/或上述各种中药饮片的单方单种类药品日均费用中超出上述用药标准阈值部分的药品费用差值进行公示,基于公示的上述各种中药饮片的单方单种类药品日均费用和/或上述药品费用差值提示上述待监控医疗单位控制中药处方的中药饮片用药,以实现中药处方中中药饮片的药品费用超标风险控制;和/或The difference between the daily average cost of the unilateral single-type drugs of the above-mentioned various Chinese herbal medicines and / or the average daily cost of the unilateral single-type medicines of the various traditional Chinese medicine slices determined by the above-mentioned pharmaceutical information processing unit Publicize, based on the publicized daily average cost of the above-mentioned various Chinese herbal medicines, and / or the difference between the above-mentioned medical expenses, prompt the above-mentioned medical unit to control the use of Chinese herbal medicines in the prescription of traditional Chinese medicines, so as to realize the prescription of Chinese medicines. Risk control of excessive costs; and / or
当接收到上述各种中药饮片的单方单种类药品日均费用和/或上述药品费用差值对应的药品费用报销请求时,拒绝上述药品费用报销请求以实现中药处方中中药饮片的药品费用超标风险控制。When the daily average cost of the single-party single-type drugs and / or the drug cost reimbursement corresponding to the difference between the above drug costs is received, the above drug cost reimbursement request is rejected to realize the risk of exceeding the standard of the drug cost of the Chinese herbal medicines control.
在一些可行的实施方式中,上述药品信息处理单元32用于:In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用;Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine the total drug cost of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the above-mentioned Chinese medicine decoy cost;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的上述任一种中药饮片在单个中药处方中的药品使用总天数;Determine the total number of days of medicine use for any of the above-mentioned Chinese medicine prescriptions in a single Chinese medicine prescription based on the number of days of medicine use for each of the above-mentioned Chinese medicine prescriptions;
根据上述任一种中药饮片的上述药品总费用和上述药品使用总天数确定上述任一种中药饮片的单方单种类药品日均费用,以得到上述各种中药饮片的单方单种类药品日均费用。According 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.
其中,上述单方单种类药品日均费用满足:Among them, the average daily cost of the above single-party single-type drugs meets:
单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。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.
在一些可行的实施方式中,上述药品信息处理单元32用于:In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
获取上述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用,根据上述任一剂中药饮片所包括的上述任一种中药饮片的药品费用,确定上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用;Obtain the medicine cost of any one kind of Chinese medicine decoction included in any dose of Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine whether any one of the above-mentioned Chinese medicine decoction in The total cost of medicines in each Chinese medicine decoction piece of the above-mentioned Chinese medicine prescription;
根据上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。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.
在一些可行的实施方式中,上述药品信息处理单元32用于:In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
获取上述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用;Obtain the dose of any one of the traditional Chinese medicine decoctions included in each dose of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription, and determine the total drug cost of any of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription according to the unit price of any one of the traditional Chinese medicine decoctions and the above dose;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。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.
上述单方单种类中药饮片的药品总费用满足:The total cost of the above-mentioned unilateral single-type Chinese herbal medicines meets:
单方单种类中药饮片的药品总费用=单方单种类中药饮片的剂量*单种类中药饮片的单价。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.
在一些可行的实施方式中,上述药品信息处理单元32用于:In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
根据上述各剂中药饮片的药品使用天数确定上述中药处方中上述任一种中药饮片在上述中药处方中的药品使用总天数,其中上述任一种中药饮片在上述中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值;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;
根据上述任一种中药饮片在上述中药处方中的药品使用总天数和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品使用总天数。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.
在一些可行的实施方式中,上述数据获取单元31用于:In some feasible implementation manners, the data acquisition unit 31 is used to:
获取上述待监控医疗单位的数据系统准入资格,基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的中药处方;和/或Obtain the data system access qualification of the medical unit to be monitored, and obtain the prescription of the traditional Chinese medicine of the medical unit to be monitored from the data system of the medical unit to be monitored based on the access qualification of the data system; and / or
获取上述待监控医疗单位提供的医疗理赔数据,从上述医疗理赔数据中获取上述待监控医疗单位的中药处方;Obtain the medical claim data provided by the medical unit to be monitored, and obtain the Chinese medicine prescription of the medical unit to be monitored from the medical claim data;
其中,上述待监控医疗单位的中药处方包括上述待监控医疗单位的单个中药处方,或者上述待监控医疗单位在单个考核周期内的所有中药处方,上述单个考核周期的周期时长为一日或者大于一日。Among them, 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.
在一些可行的实施方式中,上述待监控医疗单位对应的用药标准阈值包括上述待监控医疗单位对应的各种中药饮片的单方单种类药品日均费用阈值;上述用药评价单元33还用于:In some feasible implementation manners, the medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type drugs of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the medication evaluation unit 33 is further used to:
根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息,确定上述各种中药饮片中任一种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;According to the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the above-mentioned various Chinese herbal medicine pieces, determine the daily average cost threshold of the single-party single-type medicine corresponding to any of the above-mentioned Chinese herbal medicine pieces, of which, one The threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine;
其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,上述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。Among them, 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.
