CN109524075A - Drug expenditure risk of exceeding criterion control method and device based on data processing - Google Patents
Drug expenditure risk of exceeding criterion control method and device based on data processing Download PDFInfo
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- 239000003814 drug Substances 0.000 title claims abstract description 2189
- 229940079593 drug Drugs 0.000 title claims abstract description 1644
- 238000000034 method Methods 0.000 title claims abstract description 60
- 238000012545 processing Methods 0.000 title claims abstract description 30
- 241000282414 Homo sapiens Species 0.000 claims abstract description 177
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- 230000001186 cumulative effect Effects 0.000 description 13
- 238000002483 medication Methods 0.000 description 11
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- 229940126534 drug product Drugs 0.000 description 4
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- 239000000825 pharmaceutical preparation Substances 0.000 description 4
- 239000002699 waste material Substances 0.000 description 3
- NAWXUBYGYWOOIX-SFHVURJKSA-N (2s)-2-[[4-[2-(2,4-diaminoquinazolin-6-yl)ethyl]benzoyl]amino]-4-methylidenepentanedioic acid Chemical compound C1=CC2=NC(N)=NC(N)=C2C=C1CCC1=CC=C(C(=O)N[C@@H](CC(=C)C(O)=O)C(O)=O)C=C1 NAWXUBYGYWOOIX-SFHVURJKSA-N 0.000 description 2
- 241000208340 Araliaceae Species 0.000 description 2
- 235000005035 Panax pseudoginseng ssp. pseudoginseng Nutrition 0.000 description 2
- 235000003140 Panax quinquefolius Nutrition 0.000 description 2
- -1 Sales Volumes Substances 0.000 description 2
- 230000006399 behavior Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
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- 239000000955 prescription drug Substances 0.000 description 1
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Abstract
The embodiment of the present application discloses a kind of drug expenditure risk of exceeding criterion control method and device based on data processing, this method comprises: obtaining with effective prescription and with the medicine information included by effective prescription, and determines average daily drug expenditure according to medicine information；According to the sufferer quantity corresponding to the determining effective prescription of sufferer information for including in effective prescription, the day for human beings equal drug expenditure is determined according to medicine information and sufferer quantity；It is determined according to the medicine information of each similar drug included in medicine information with the target medicine in effective prescription and determines target medicine with the target medicine ratio in effective prescription；It is whether exceeded according to average daily drug expenditure, the day for human beings equal drug expenditure and target medicine ratio-dependent drug expenditure；If drug expenditure is exceeded, the exceeded risk control of drug expenditure is carried out based on average daily drug expenditure, the day for human beings equal drug expenditure and target medicine ratio.Using the embodiment of the present application, the accuracy of medication monitoring can be improved, improve the effective rate of utilization of medical resource.
Description
Technical field
This application involves field of medical technology more particularly to a kind of drug expenditure risk of exceeding criterion controls based on data processing
Method and device.
Background technique
Currently for the medication standard of each medical institutions of specification, evade big prescribing behaviour, to avoid the abuse of drug
And waste, the purpose rationally treated is played, miscellaneous medication monitoring mechanism comes into being.Miscellaneous medication monitoring equipment
System is for carrying out medication monitoring, including but not limited to each hospital, the department of each hospital, each clinic to each medical institutions
Or even the medical institutions such as each doctor (or representative of medical institutions) carry out medication monitoring.
In the prior art, time equal prescription standard is mainly used for the evaluation of the medication standard of each medical institutions,
Medication evaluation criterion exactly by the prescription average cost calculated every time (referred to as time equal prescription expenditure) as each medical institutions.
Wherein, the medication evaluation criterion of above-mentioned time prescription expenditure is calculated in such a way that prescription total value is divided by prescription number
It arrives.The prior art using time prescription expenditure as the medication evaluation criterion of each medical institutions cause each medical institutions in order to
Evade big prescribing behaviour to be examined, it will usually lower time equal prescription expenditure using reduction prescription number of days, or by decomposition
The biggish big prescription of single prescription total value is decomposed into the modes such as multiple lesser small prescriptions of single prescription total value by the mode of side
Time equal prescription expenditure is reduced, to evade the monitoring of big prescription.The implementation of the prior art makes the use of each medical institutions
The loophole of medicine monitoring is larger, low to the medication monitoring accuracy rate of each medical institutions, poor for applicability.
Summary of the invention
The embodiment of the present application provides a kind of drug expenditure risk of exceeding criterion control method and device based on data processing, operation
Simply, the accuracy that the medication monitoring to medical institutions can be improved improves the reliability of the medication monitoring to medical institutions, improves
The effective rate of utilization of medical resource, applicability are stronger.
In a first aspect, the embodiment of the present application provides a kind of drug expenditure risk of exceeding criterion controlling party based on data processing
Method, this method comprises:
Obtain medical institutions to be monitored uses effective prescription；
Above-mentioned medicine information included in effective prescription is obtained, and above-mentioned doctor to be monitored is determined according to above-mentioned medicine information
Treat the average daily drug expenditure of unit；
The above-mentioned sufferer quantity corresponding to effective prescription is determined with the sufferer information for including in effective prescription according to above-mentioned, according to
Above-mentioned medicine information and above-mentioned sufferer quantity determine the day for human beings equal drug expenditure of above-mentioned medical institutions to be monitored；
The above-mentioned mesh in effective prescription is determined according to the medicine information of each similar drug included in above-mentioned medicine information
Drug is marked, and determines above-mentioned target medicine in the above-mentioned target medicine in effective prescription according to the medicine information of above-mentioned each similar drug
Ratio；
According to above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio, determine above-mentioned
Whether the drug expenditure of medical institutions to be monitored is exceeded；
It is equal based on above-mentioned average daily drug expenditure, the above-mentioned day for human beings if the drug expenditure of above-mentioned medical institutions to be monitored is exceeded
Drug expenditure and above-mentioned target medicine ratio carry out above-mentioned medical institutions to be monitored exceeded with the drug expenditure of effective prescription
Risk control.
