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 PDFInfo
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- 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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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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
Description
Claims (20)
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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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