在一些可行的实施方式中,上述待监控医疗单位对应的用药标准阈值还包括超标中药饮片阈值;上述用药评价单元33用于:In some feasible implementation manners, the medication standard threshold corresponding to the medical unit to be monitored further includes an over-standard Chinese medicine decoction threshold; the medication evaluation unit 33 is used to:
根据上述各种中药饮片对应的单方单种类药品日均费用确定出上述各种中药饮片中的超标中药饮片,上述超标中药饮片的单方单种类药品日均费用大于其所对应的单方单种类药品日均费用阈值;According to the above-mentioned daily average cost of the single-party single-type medicine corresponding to the above-mentioned various Chinese-medicinal pieces, the over-standard Chinese-medicine pieces of the above-mentioned various Chinese-medicine-pieces are determined. Average cost threshold;
若上述各种中药饮片中超标中药饮片的数量小于或者等于超标中药饮片阈值,则确定上述待监控医疗单位的药品费用不超标;If the number of above-standard TCM decoction pieces in the above-mentioned various TCM decoction pieces is less than or equal to the threshold of over-standard TCM decoction pieces, it is determined that the drug cost of the medical unit to be monitored does not exceed the standard;
若上述各种中药饮片中超标中药饮片的数量大于上述超标中药饮片阈值,则确定上述待监控医疗单位的药品费用超标。If the number of above-standard Chinese herbal medicine pieces in the above-mentioned various Chinese herbal medicine pieces is greater than the above-mentioned threshold value of over-standard Chinese medicine pieces, it is determined that the medical cost of the medical unit to be monitored exceeds the standard.
在一些可行的实施方式中,上述基于数据处理的中药处方药品费用控制装置可通过其内置的各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式。可选的,上述基于数据处理的中药处方药品费用控制装置可为上述各个实施例中所描述的终端设备,在此不做限制。例如,上述数据获取单元31可用于执行上述各个步骤中待监控医疗单位的中药处方以及中药处方中各种中药饮片的中药饮片药品信息的获取,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。上述药品信息处理单元32可用于执行上述各个步骤中待监控医疗单位的中药处方中所包括的各种中药饮片的药品费用以及单个考核周期内各种中药饮片的单方单种类药品日均费用的处理等实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。上述用药评价单元33可用于执行上述各个步骤中基于待监控医疗单位的单位属性信息和/或各种中药饮片的药品数量信息确定待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用上限等用药监控的考核指标阈值,以及基于待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用判断待监控医疗单位的中药处方的药品费用是否超标等实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。上述用药风险控制单元34可用于执行上述各个步骤中基于待监控医疗单位的用药情况进行中药处方的中药饮片药品费用超标的风险控制等实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。In some feasible implementation manners, the above-mentioned data processing-based Chinese medicine prescription drug cost control device may execute the implementation manners provided by the above steps in FIGS. 1 to 2 through various built-in functional modules. Optionally, the above-mentioned data processing-based Chinese medicine prescription drug cost control device may be the terminal device described in the foregoing embodiments, which is not limited herein. For example, the above-mentioned data acquisition unit 31 may be used to perform the acquisition of traditional Chinese medicine prescriptions of the medical unit to be monitored in the above steps and the information of traditional Chinese medicine pieces of various traditional Chinese medicine pieces in the traditional Chinese medicine prescription. For details, please refer to the implementation provided in the above steps. This will not be repeated here. The above-mentioned medicine information processing unit 32 can be used to perform the processing of the medicine cost of various Chinese medicine decoctions included in the Chinese medicine prescription of the medical unit to be monitored in each of the above steps and the average daily cost of the unilateral single-type medicines of various Chinese medicine decoctions in a single evaluation period For specific implementation methods, please refer to the implementation methods provided in the above steps, which will not be repeated here. The above-mentioned medication evaluation unit 33 may be used to execute the above-mentioned various steps to determine the unilateral single-type medicines of various Chinese herbal medicines in the traditional Chinese medicine prescription of the medical unit to be monitored based on the unit attribute information of the medical unit to be monitored and / or the quantity information of the medicines of various Chinese medicine pieces Thresholds for evaluation indicators such as daily average cost caps and other monitoring methods, as well as implementation methods for judging whether the cost of traditional Chinese medicine prescriptions of the medical units to be monitored exceeds the standard based on the daily average cost of each type of single-piece and single-type drugs in the traditional Chinese medicine prescriptions of the medical units to be monitored For details, please refer to the implementation provided by the above steps, which will not be repeated here. The above-mentioned medication risk control unit 34 may be used to implement the above-mentioned risk control methods such as the risk control of excessive consumption of TCM decoction pieces based on the medication situation of the medical unit to be monitored in the above steps. For details, please refer to the implementation methods provided in the above steps. This will not be repeated here.
在本申请实施例中,上述用药监控装置可提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。In the embodiment of the present application, the above-mentioned medication monitoring device can improve the medication controllability of the prescription of the medical unit, thereby improving the effective utilization rate of medical resources and having greater applicability.
实施例四:Example 4:
参见图4,图4是本申请实施例提供的终端设备的实施例结构示意图。如图4所示,本实施例中的终端设备可以包括:一个或多个处理器401和存储器402。上述处理器401和存储器402通过总线403连接。存储器402用于存储计算机程序,该计算机程序包括程序指令,处理器401用于执行存储器402存储的程序指令。其中,上述处理器401被配置用于调用该程序指令执行如下操作:Referring to FIG. 4, FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application. As shown in FIG. 4, the terminal device in this embodiment may include: one or more processors 401 and a memory 402. The processor 401 and the memory 402 are connected via a bus 403. The memory 402 is used to store a computer program, and the computer program includes program instructions, and the processor 401 is 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:
获取待监控医疗单位的中药处方,上述中药处方中包括至少一剂中药饮片,一剂中药饮片中包括至少一种中药饮片;Obtaining a prescription of traditional Chinese medicine for the medical unit to be monitored. 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.