With reference to first aspect, in a kind of possible embodiment, above-mentioned acquisition medical institutions to be monitored use effective prescription
Include:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper
State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned
Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes above-mentioned medical institutions to be monitored in the individually examination period with effective prescription
It is interior it is all use effective prescription, the above-mentioned single examination period includes odd-numbered day or more days.
With reference to first aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription
All within the odd-numbered day of above-mentioned medical institutions to be monitored use effective prescription；
The above-mentioned medicine information included in effective prescription of above-mentioned acquisition, and determined according to above-mentioned medicine information above-mentioned wait supervise
Control medical institutions average daily drug expenditure include:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information
Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug
Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug
Expense.
With reference to first aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription
All within more days single examination periods of above-mentioned medical institutions to be monitored use effective prescription；
The above-mentioned medicine information included in effective prescription of above-mentioned acquisition, and determined according to above-mentioned medicine information above-mentioned wait supervise
Control medical institutions average daily drug expenditure include:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication
The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days
State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge
Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days
Product use the summation of number of days.
With reference to first aspect, in a kind of possible embodiment, it is above-mentioned according to above-mentioned medical institutions to be monitored above-mentioned
The odd-numbered day average daily drug expenditure and drug of single examination period Nei Ge determines above-mentioned medical institutions to be monitored using total number of days
Daily drug expenditure includes:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge
Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined
Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise
Control the average daily drug expenditure of medical institutions.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.
Optionally, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=period drug total value/period drug uses total number of days；
Wherein, it can be the drug of all drugs of all prescriptions in the single examination period in above-mentioned period drug total value
The total amount of the cumulative obtained all drugs of the amount of money, above-mentioned period drug can be the institute in the single examination period using total number of days
There is the drug of each drug in drug to use the accumulated value of number of days.
With reference to first aspect, in a kind of possible embodiment, it is above-mentioned according to above-mentioned with the sufferer for including in effective prescription
Information determines that the above-mentioned sufferer quantity corresponding to effective prescription includes:
It obtains above-mentioned sufferer information included in effective prescription, and is determined according to above-mentioned sufferer information and above-mentioned use effective prescription
Targeted sufferer person-time, wherein one is directed to a sufferer person-time with effective prescription；
Above-mentioned sufferer person-time is determined as the above-mentioned sufferer quantity corresponding to effective prescription.
With reference to first aspect, above-mentioned according to above-mentioned medicine information and above-mentioned sufferer number in a kind of possible embodiment
Amount determines that the day for human beings equal drug expenditure of above-mentioned medical institutions to be monitored includes:
It is determined according to above-mentioned medicine information above-mentioned single with drug sum included in effective prescription and above-mentioned medical treatment to be monitored
The average daily drug expenditure of position；
Above-mentioned medical institutions to be monitored are determined according to above-mentioned average daily drug expenditure, above-mentioned sufferer quantity and above-mentioned drug sum
The day for human beings equal drug expenditure.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days.
The day for human beings of above-mentioned medical institutions to be monitored, equal drug expenditure met:
The day for human beings equal drug expenditure=drug sum/average daily drug expenditure of sufferer quantity *.
With reference to first aspect, above-mentioned each included by above-mentioned medicine information in a kind of possible embodiment
The medicine information of similar drug determines that the above-mentioned target medicine in effective prescription includes:
The above-mentioned medicine information with each similar drug included in effective prescription is determined according to above-mentioned medicine information, it is above-mentioned each
Number of days is used including at least the Sales Volumes of each similar drug and drug in the medicine information of similar drug；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with
And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned
The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug
Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine
The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
With reference to first aspect, in a kind of possible embodiment, the above-mentioned medicine information according to above-mentioned each similar drug is true
Above-mentioned target medicine is made above-mentioned includes: with the target medicine ratio of effective prescription
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and
The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value
Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
With reference to first aspect, above-mentioned according to above-mentioned average daily drug expenditure, the above-mentioned day for human beings in a kind of possible embodiment
Equal drug expenditure and above-mentioned target medicine ratio, determining whether the drug expenditure of above-mentioned medical institutions to be monitored is exceeded includes:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored
Cost threshold, the day for human beings equal drug expenditure threshold value and target medicine proportion threshold value；
If above-mentioned average daily drug expenditure is greater than above-mentioned average daily drug expenditure threshold value, above-mentioned average daily drug expenditure is determined as
Exceeded Drug utilization index parameter；And/or
If the above-mentioned day for human beings equal drug expenditure is greater than equal drug expenditure threshold value of the above-mentioned day for human beings, by equal drug expenditure of the above-mentioned day for human beings
It is determined as exceeded Drug utilization index parameter；And/or
If above-mentioned target medicine ratio is greater than above-mentioned target medicine proportion threshold value, it is by above-mentioned target medicine ratio-dependent
Exceeded Drug utilization index parameter；
According to the exceeded use in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Medicine index parameter determines whether the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit
Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of.
With reference to first aspect, above-mentioned according to above-mentioned average daily drug expenditure, the above-mentioned day for human beings in a kind of possible embodiment
Exceeded Drug utilization index parameter in equal drug expenditure and above-mentioned target medicine ratio determines the medicine of above-mentioned medical institutions to be monitored
Whether product expense is exceeded to include:
If in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio include one or
The multinomial exceeded Drug utilization index parameter of person, it is determined that the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
If above-mentioned average daily drug expenditure is less than or equal to above-mentioned average daily drug expenditure threshold value, equal drug expenditure of the above-mentioned day for human beings
Less than or equal to equal drug expenditure threshold value of the above-mentioned day for human beings and above-mentioned target medicine ratio is less than or equal to above-mentioned target medicine
Proportion threshold value, it is determined that the drug expenditure of above-mentioned medical institutions to be monitored is not exceeded.
With reference to first aspect, above-mentioned to be based on above-mentioned average daily drug expenditure, the above-mentioned day for human beings in a kind of possible embodiment
Equal drug expenditure and above-mentioned target medicine ratio carry out above-mentioned medical institutions to be monitored exceeded with the drug expenditure of effective prescription
Risk control include:
By the exceeded medication in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Index parameter carries out publicity, the use of the above-mentioned medical institutions' control evolution to be monitored of the exceeded Drug utilization index parameter prompts based on publicity
Medicine, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
Above-mentioned exceeded Drug utilization index parameter is exceeded into the corresponding Drug utilization index parameter threshold of above-mentioned exceeded Drug utilization index parameter
Difference carry out publicity, the above-mentioned difference based on publicity prompts the medication of above-mentioned medical institutions to be monitored control evolution, to realize
With the exceeded risk control of the drug expenditure of effective prescription；And/or
When receiving above-mentioned exceeded Drug utilization index parameter and/or the corresponding drug expenditure reimbursement of above-mentioned difference is requested, refuse
Drug expenditure reimbursement request above-mentioned absolutely is to realize the risk control for using the drug expenditure of effective prescription exceeded.
Second aspect, the embodiment of the present application provide a kind of drug expenditure risk of exceeding criterion control dress based on data processing
It sets, which includes:
Data capture unit for obtaining the use effective prescription of medical institutions to be monitored, and obtains above-mentioned institute in effective prescription
Including medicine information；
Medicine information processing unit, the above-mentioned medicine information for being obtained according to above-mentioned data capture unit determine it is above-mentioned to
Monitor the average daily drug expenditure of medical institutions；
Medicine information processing unit, be also used to above-mentioned include in effective prescription according to what above-mentioned data capture unit obtained
Sufferer information determines the above-mentioned sufferer quantity corresponding to effective prescription, is determined according to above-mentioned medicine information and above-mentioned sufferer quantity
State the day for human beings equal drug expenditure of medical institutions to be monitored；
Medicine information processing unit is also used to true according to the medicine information of each similar drug included in above-mentioned medicine information
The above-mentioned target medicine in effective prescription is made, and determines above-mentioned target medicine upper according to the medicine information of above-mentioned each similar drug
It states with the target medicine ratio in effective prescription；
Medication monitoring unit, the above-mentioned average daily drug expenditure, above-mentioned for being determined according to above-mentioned medicine information processing unit
The day for human beings equal drug expenditure and above-mentioned target medicine ratio determine whether the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
Drug risk control unit, for determining the drug expense of above-mentioned medical institutions to be monitored in above-mentioned medication monitoring unit
With it is exceeded when, based on above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio to it is above-mentioned to
Monitoring medical institutions carry out the risk control exceeded with the drug expenditure of effective prescription.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned data capture unit is used for:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper
State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned
Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes above-mentioned medical institutions to be monitored in the individually examination period with effective prescription
It is interior it is all use effective prescription, the above-mentioned single examination period includes odd-numbered day or more days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription
All within the odd-numbered day of above-mentioned medical institutions to be monitored use effective prescription；
Above-mentioned medicine information processing unit is used for:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information
Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug
Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug
Expense.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medical institutions to be monitored include with effective prescription
All within more days single examination periods of above-mentioned medical institutions to be monitored use effective prescription；
Above-mentioned medicine information processing unit is used for:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication
The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days
State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge
Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days
Product use the summation of number of days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge
Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined
Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise
Control the average daily drug expenditure of medical institutions.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.