获取上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据上述各种中药饮片的中药饮片药品信息确定上述各种中药饮片的单方单种类药品日均费用;Obtain the information of the Chinese herbal medicines of various Chinese herbal medicines included in the various Chinese herbal medicines of the above-mentioned Chinese medicine prescriptions, and determine the average daily cost of the single Chinese medicines of the various Chinese herbal medicines based on the information of the Chinese herbal medicines of the various Chinese herbal medicines;
根据上述各种中药饮片的单方单种类药品日均费用和上述待监控医疗单位对应的用药 标准阈值,确定上述待监控医疗单位的中药饮片的药品费用是否超标;According to the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicines and the threshold of the corresponding medication standard of the above-mentioned medical units to be monitored, determine whether the medical expenses of the above-mentioned medical units of the traditional Chinese medicines exceed the standard;
若上述待监控医疗单位的中药饮片的药品费用超标,则基于上述各种中药饮片的单方单种类药品日均费用对上述待监控医疗单位进行中药饮片药品费用超标的风险控制。If the medicine cost of the traditional Chinese medicine decoction pieces in the medical unit to be monitored exceeds the standard, the risk of the traditional Chinese medicine decoction drug cost exceeding the standard will be controlled for the medical unit to be monitored based on the daily average cost of the unilateral single-type drugs of the various Chinese medicine decoction pieces.
在一些可行的实施方式中,上述处理器401,用于:In some feasible implementation manners, the foregoing processor 401 is configured to:
将上述各种中药饮片的单方单种类药品日均费用、和/或上述各种中药饮片的单方单种类药品日均费用中超出上述用药标准阈值部分的药品费用差值进行公示,基于公示的上述各种中药饮片的单方单种类药品日均费用和/或上述药品费用差值提示上述待监控医疗单位控制中药处方的中药饮片用药,以实现中药处方中中药饮片的药品费用超标风险控制;和/或To publish the daily average cost of the unilateral and single-type medicines of the above-mentioned various Chinese herbal medicines and / or the daily average cost of the unilateral and single-type medicines of the above-mentioned various Chinese medicine slices, and to publish the difference in the cost of medicines that exceeds the threshold of the above-mentioned medication standard. The daily average cost and / or the difference between the above-mentioned drug costs of various Chinese herbal medicines and various Chinese herbal medicines prompts the above-mentioned medical unit to control the use of Chinese herbal medicines in the prescription of Chinese herbal medicines, so as to realize the risk control of excessive medical expenses of Chinese herbal medicines in Chinese medicine prescriptions; and / or
当接收到上述各种中药饮片的单方单种类药品日均费用和/或上述药品费用差值对应的药品费用报销请求时,拒绝上述药品费用报销请求以实现中药处方中中药饮片的药品费用超标风险控制。When the daily average cost of the single-party single-type drugs and / or the drug cost reimbursement corresponding to the difference between the above drug costs is received, the above drug cost reimbursement request is rejected to realize the risk of exceeding the standard of the drug cost of the Chinese herbal medicines control.
在一些可行的实施方式中,上述处理器401,用于:In some feasible implementation manners, the foregoing processor 401 is configured to:
获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用,根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用;Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine the total drug cost of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the above-mentioned Chinese medicine decoy cost;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的上述任一种中药饮片在单个中药处方中的药品使用总天数;Determine the total number of days of medicine use for any of the above-mentioned Chinese medicine prescriptions in a single Chinese medicine prescription based on the number of days of medicine use for each of the above-mentioned Chinese medicine prescriptions;
根据上述任一种中药饮片的上述药品总费用和上述药品使用总天数确定上述任一种中药饮片的单方单种类药品日均费用,以得到上述各种中药饮片的单方单种类药品日均费用。According 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.
其中,上述单方单种类药品日均费用满足:Among them, the average daily cost of the above single-party single-type drugs meets:
单方单种类药品日均费用=单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。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.
在一些可行的实施方式中,上述处理器401,用于:In some feasible implementation manners, the foregoing processor 401 is configured to:
获取上述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用,根据上述任一剂中药饮片所包括的上述任一种中药饮片的药品费用,确定上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用;Obtain the medicine cost of any one kind of Chinese medicine decoction included in any dose of Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine whether any one of the above-mentioned Chinese medicine decoction in The total cost of medicines in each Chinese medicine decoction piece of the above-mentioned Chinese medicine prescription;
根据上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。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.
在一些可行的实施方式中,上述处理器401,用于:In some feasible implementation manners, the foregoing processor 401 is configured to:
获取上述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量,根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用;Obtain the dose of any one of the traditional Chinese medicine decoctions included in each dose of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription, and determine the total drug cost of any of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription according to the unit price of any one of the traditional Chinese medicine decoctions and the above dose;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。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.
上述单方单种类中药饮片的药品总费用满足:The total cost of the above-mentioned unilateral single-type Chinese herbal medicines meets:
单方单种类中药饮片的药品总费用=单方单种类中药饮片的剂量*单种类中药饮片的单价。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.
在一些可行的实施方式中,上述处理器401,用于:In some feasible implementation manners, the foregoing processor 401 is configured to:
根据上述各剂中药饮片的药品使用天数确定上述中药处方中上述任一种中药饮片在上述中药处方中的药品使用总天数,其中上述任一种中药饮片在上述中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值;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;
根据上述任一种中药饮片在上述中药处方中的药品使用总天数和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品使用总天数。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.
在一些可行的实施方式中,上述处理器401用于:In some feasible implementation manners, the foregoing processor 401 is used to:
获取上述待监控医疗单位的数据系统准入资格,基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的中药处方;和/或Obtain the data system access qualification of the medical unit to be monitored, and obtain the prescription of the traditional Chinese medicine of the medical unit to be monitored from the data system of the medical unit to be monitored based on the access qualification of the data system; and / or
获取上述待监控医疗单位提供的医疗理赔数据,从上述医疗理赔数据中获取上述待监控医疗单位的中药处方。Obtain the medical claim data provided by the medical unit to be monitored, and obtain the Chinese medicine prescription of the medical unit to be monitored from the medical claim data.