Optionally, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=period drug total value/period drug uses total number of days；
Wherein, it can be the drug of all drugs of all prescriptions in the single examination period in above-mentioned period drug total value
The total amount of the cumulative obtained all drugs of the amount of money, above-mentioned period drug can be the institute in the single examination period using total number of days
There is the drug of each drug in drug to use the accumulated value of number of days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
It obtains above-mentioned sufferer information included in effective prescription, and is determined according to above-mentioned sufferer information and above-mentioned use effective prescription
Targeted sufferer person-time, wherein one is directed to a sufferer person-time with effective prescription；
Above-mentioned sufferer person-time is determined as the above-mentioned sufferer quantity corresponding to effective prescription.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
It is determined according to above-mentioned medicine information above-mentioned single with drug sum included in effective prescription and above-mentioned medical treatment to be monitored
The average daily drug expenditure of position；
Above-mentioned medical institutions to be monitored are determined according to above-mentioned average daily drug expenditure, above-mentioned sufferer quantity and above-mentioned drug sum
The day for human beings equal drug expenditure.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days；
The day for human beings of above-mentioned medical institutions to be monitored, equal drug expenditure met:
The day for human beings equal drug expenditure=drug sum/average daily drug expenditure of sufferer quantity *.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
The above-mentioned medicine information with each similar drug included in effective prescription is determined according to above-mentioned medicine information, it is above-mentioned each
Number of days is used including at least the Sales Volumes of each similar drug and drug in the medicine information of similar drug；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with
And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned
The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug
Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine
The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medicine information processing unit is used for:
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and
The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value
Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medication monitoring unit is used for:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored
Cost threshold, the day for human beings equal drug expenditure threshold value and target medicine proportion threshold value；
If above-mentioned average daily drug expenditure is greater than above-mentioned average daily drug expenditure threshold value, above-mentioned average daily drug expenditure is determined as
Exceeded Drug utilization index parameter；And/or
If the above-mentioned day for human beings equal drug expenditure is greater than equal drug expenditure threshold value of the above-mentioned day for human beings, by equal drug expenditure of the above-mentioned day for human beings
It is determined as exceeded Drug utilization index parameter；And/or
If above-mentioned target medicine ratio is greater than above-mentioned target medicine proportion threshold value, it is by above-mentioned target medicine ratio-dependent
Exceeded Drug utilization index parameter；
According to the exceeded use in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Medicine index parameter determines whether the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit
Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned medication monitoring unit is used for:
In above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio include one or
When the multinomial exceeded Drug utilization index parameter of person, determine that the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
It is less than or equal to above-mentioned average daily drug expenditure threshold value, equal drug expenditure of the above-mentioned day for human beings in above-mentioned average daily drug expenditure
Less than or equal to equal drug expenditure threshold value of the above-mentioned day for human beings and above-mentioned target medicine ratio is less than or equal to above-mentioned target medicine
When proportion threshold value, determine that the drug expenditure of above-mentioned medical institutions to be monitored is not exceeded.
In conjunction with second aspect, in a kind of possible embodiment, above-mentioned drug risk control unit is used for:
By the exceeded medication in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Index parameter carries out publicity, the use of the above-mentioned medical institutions' control evolution to be monitored of the exceeded Drug utilization index parameter prompts based on publicity
Medicine, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
Above-mentioned exceeded Drug utilization index parameter is exceeded into the corresponding Drug utilization index parameter threshold of above-mentioned exceeded Drug utilization index parameter
Difference carry out publicity, the above-mentioned difference based on publicity prompts the medication of above-mentioned medical institutions to be monitored control evolution, to realize
With the exceeded risk control of the drug expenditure of effective prescription；And/or
When receiving above-mentioned exceeded Drug utilization index parameter and/or the corresponding drug expenditure reimbursement of above-mentioned difference is requested, refuse
Drug expenditure reimbursement request above-mentioned absolutely is to realize the risk control for using the drug expenditure of effective prescription exceeded.
The third aspect, the embodiment of the present application provide a kind of terminal device, which includes processor and memory,
The processor and memory are connected with each other.The memory for store support the terminal device execute above-mentioned first aspect and/or
The computer program for the method that any possible implementation of first aspect provides, which includes program instruction,
The processor is configured for calling above procedure instruction, executes above-mentioned first aspect and/or first aspect is any possible
Method provided by embodiment.
Fourth aspect, the embodiment of the present application provide a kind of computer readable storage medium, the computer-readable storage medium
Matter is stored with computer program, which includes program instruction, which makes at this when being executed by a processor
It manages device and executes method provided by above-mentioned first aspect and/or any possible embodiment of first aspect.
The embodiment of the present application being believed with medicine information and sufferer included in effective prescription based on medical institutions to be monitored
Breath, determines the average daily drug expenditure and the day for human beings equal drug expenditure of medical institutions to be monitored, can be according to included in effective prescription
The medicine information of each similar drug determines with the target medicine ratio in effective prescription, and then can be based on the day of medical institutions to be monitored
Equal drug expenditure, the day for human beings equal drug expenditure and target medicine ratio judge whether the drug expenditure of medical institutions to be monitored is exceeded,
Realize the evaluation to the Drug utilization index parameter of medical institutions to be monitored, it is easy to operate.If multiple medications of medical institutions to be monitored
Have in index parameter one or more Drug utilization index parameter it is exceeded when, then can be taken based on the average daily drug of medical institutions to be monitored
Medical institutions to be monitored are carried out with effective prescription with the one or more in, the day for human beings equal drug expenditure and target medicine ratio
The exceeded risk control of drug expenditure.It can be based on multiple Drug utilization index parameters (this day based on method provided by the embodiments of the present application
Equal drug expenditure, the day for human beings equal drug expenditure and target medicine ratio) realize it is simple to the medication policer operation of each medical institutions, can
The accuracy for improving the medication monitoring to medical institutions improves the reliability of the medication monitoring to medical institutions, improves medical treatment money
The effective rate of utilization in source, applicability are stronger.
Detailed description of the invention
Technical solution in ord to more clearly illustrate embodiments of the present application, below will be to needed in embodiment description
Attached drawing is briefly described, it should be apparent that, the accompanying drawings in the following description is some embodiments of the present application, general for this field
For logical technical staff, without creative efforts, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is a process of the drug expenditure risk of exceeding criterion control method provided by the embodiments of the present application based on data processing
Schematic diagram；
Fig. 2 is another stream of the drug expenditure risk of exceeding criterion control method provided by the embodiments of the present application based on data processing
Journey schematic diagram；
Fig. 3 is the embodiment of the drug expenditure risk of exceeding criterion control device provided by the embodiments of the present application based on data processing
Structural schematic diagram；
Fig. 4 is the example structure schematic diagram of terminal device provided by the embodiments of the present application.
Specific embodiment
Below in conjunction with the attached drawing in the embodiment of the present application, technical solutions in the embodiments of the present application carries out clear, complete
Site preparation description, it is clear that described embodiment is some embodiments of the present application, instead of all the embodiments.Based on this Shen
Please in embodiment, every other implementation obtained by those of ordinary skill in the art without making creative efforts
Example, shall fall in the protection scope of this application.
The embodiment of the present application provides a kind of drug expenditure risk of exceeding criterion control method based on data processing, can be based on each
The medical institutions such as a hospital, the department of each hospital, each clinic or even each doctor (or medical institutions representative (or
Team)) average daily drug expenditure, the day for human beings equal drug expenditure and target medicine ratio come evaluate each medical institutions (including hospital,
Department, clinic or doctor) drug expenditure it is whether exceeded (or whether rationally).If multiple medications of medical institutions to be monitored
Have in index parameter one or more Drug utilization index parameter it is exceeded when, then can be taken based on the average daily drug of medical institutions to be monitored
Medical institutions to be monitored are carried out with effective prescription with the one or more in, the day for human beings equal drug expenditure and target medicine ratio
The exceeded risk control of drug expenditure, including but not limited to by above-mentioned average daily drug expenditure, the day for human beings equal drug expenditure and target medicine
The exceeded Drug utilization index parameter progress publicity of one or more in product ratio, and/or the above-mentioned one or more of refusal are exceeded
Corresponding drug expenditure reimbursement of Drug utilization index parameter etc., realizes the exceeded risk of the drug expenditure with effective prescription to medical institutions
Control, to avoid the waste of medical resource.Here, the day for human beings equal drug expenditure refers to the average daily drug expenditure of an average people, under
Face will be illustrated in conjunction with average daily drug expenditure.For convenience of description, above-mentioned each hospital, the department of each hospital, each clinic
Or even examination dimension represented by the representative of each doctor etc. medical institutions or medical institutions by with medical institutions this
It is illustrated for examination dimension, repeats no more below.
Currently, the determination of the costly medicine in each area be by minimum package unit (such as one bottle, one packet, a box or
One bag etc.) monovalent drug be more than some threshold value drug be determined as costly medicine.However, this method determines costly medicine
Do not account for the monovalent drug of minimum package unit uses number of days problem, it is thus possible to there are the drawbacks of be the identical medicine of unit price
Product or some low price drug or some high price drug lead to the monovalent higher but odd-numbered day of drug due to using number of days different
The lower projecting situation of average price.For example certain drug list box price is 300 yuan, according to the costly medicine decision procedure of current each department
It is determined as costly medicine；One box of costly medicine can be used 30 days, that is, the odd-numbered day average price of the drug is 10 yuan/day.In addition
One drug list box price is 120 yuan, is determined as non-precious drug according to the costly medicine decision procedure of current each department；The medicine
One box of product can be used 3 days, that is, the odd-numbered day average price of the drug is 40 yuan/day.It can be seen that according to the valuable of current each department
The odd-numbered day average price for the non-precious drug that the decision procedure of drug determines has exceeded the odd-numbered day average price of costly medicine, it is therefore apparent that should
Decision procedure is low to the assessment accuracy rate of costly medicine, so that the examination loophole of costly medicine is larger.
In some possible embodiments, target medicine provided by the embodiments of the present application can be costly medicine, expensive here
The method of determination of weight drug is different from the method for determination of costly medicine of above-mentioned current each department.Here, costly medicine can be use
The average daily drug expenditure of single medicine in effective prescription in included each similar drug is higher and in all kinds of medicines included by effective prescription
Sort forward drug in the average daily drug expenditure of single medicine of product.It will be mentioned by taking costly medicine as an example in conjunction with the embodiment of the present application below
The exceeded method for early warning of the drug expenditure based on data processing supplied is described.Corresponding, target medicine ratio can be with valuable medicine
It is illustrated for product ratio, repeats no more below.