其中,上述待监控医疗单位的中药处方包括上述待监控医疗单位的单个中药处方,或者上述待监控医疗单位在单个考核周期内的所有中药处方,上述单个考核周期的周期时长为一日或者大于一日。Among them, 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.
在一些可行的实施方式中,上述待监控医疗单位对应的用药标准阈值包括上述待监控医疗单位对应的各种中药饮片的单方单种类药品日均费用阈值;上述处理器401还用于:In some feasible implementation manners, the medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type medicines of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the processor 401 is further used to:
根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息,确定上述各种中药饮片中任一种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;According to the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the above-mentioned various Chinese herbal medicine pieces, determine the daily average cost threshold of the single-party single-type medicine corresponding to any of the above-mentioned Chinese herbal medicine pieces, of which, one The threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine;
其中,上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种,上述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。Among them, 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.
在一些可行的实施方式中,上述待监控医疗单位对应的用药标准阈值还包括超标中药饮片阈值;上述处理器401用于:In some feasible implementation manners, the medication standard threshold corresponding to the medical unit to be monitored further includes an over-standard threshold of Chinese herbal medicine slices; the processor 401 is used to:
根据上述各种中药饮片对应的单方单种类药品日均费用确定出上述各种中药饮片中的超标中药饮片,上述超标中药饮片的单方单种类药品日均费用大于其所对应的单方单种类药品日均费用阈值;According to the above-mentioned daily average cost of the single-party single-type medicine corresponding to the above-mentioned various Chinese-medicinal pieces, the over-standard Chinese-medicine pieces of the above-mentioned various Chinese-medicine-pieces are determined. Average cost threshold;
若上述各种中药饮片中超标中药饮片的数量小于或者等于超标中药饮片阈值,则确定上述待监控医疗单位的药品费用不超标;If the number of above-standard TCM decoction pieces in the above-mentioned various TCM decoction pieces is less than or equal to the threshold of over-standard TCM decoction pieces, it is determined that the drug cost of the medical unit to be monitored does not exceed the standard;
若上述各种中药饮片中超标中药饮片的数量大于上述超标中药饮片阈值,则确定上述待监控医疗单位的药品费用超标。If the number of above-standard Chinese herbal medicine pieces in the above-mentioned various Chinese herbal medicine pieces is greater than the above-mentioned threshold value of over-standard Chinese medicine pieces, it is determined that the medical cost of the medical unit to be monitored exceeds the standard.
在一些可行的实施方式中,上述处理器401可以是中央处理单元(central processing unit,CPU),该处理器还可以是其他通用处理器、数字信号处理器(digital signal processor,DSP)、专用集成电路(application specific integrated circuit,ASIC)、现成可编程门阵列(field-programmable gate array,FPGA)或者其他可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件等。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。In some feasible implementation manners, 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.
该存储器402可以包括只读存储器和随机存取存储器,并向处理器401提供指令和数据。存储器402的一部分还可以包括非易失性随机存取存储器。例如,存储器402还可以存储设备类型的信息。The memory 402 may include a read-only memory and a random access memory, and provide instructions and data to the processor 401. 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.
在一些可行的实施方式中,上述终端设备可通过其内置的处理器401各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。In some feasible implementation manners, 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. For details, refer to the implementation manners provided by the above steps And will not be repeated here.
在本申请实施例中,终端设备基于各个医疗单位的用药情况对各个医疗单位的中药处方进行用药超标的公示、和/或拒绝中药饮片的单方单种类药品日均费用超标对应的药品费用报销和/或理赔请求等用药超标的风险控制的可靠性,可提高该医疗单位开方的用药可控性,从而可提高医疗资源的有效利用率,适用性更强。In the embodiment of the present application, the terminal device publicizes the prescription of the traditional Chinese medicine of each medical unit based on the medication situation of each medical unit, and / or the reimbursement of the drug cost corresponding to the daily average cost of the unilateral single type of drug that rejects the traditional Chinese medicine decoction and the standard The reliability of the risk control of excessive drug use such as claims or claims can improve the controllability of the medication prescribed by the medical unit, which can increase the effective utilization of medical resources and have greater applicability.
本申请实施例还提供一种计算机可读存储介质,该计算机可读存储介质存储有计算机程序,该计算机程序包括程序指令,该程序指令被处理器执行时实现图1至图2中各个步 骤所提供的基于数据处理的中药处方药品费用控制方法,具体可参见上述各个步骤所提供的实现方式,在此不再赘述。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. For the method for controlling the cost of traditional Chinese medicine prescription drugs based on data processing, please refer to the implementation provided in the above steps for details, which will not be repeated here.
上述计算机可读存储介质可以是前述任一实施例提供的基于数据处理的中药处方药品费用控制装置或者上述终端设备的内部存储单元,例如电子设备的硬盘或内存。该计算机可读存储介质也可以是该电子设备的外部存储设备,例如该电子设备上配备的插接式硬盘,智能存储卡(smart media card,SMC),安全数字(secure digital,SD)卡,闪存卡(flash card)等。The above-mentioned computer-readable storage medium may be the data processing-based Chinese medicine prescription drug cost control device provided in any of the foregoing embodiments or the internal storage unit of the above-mentioned 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.
以上所述,仅为本申请的具体实施方式,但本申请的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本申请揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本申请的保护范围之内。因此,本申请的保护范围应以所述权利要求的保护范围为准。The above is only the specific implementation of this application, but the scope of protection of this application is not limited to this, any person skilled in the art can easily think of changes or replacements within the technical scope disclosed in this application. It should be covered by the scope of protection of this application. Therefore, the protection scope of the present application shall be subject to the protection scope of the claims.