The provided effective prescription of the embodiment of the present application may include each doctor of each medical institutions for each sufferer
The prescription issued of illness or the prescription issued for the illness of each sufferer of each doctor or prescription etc.,
This is with no restrictions.For convenience of description, will be illustrated by taking prescription as an example below.Generally, each doctor of each medical institutions
It may include but be not limited to prescription in the prescription that teacher is issued and issue time, prescription number, department's number, sufferer information (including disease
Suffer from personal information), drug details and doctor signature, specifically can according to practical application scene determine, herein with no restrictions.Change sentence
It talks about, the either single biggish big prescription of prescription total value, or the lesser small prescription of single prescription total value or other are more
The prescription of the form of expression has the drug details that medical institutions issue, including but not limited to nomenclature of drug, medicine in each prescription
The product amount of money, drug usage mode and drug use number of days etc..It can determine that based on drug details included in each prescription
Single average daily drug expenditure of medicine is higher and the forward drug of sequence is as costly medicine, so can the expense based on costly medicine in institute
There is the ratio (i.e. costly medicine ratio) of the drug total cost in prescription to determine whether medication is reasonable.Therefore either big prescription
Or small prescription or other, too busy to get away drug details.Costly medicine ratio based on each medical institutions is realized to each
Each similar drug corresponding average daily drug expenditure (i.e. single medicine average daily drug expense is utilized when the evaluation of the medication standard of medical institutions
With), allow also for the expense accounting situation of each similar drug, it is easy to operate and can cover preferably, more fully hereinafter
Medication monitoring to each prescription of medical institutions.Therefore, based on the average daily drug expenditure of each medical institutions, the day for human beings equal drug
Multiple Drug utilization index parameters such as expense and costly medicine ratio realize the evaluation to the medication standard of each medical institutions to reality
Existing various dimensions the medication of each medical institutions is monitored, it is easy to operate and can cover preferably, more fully hereinafter to doctor
Treat the medication monitoring of each prescription of unit.Average daily drug expenditure based on medical institutions, the day for human beings equal drug expenditure and expensive simultaneously
Weight Drugs proportion realize to the medications of each medical institutions monitoring more it is accurate in place, to can be improved to each medical institutions
The accuracy rate of medication monitoring.Further, the medicining condition based on each medical institutions can be improved to the use of each medical institutions
The exceeded medication of one or more that effective prescription carries out in average daily drug expenditure, the day for human beings equal drug expenditure and target medicine ratio refers to
Publicity of parameter, and/or the corresponding drug expenditure reimbursement of the above-mentioned exceeded Drug utilization index parameter of one or more of refusal etc. is marked to use
The reliability of the drug expenditure risk of exceeding criterion control of effective prescription, can be improved the medication controllability of medical institutions' evolution, so as to
The effective rate of utilization of medical resource is improved, applicability is higher.
In some possible embodiments, the average daily drug expenditure based on medical institutions, the day for human beings equal drug expenditure and expensive
Weight Drugs proportion can daily be monitored the medicining condition of medical institutions when carrying out medication monitoring to medical institutions, and then can be every
Its clearing medical institutions with the average daily drug expenditure of effective prescription, the day for human beings equal drug expenditure and costly medicine ratio, based on daily
Average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio the medicining condition of medical institutions is monitored.It is optional
, medication monitoring is carried out to medical institutions based on daily average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio
While, it may be based on the overall merit etc. that the medication for adding up more days monitoring situation carries out medicining condition to medical institutions, such as
It can specifically be determined according to practical application scene, herein with no restrictions in one week, one month, a season or 1 year etc..For
Facilitate description, it below will be by the average daily drug expenditure of any day (will be illustrated by taking the odd-numbered day as an example below for convenience of description), people
The calculating of average daily drug expenditure and costly medicine ratio and based on daily average daily drug expenditure, the day for human beings equal drug expenditure and expensive
For weight Drugs proportion is monitored and/or evaluates to the medicining condition of medical institutions, it is based on to provided by the embodiments of the present application
The drug expenditure risk of exceeding criterion control method of data processing is described.
Drug expenditure risk of exceeding criterion control method provided by the embodiments of the present application based on data processing can be by drug surveilance
Management board, board of health, health and terminal associated by the medications monitoring unit such as the healthy committee and medical treatment Claims Resolution unit
Equipment executes, such as above-mentioned medication monitoring unit is used to carry out each medical institutions the client of medication monitoring and/or man-machine
Interactive device etc., herein with no restrictions.For convenience of description, will be illustrated by taking terminal device as an example below.
Embodiment one:
It is the drug expenditure risk of exceeding criterion control method provided by the embodiments of the present application based on data processing referring to Fig. 1, Fig. 1
A flow diagram.Drug expenditure risk of exceeding criterion control method provided by the embodiments of the present application based on data processing, can lead to
Following steps S11 implementation provided by each step into S16 is crossed to be illustrated.
S11, obtain medical institutions to be monitored uses effective prescription.
In some possible embodiments, above-mentioned medical institutions to be monitored can monitor any that unit monitors by medication
Medical institutions can specifically determine, herein with no restrictions according to practical application scene.In other words, any medical institutions all may
By medication monitoring unit as monitored object, therefore selected monitored object then can be medical institutions to be monitored.It retouches for convenience
It states, will be illustrated by taking medical institutions to be monitored as an example below.
In some possible embodiments, above-mentioned medical institutions may include medical institutions to be monitored in list with effective prescription
It is all caused by a few days to use effective prescription.For convenience of description, generated institute within the odd-numbered day, above-mentioned medical institutions to be monitored is useful
Effective prescription can be illustrated by taking odd-numbered day prescription as an example.The odd-numbered day prescription of above-mentioned medical institutions can refer to any day of medical institutions
All prescriptions issued, all prescriptions, the list that all doctors of all departments of hospital are issued including but not limited in the odd-numbered day
All prescriptions that in a few days all doctors of some department of hospital are issued or in the odd-numbered day some department of hospital certain
Any situation in all prescriptions that one doctor is issued.Wherein, concrete condition represented by above-mentioned odd-numbered day prescription according to
In practical application scene to medical institutions carry out medication monitoring examination dimension (such as medical institutions carry out medication monitoring,
Some doctor of medication monitoring or some department for medical institutions is carried out for some department of medical institutions
Carry out medication monitoring etc.) it determines, herein with no restrictions.For convenience of description, will own below with all departments of hospital in the odd-numbered day
It is illustrated for all prescriptions that doctor is issued, hereinafter referred to as odd-numbered day prescription.As an example it is assumed that medical institutions is all
The doctor one day all prescriptions issued add up to S (such as 80) prescription, wherein a prescription is directed to one in this 80 prescriptions
Sufferer person-time, therefore this corresponding sufferer quantity of 80 prescriptions is 80.In other words, there may be multiple prescriptions pair in 80 prescriptions
The same sufferer is answered, however this corresponding sufferer of multiple prescriptions is still calculated with sufferer person-time, therefore prescription total (80) is then
Sufferer quantity, repeats no more below corresponding to all prescriptions.It is assumed that drug included by each prescription in above-mentioned 80 prescriptions
The accumulative K (such as drug sum is 200) that adds up to of quantity is a, then can be calculated based on each drug details in this 200 drugs
Average daily drug expenditure.Further, based on 200 drugs included by 80 prescriptions (corresponding sufferer quantity is 80), in conjunction with upper
The day for human beings equal drug expenditure of the medical institutions can be calculated by stating average daily drug expenditure then.Based on included in above-mentioned 80 prescriptions
200 drugs in each similar drug drug details, can determine costly medicine and costly medicine from above-mentioned 200 drugs
Ratio, so as to the medicining condition based on average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio to medical institutions
It is monitored.
In some possible embodiments, terminal device can be docked with the data system of medical institutions to be monitored, be obtained
The data system access qualification of medical institutions to be monitored, so can the data system access qualification based on medical institutions to be monitored from
It is obtained in the data system of medical institutions to be monitored at the prescription of medical institutions to be monitored, such as the odd-numbered day of medical institutions to be monitored
Side etc..Optionally, terminal device may be based on medical institutions to be monitored and provide medical treatment Claims Resolution data, from medical treatment Claims Resolution data
Middle screening obtains the prescription datas such as the odd-numbered day prescription of medical institutions.Optionally, terminal device may be based on big data analysis, from each
Screening obtains prescription datas such as the odd-numbered day prescription of medical institutions to be monitored, etc. in the sufferer diagnosis records of a medical institutions.Eventually
End equipment can acquire the list of medical institutions to be monitored based on any data to acquisite approachs except above-mentioned data acquiring mode
Day prescription can specifically determine, herein with no restrictions according to practical application scene.
It is opened in the prescription it is appreciated that may each comprise on any prescription in the odd-numbered day prescription of medical institutions to be monitored here
The drug details of drug, including but not limited to nomenclature of drug, Sales Volumes, drug usage mode (or drug takes mode etc.)
And drug uses number of days, can specifically be determined according to practical application scene, herein with no restrictions.
S12 obtains above-mentioned medicine information included in effective prescription, and is determined according to above-mentioned medicine information above-mentioned wait supervise
Control the average daily drug expenditure of medical institutions.
In some possible embodiments, medical treatment to be monitored can be determined based on the odd-numbered day prescription of medical institutions to be monitored
The medicine information of each drug included by all prescriptions in the odd-numbered day prescription of unit, wherein include in the medicine information of any drug
But it is not limited to Sales Volumes and drug and uses number of days.All prescriptions are wrapped in odd-numbered day prescription based on above-mentioned medical institutions to be monitored
The medicine information of each drug included can determine drug sum included in the odd-numbered day prescription of medical institutions to be monitored, drug total value
And drug uses total number of days etc..Wherein, the Sales Volumes of any of the above-described drug are that the unit price of any drug is multiplied with quantity
Obtain the price of single drug.After above-mentioned drug sum indicates that drug used in all prescriptions is cumulative in odd-numbered day prescription
Drug sum.Above-mentioned drug total value is that the unit price based on each drug included in odd-numbered day prescription is multiplied to obtain individually with quantity
The Sales Volumes of drug and then the Sales Volumes of all drugs included in odd-numbered day prescription are added up to obtain all medicines
The drug total price (i.e. drug total value) of product.Above-mentioned drug is the medicine of each drug in all drugs in odd-numbered day prescription using total number of days
Product use the accumulated value of number of days.The average daily drug expenditure of the odd-numbered day prescription of medical institutions to be monitored indicates that medical institutions to be monitored are single
The average cost of included all drugs in day prescription, here can average daily drug expenditure be illustrated.Wherein, above-mentioned wait supervise
The average daily drug expenditure for controlling the odd-numbered day prescription of medical institutions can be calculated based on following formula:
Average daily drug expenditure=drug total value/drug uses total number of days (1)
Wherein, the Sales Volumes of all drugs are cumulative in drug total value, that is, odd-numbered day prescription in above-mentioned formula (1) obtains
The total price of all drugs, above-mentioned drug use number of days using the drug of each drug in all drugs in total number of days, that is, odd-numbered day prescription
Accumulated value.
S13 determines the above-mentioned sufferer quantity corresponding to effective prescription with the sufferer information for including in effective prescription according to above-mentioned,
The day for human beings equal drug expenditure of above-mentioned medical institutions to be monitored is determined according to above-mentioned medicine information and above-mentioned sufferer quantity.