Claims (20)

  1. 一种基于数据处理的中药处方药品费用控制方法,其特征在于,所述方法包括:A Chinese medicine prescription drug cost control method based on data processing, characterized in that the method includes:
    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;Obtaining a Chinese medicine prescription for the medical unit to be monitored, the Chinese medicine prescription including at least one Chinese herbal medicine slice, and one Chinese herbal medicine slice including at least one Chinese medicine slice;
    获取所述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用;Obtain the information of various Chinese herbal medicines included in each Chinese herbal medicine of the prescription of the Chinese medicine, and determine the daily average of each type of single medicine of each Chinese herbal medicine according to the information of the traditional Chinese medicine of the various Chinese medicine cost;
    根据所述各种中药饮片的单方单种类药品日均费用和所述待监控医疗单位对应的用药标准阈值,确定所述待监控医疗单位的中药饮片的药品费用是否超标;Determine, based on the daily average cost of the single-party single-type drugs of the various Chinese herbal medicines and the threshold of the medication standard corresponding to the medical unit to be monitored, determine whether the medical expenses of the Chinese herbal medicines of the medical unit to be monitored exceed the standard;
    若所述待监控医疗单位的中药饮片的药品费用超标,则基于所述各种中药饮片的单方单种类药品日均费用对所述待监控医疗单位进行中药饮片药品费用超标的风险控制。If the medicine cost of the traditional Chinese medicine decoction pieces of the medical unit to be monitored exceeds the standard, then the risk of the traditional Chinese medicine decoction medicine cost exceeding the standard is controlled for the medical unit to be monitored based on the daily average cost of the unilateral single-type medicine of the various Chinese medicine decoction pieces.
  2. 根据权利要求1所述的方法,其特征在于,所述基于所述各种中药饮片的单方单种类药品日均费用对所述待监控医疗单位进行中药饮片药品费用超标的风险控制包括:The method according to claim 1, wherein the risk control of exceeding the standard of the cost of traditional Chinese medicine decoction medicines for the medical unit to be monitored based on the daily average cost of the single-party single-type medicines of the various traditional Chinese medicine decoctions includes:
    将所述各种中药饮片的单方单种类药品日均费用、和/或所述各种中药饮片的单方单种类药品日均费用中超出所述用药标准阈值部分的药品费用差值进行公示,基于公示的所述各种中药饮片的单方单种类药品日均费用和/或所述药品费用差值提示所述待监控医疗单位控制中药处方的中药饮片用药,以实现中药处方中中药饮片的药品费用超标风险控制;和/或To publish the difference between the daily average cost of the single-party single-type medicines of the various Chinese herbal medicines and / or the average daily cost of the single-party single-type medicine of the various Chinese herbal medicines exceeding the threshold of the medication standard, based on The publicized daily average cost of each kind of Chinese herbal medicines and / or the difference in the cost of medicines prompts the medical unit to be monitored to control the use of Chinese herbal medicines in the prescription of Chinese medicines, so as to achieve the medical cost of Chinese medicine prescriptions Over-standard risk control; and / or
    当接收到所述各种中药饮片的单方单种类药品日均费用和/或所述药品费用差值对应的药品费用报销请求时,拒绝所述药品费用报销请求以实现中药处方中中药饮片的药品费用超标风险控制。When receiving the request for reimbursement of the drug cost corresponding to the daily average cost of the various Chinese herbal medicines and / or the difference between the drug costs, the medical expense reimbursement request is rejected to realize the prescription of Chinese medicines Risk control over expenses.
  3. 根据权利要求1或2所述的方法,其特征在于,所述获取所述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据所述各种中药饮片的中药饮片药品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:The method according to claim 1 or 2, characterized in that, the medicine information of various Chinese medicine decoction pieces included in each Chinese medicine decoction piece of the Chinese medicine prescription is obtained, and according to the Chinese medicine decoction of the various Chinese medicine decoction pieces Pieces of medicine information determines that the average daily cost of the single-party single-type medicines of the various pieces of Chinese medicine includes:
    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;Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the Chinese medicine prescription, and determine the medicines of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the medicine costs of the various Chinese medicine decoctions Total cost;
    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;Determining the total number of days of drug use in any single Chinese medicine prescription for any one of the Chinese medicine decoctions of the Chinese medicine prescription according to the number of days of use of the medicines of each Chinese medicine decoction;
    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。Determine the daily average cost of the single-party single-type medicine of any one of the Chinese herbal medicine pieces according to the total cost of the medicine of any one of the traditional Chinese medicine pieces and the total number of days of use of the medicine, so as to obtain the single-party single type of the various Chinese medicine pieces Average daily drug cost.
  4. 根据权利要求3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:The method according to claim 3, characterized in that, the medicine cost of various Chinese medicine decoctions included in each dose of Chinese medicine decoction in the Chinese medicine prescription is determined according to the drug cost of the various Chinese medicine decoctions The total cost of any Chinese herbal medicine in a single Chinese herbal medicine prescription includes:
    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;Obtain the medicine cost of any one kind of Chinese medicine decoction included in any one of the Chinese medicine decoctions in the Chinese medicine prescription, and determine the any one according to the medicine cost of any one kind of Chinese medicine decoction included in the any Chinese medicine decoction The total cost of medicines in each piece of Chinese medicine decoctions of the Chinese medicine prescriptions
    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。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of each kind of Chinese medicine decoction in each Chinese medicine decoction of the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  5. 根据权利要求3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:The method according to claim 3, characterized in that, the medicine cost of various Chinese medicine decoctions included in each dose of Chinese medicine decoction in the Chinese medicine prescription is determined according to the drug cost of the various Chinese medicine decoctions The total cost of any Chinese herbal medicine in a single Chinese herbal medicine prescription includes:
    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;Obtaining the dose of any one kind of Chinese medicine decoction included in each dose of Chinese medicine decoction in the Chinese medicine prescription, and determining the dosage of any one Chinese medicine decoction in the Chinese medicine prescription according to the unit price of the any Chinese medicine decoction and the dose Total drug cost;
    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。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of any one kind of Chinese medicine decoction in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  6. 根据权利要求3-5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:The method according to any one of claims 3-5, characterized in that the determination of any one of the traditional Chinese medicine decoction pieces of the traditional Chinese medicine prescription in a single traditional Chinese medicine prescription is based on the number of days of use of the medicines of the respective Chinese medicine decoction pieces The total days of drug use include:
    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;The total number of days of use of any one of the Chinese herbal medicines in the Chinese medicine prescription in the Chinese medicine prescription is determined according to the number of days of use of each Chinese medicine in the Chinese medicine prescription, wherein any one of the Chinese medicine pieces in the Chinese medicine prescription The total number of days of drug use is the cumulative value of the number of days of drug use for each of the Chinese herbal decoctions;
    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。The total number of days of drug usage of any one kind of Chinese herbal medicine in a single Chinese medicine prescription is determined according to the total number of days of medicine usage of any one of Chinese herbal medicines in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  7. 根据权利要求1-6任一项所述的方法,其特征在于,所述获取待监控医疗单位的中药处方包括:The method according to any one of claims 1 to 6, wherein the obtaining the prescription of Chinese medicine for the medical unit to be monitored includes:
    获取所述待监控医疗单位的数据系统准入资格,基于所述数据系统准入资格从所述待监控医疗单位的数据系统中获取所述待监控医疗单位的中药处方;和/或Acquiring the data system access qualification of the medical unit to be monitored, and obtaining the Chinese medicine prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the data system access qualification; and / or
    获取所述待监控医疗单位提供的医疗理赔数据,从所述医疗理赔数据中获取所述待监控医疗单位的中药处方;Obtaining medical claim data provided by the medical unit to be monitored, and obtaining Chinese medicine prescriptions of the medical unit to be monitored from the medical claim data;
    其中,所述待监控医疗单位的中药处方包括所述待监控医疗单位的单个中药处方,或者所述待监控医疗单位在单个考核周期内的所有中药处方,所述单个考核周期的周期时长为一日或者大于一日。Wherein, the traditional Chinese medicine prescription of the medical unit to be monitored includes a 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, and the period length of the single assessment cycle is one Day or more.
  8. 根据权利要求1-7任一项所述的方法,其特征在于,所述待监控医疗单位对应的用药标准阈值包括所述待监控医疗单位对应的各种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:The method according to any one of claims 1-7, wherein the standard threshold of medication corresponding to the medical unit to be monitored includes the daily average cost of a single type of single type of medicine for various pieces of Chinese medicine corresponding to the medical unit to be monitored Threshold, the method further includes:
    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;According to the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the various TCM decoction pieces, determine the daily average cost threshold of the unilateral single-type drugs corresponding to any one of the various TCM decoction pieces, one The daily average cost threshold of a single-party single-type drug corresponds to at least one Chinese herbal decoction;
    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。Wherein, 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 patient visits of the unit, and the drug attribute information includes the drug One or more of name, drug type, drug use, unit drug supply channel and drug source.
  9. 根据权利要求8所述的方法,其特征在于,所述待监控医疗单位对应的用药标准阈值还包括超标中药饮片阈值;The method according to claim 8, wherein the medication standard threshold corresponding to the medical unit to be monitored further includes a threshold for exceeding the standard Chinese medicine decoction pieces;
    所述根据所述各种中药饮片的单方单种类药品日均费用和所述待监控医疗单位对应的用药标准阈值,确定所述待监控医疗单位的中药饮片的药品费用是否超标包括:According to the daily average cost of the single-party single-type drugs of the various Chinese herbal medicines and the threshold of the medication standard corresponding to the medical unit to be monitored, determining whether the medical expenses of the Chinese herbal medicines of the medical unit to be monitored exceeds the standard includes:
    根据所述各种中药饮片对应的单方单种类药品日均费用确定出所述各种中药饮片中的超标中药饮片,所述超标中药饮片的单方单种类药品日均费用大于其所对应的单方单种类药品日均费用阈值;According to the daily average cost of the single-party single-type drugs corresponding to the various Chinese herbal medicine pieces, the excessive-standard Chinese-medicine pieces of the various traditional Chinese medicine-pieces are determined, and the daily average cost of the single-party single-type medicine of the exceeding-standard Chinese medicine-pieces is greater than the corresponding single-party bill Threshold for the daily average cost of drugs;
    若所述各种中药饮片中超标中药饮片的数量小于或者等于所述超标中药饮片阈值,则确定所述待监控医疗单位的药品费用不超标;If the number of over-standard TCM decoction pieces in the various TCM decoction pieces is less than or equal to the over-standard TCM decoction piece threshold, it is determined that the drug cost of the medical unit to be monitored does not exceed the standard;
    若所述各种中药饮片中超标中药饮片的数量大于所述超标中药饮片阈值,则确定所述待监控医疗单位的药品费用超标。If the number of excess Chinese herbal decoction pieces in the various Chinese herbal decoction pieces is greater than the threshold value of the excessive Chinese herbal decoction pieces, it is determined that the drug cost of the medical unit to be monitored exceeds the standard.
  10. 一种基于数据处理的中药处方药品费用控制装置,其特征在于,所述装置包括:A Chinese medicine prescription drug cost control device based on data processing, characterized in that the device includes:
    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;A data acquisition unit, configured to acquire a Chinese medicine prescription of the medical unit to be monitored, the Chinese medicine prescription includes at least one Chinese medicine decoction, and one Chinese medicine decoction includes at least one Chinese medicine decoction;
    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的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息,并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用;A medicine information processing unit, configured to obtain the medicine information of various Chinese medicine pieces included in each piece of Chinese medicine pieces of the Chinese medicine prescription obtained by the data acquisition unit, and according to the medicine information of the Chinese medicine pieces of the various Chinese medicine pieces Determine the average daily cost of the single-party single-type drugs of the various Chinese herbal decoction pieces;
    用药评价单元,用于根据所述药品信息处理单元确定的所述各种中药饮片的单方单种类药品日均费用,和所述待监控医疗单位对应的用药标准阈值确定所述待监控医疗单位的中药饮片的药品费用是否超标;The medication evaluation unit is used to determine the daily average cost of the single-party single-type drugs of the various Chinese herbal medicine pieces determined by the drug information processing unit and the medication standard threshold corresponding to the medical unit to be monitored Whether the drug cost of Chinese herbal decoction exceeds the standard;
    用药风险控制单元,用于在所述用药评价单元确定所述待监控医疗单位的中药饮片的药品费用超标时,基于所述药品信息处理单元确定的所述各种中药饮片的单方单种类药品日均费用对所述待监控医疗单位进行中药饮片药品费用超标的风险控制。The medication risk control unit is configured to, when the medication evaluation unit determines that the medicine cost of the TCM decoction pieces of the medical unit to be monitored exceeds the standard, based on the unilateral single-type medicine day of the various TCM decoction pieces determined by the drug information processing unit The average cost carries out the risk control on the medical unit to be monitored that the cost of traditional Chinese medicine decoction exceeds the standard.
  11. 根据权利要求10所述的装置,其特征在于,所述用药风险控制单元用于:The device according to claim 10, wherein the medication risk control unit is used to:
    将所述药品信息处理单元确定的所述各种中药饮片的单方单种类药品日均费用、和/或所述各种中药饮片的单方单种类药品日均费用中超出所述用药标准阈值部分的药品费用差值进行公示,基于公示的所述各种中药饮片的单方单种类药品日均费用和/或所述药品费用差值提示所述待监控医疗单位控制中药处方的中药饮片用药,以实现中药处方中中药饮片的药品费用超标风险控制;和/或A portion of the daily average cost of the unilateral single-type medicine of the various Chinese herbal medicine pieces determined by the pharmaceutical information processing unit, and / or the average daily cost of the unilateral single-type medicine of the various Chinese herbal medicine pieces exceeding the threshold value of the medication standard The difference of drug cost is publicized, based on the publicized daily average cost of the single-party single-type drugs of the various Chinese medicine pieces and / or the difference of the drug cost prompts the medical unit to be monitored to control the use of Chinese medicine pieces in the prescription of Chinese medicine to achieve Risk Control of Excessive Drug Expenses in Chinese Medicine Prescriptions in Chinese Medicine Prescriptions; and / or
    当接收到所述各种中药饮片的单方单种类药品日均费用和/或所述药品费用差值对应的药品费用报销请求时,拒绝所述药品费用报销请求以实现中药处方中中药饮片的药品费用超标风险控制。When receiving the request for reimbursement of the drug cost corresponding to the daily average cost of the various Chinese herbal medicines and / or the difference between the drug costs, the medical expense reimbursement request is rejected to realize the prescription of Chinese medicines Risk control over expenses.
  12. 根据权利要求10或11所述的装置,其特征在于,所述药品信息处理单元用于:The device according to claim 10 or 11, wherein the medicine information processing unit is used to:
    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;Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the Chinese medicine prescription, and determine the medicines of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the medicine costs of the various Chinese medicine decoctions Total cost;
    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;Determining the total number of days of drug use in any single Chinese medicine prescription for any one of the Chinese medicine decoctions of the Chinese medicine prescription according to the number of days of use of the medicines of each Chinese medicine decoction;
    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。Determine the daily average cost of the single-party single-type medicine of any one of the Chinese herbal medicine pieces according to the total cost of the medicine of any one of the traditional Chinese medicine pieces and the total number of days of use of the medicine, so as to obtain the single-party single type of the various Chinese medicine pieces Average daily drug cost.
  13. 根据权利要求12所述的装置,其特征在于,所述药品信息处理单元用于:The device according to claim 12, wherein the medicine information processing unit is configured to:
    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;Obtain the medicine cost of any one kind of Chinese medicine decoction included in any one of the Chinese medicine decoctions in the Chinese medicine prescription, and determine the any one according to the medicine cost of any one kind of Chinese medicine decoction included in the any Chinese medicine decoction The total cost of medicines in each piece of Chinese medicine decoctions of the Chinese medicine prescriptions
    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。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of each kind of Chinese medicine decoction in each Chinese medicine decoction of the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  14. 根据权利要求12所述的装置,其特征在于,所述药品信息处理单元用于:The device according to claim 12, wherein the medicine information processing unit is configured to:
    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;Obtaining the dose of any one kind of Chinese medicine decoction included in each dose of Chinese medicine decoction in the Chinese medicine prescription, and determining the dosage of any one Chinese medicine decoction in the Chinese medicine prescription according to the unit price of the any Chinese medicine decoction and the dose Total drug cost;
    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。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of any one kind of Chinese medicine decoction in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  15. 根据权利要求12-14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:The device according to any one of claims 12 to 14, wherein the medicine information processing unit is used to:
    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;The total number of days of use of any one of the Chinese herbal medicines in the Chinese medicine prescription in the Chinese medicine prescription is determined according to the number of days of use of each Chinese medicine in the Chinese medicine prescription, wherein any one of the Chinese medicine pieces in the Chinese medicine prescription The total number of days of drug use is the cumulative value of the number of days of drug use for each of the Chinese herbal decoctions;
    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。The total number of days of drug usage of any one kind of Chinese herbal medicine in a single Chinese medicine prescription is determined according to the total number of days of medicine usage of any one of Chinese herbal medicines in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  16. 根据权利要求10-15任一项所述的装置,其特征在于,所述数据获取单元用于:The apparatus according to any one of claims 10-15, wherein the data acquisition unit is used to:
    获取所述待监控医疗单位的数据系统准入资格,基于所述数据系统准入资格从所述待监控医疗单位的数据系统中获取所述待监控医疗单位的中药处方;和/或Acquiring the data system access qualification of the medical unit to be monitored, and obtaining the Chinese medicine prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the data system access qualification; and / or
    获取所述待监控医疗单位提供的医疗理赔数据,从所述医疗理赔数据中获取所述待监控医疗单位的中药处方;Obtaining medical claim data provided by the medical unit to be monitored, and obtaining Chinese medicine prescriptions of the medical unit to be monitored from the medical claim data;
    其中,所述待监控医疗单位的中药处方包括所述待监控医疗单位的单个中药处方,或者所述待监控医疗单位在单个考核周期内的所有中药处方,所述单个考核周期的周期时长为一日或者大于一日。Wherein, the traditional Chinese medicine prescription of the medical unit to be monitored includes a 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, and the period length of the single assessment cycle is one Day or more.
  17. 根据权利要求10-16任一项所述的装置,其特征在于,所述待监控医疗单位对应的用药标准阈值包括所述待监控医疗单位对应的各种中药饮片的单方单种类药品日均费用阈值;所述用药评价单元还用于:The device according to any one of claims 10-16, wherein the standard threshold of medication corresponding to the medical unit to be monitored includes the daily average cost of a single type of single medicine for various Chinese herbal medicine pieces corresponding to the medical unit to be monitored Threshold; the medication evaluation unit is also used to:
    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;According to the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the various Chinese medicine decoction pieces, determine the daily average cost threshold of the unilateral single type of medicine corresponding to any one of the various Chinese medicine decoction pieces, wherein , The daily average cost threshold of a single-party single-type medicine corresponds to at least one piece of Chinese herbal medicine;
    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。Wherein, 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 patient visits of the unit, and the drug attribute information includes the drug One or more of name, drug type, drug use, unit drug supply channel and drug source.
  18. 根据权利要求17所述的装置,其特征在于,所述待监控医疗单位对应的用药标准阈值还包括超标中药饮片阈值;所述用药评价单元用于:The device according to claim 17, characterized in that the medication standard threshold corresponding to the medical unit to be monitored further includes a threshold exceeding the standard Chinese medicine decoction; the medication evaluation unit is used to:
    根据所述各种中药饮片对应的单方单种类药品日均费用确定出所述各种中药饮片中的超标中药饮片,所述超标中药饮片的单方单种类药品日均费用大于其所对应的单方单种类药品日均费用阈值;According to the daily average cost of the single-party single-type drugs corresponding to the various Chinese herbal medicine pieces, the excessive-standard Chinese-medicine pieces of the various traditional Chinese medicine-pieces are determined. Threshold for the daily average cost of drugs;
    若所述各种中药饮片中超标中药饮片的数量小于或者等于超标中药饮片阈值,则确定所述待监控医疗单位的药品费用不超标;If the number of over-standard TCM decoction pieces in the various TCM decoction pieces is less than or equal to the over-standard TCM decoction piece threshold, it is determined that the drug cost of the medical unit to be monitored does not exceed the standard;
    若所述各种中药饮片中超标中药饮片的数量大于所述超标中药饮片阈值,则确定所述待监控医疗单位的药品费用超标。If the number of excess Chinese herbal decoction pieces in the various Chinese herbal decoction pieces is greater than the threshold value of the excessive Chinese herbal decoction pieces, it is determined that the drug cost of the medical unit to be monitored exceeds the standard.
  19. 一种终端设备,其特征在于,包括处理器和存储器,所述处理器和所述存储器相互连接,其中,所述存储器用于存储计算机程序,所述计算机程序包括程序指令,所述处理器被配置用于调用所述程序指令,执行如权利要求1-9任一项所述的方法。A terminal device is characterized by comprising a processor and a memory, the processor and the memory are connected to each other, wherein the memory is used to store a computer program, the computer program includes program instructions, and the processor is It is configured to call the program instructions to execute the method according to any one of claims 1-9.
  20. 一种计算机可读存储介质,其特征在于,所述计算机可读存储介质存储有计算机程序,所述计算机程序被处理器执行以实现权利要求1-9任一项所述的方法。A computer-readable storage medium, characterized in that the computer-readable storage medium stores a computer program, which is executed by a processor to implement the method according to any one of claims 1-9.
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CN109523762A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 The exceeded method for early warning of prescriptions of traditional Chinese medicine drug expenditure and device based on data processing
CN109524077A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 Prescriptions of traditional Chinese medicine drug expenditure control method and device based on data processing
CN109545308A (en) * 2018-10-22 2019-03-29 平安医疗健康管理股份有限公司 The exceeded method for early warning of prescriptions of traditional Chinese medicine drug expenditure and device based on data processing
CN109559791A (en) * 2018-10-22 2019-04-02 平安医疗健康管理股份有限公司 The exceeded method for early warning of prescriptions of traditional Chinese medicine drug expenditure and device based on data processing

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