In some possible embodiments, above-mentioned with the sufferer information for including may include sufferer name, disease in effective prescription
Suffer from the sufferers personal information such as identification card number, sufferer age and sufferer gender, can specifically be determined according to practical application scene, herein
With no restrictions.Wherein, above-mentioned to be directed to a sufferer person-time with effective prescription with one in effective prescription, therefore according to above-mentioned in effective prescription
Included sufferer information can determine the sufferer quantity corresponding to effective prescription.Here, sufferer quantity is equal to the place with effective prescription
Side's sum, for details, reference can be made to implementations described in above-mentioned steps S11, and details are not described herein.
In some possible embodiments, it is calculated based on drug details included by each prescription in above-mentioned odd-numbered day prescription
It, can also be based on above-mentioned sufferer quantity (i.e. with the prescription of effective prescription sum, such as S=80) and above-mentioned to after average daily drug expenditure
It is single that the medical treatment can be then calculated in conjunction with above-mentioned average daily drug expenditure in the sum of drug included by 80 prescriptions (such as K=200)
The day for human beings equal drug expenditure of position.Wherein, the calculating of equal drug expenditure of the above-mentioned day for human beings can meet following formula:
The day for human beings equal drug expenditure=drug sum/average daily drug expenditure of sufferer quantity * (2)
Wherein, such as above-mentioned formula (2) it is found that the drug sum included by the above-mentioned odd-numbered day prescription is K (such as 200
It is a), when sufferer quantity corresponding to above-mentioned odd-numbered day prescription is S (such as S=80, i.e. the prescription sum of odd-numbered day prescription are 80),
The above-mentioned day for human beings equal drug expenditure can meet following formula:
The day for human beings equal average daily drug expenditure of drug expenditure=S/K*
The average daily drug expenditure of=200/80* (3)
In some possible embodiments, simply carrying out medication monitoring to medical institutions using average daily drug expenditure may
Medical institutions be will lead in the way of increasing ethical goods type etc. to evade and be based on so that the average daily drug expenditure of single medicine is up to standard
The medication monitoring of average daily drug expenditure, but the day for human beings equal drug expenditure or exceeded.Therefore, average daily drug expenditure, meter are based on
Calculating the day for human beings equal drug expenditure can be increased and be monitored based on the drug expenditure in dimension per capita on the basis of average daily drug expenditure, from
And preferably the medication of medical institutions can be monitored, operation is more flexible, and applicability is stronger.
S14 is determined above-mentioned in effective prescription according to the medicine information of each similar drug included in above-mentioned medicine information
Target medicine, and determine above-mentioned target medicine in the above-mentioned target in effective prescription according to the medicine information of above-mentioned each similar drug
Drugs proportion.
In some possible embodiments, the calculation of the average daily drug expenditure based on above-mentioned medical institutions is identical
The average daily drug expenditure of every similar drug in the odd-numbered day prescription of medical institutions can be also calculated in principle, terminal device.Wherein, any
It can be illustrated for the average daily drug expenditure of single medicine below the average daily drug expenditure of similar drug.It is single based on above-mentioned medical treatment to be monitored
The odd-numbered day prescription of position, can obtain all medicine informations with each similar drug included in effective prescription, in above-mentioned medicine information extremely
It less include that Sales Volumes and drug use number of days.Above-mentioned list is determined according to the medicine information of each similar drug in above-mentioned odd-numbered day prescription
The drug of the drug total value of any similar drug and any of the above-described similar drug uses total number of days in day prescription, according to any of the above-described class
The drug total value of drug and the drug of any of the above-described similar drug determine the average daily medicine of single medicine of any of the above-described similar drug using total number of days
Product expense is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug.Wherein, the average daily drug of single medicine of any of the above-described similar drug
The calculating of expense can meet following formula:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days (4)
Wherein, in above-mentioned formula (4) some type in all drugs of any similar drug total value, that is, odd-numbered day prescription (for
Facilitate description to be described with any sort) drug the cumulative obtained single medicine drug total price of price, any of the above-described similar drug makes
With the accumulated value using number of days of this kind of similar drug drug in all drugs of total number of days, that is, odd-numbered day prescription.
It is included each in the odd-numbered day prescription in conjunction with unit to be monitored based on implementation provided by above-mentioned formula (4)
The medicine information of similar drug can determine the average daily drug expenditure of single medicine of each similar drug in the odd-numbered day prescription of medical institutions to be monitored, into
And the costly medicine in odd-numbered day prescription can be determined based on the average daily drug expenditure of single medicine of above-mentioned each similar drug.
In some possible embodiments, the average daily drug of single medicine of each similar drug determined according to above-mentioned implementation takes
With, it may be determined that go out the average daily drug expenditure threshold value of the corresponding single medicine of odd-numbered day prescription of unit to be monitored, and will be in above-mentioned each similar drug
It is single that the drug that single average daily drug expenditure of medicine is more than or equal to the average daily drug expenditure threshold value of above-mentioned single medicine is determined as medical treatment to be monitored
Costly medicine in the odd-numbered day prescription of position.Here, costly medicine refers to the average daily drug expenditure of single medicine in all medicines of odd-numbered day prescription
Costly and single average daily drug expenditure of medicine is more than or equal to the average daily drug expenditure of single medicine in the average daily drug expenditure of single medicine of product
The drug of threshold value.In other words, the average daily drug expenditure of single medicine based on each similar drug in odd-numbered day prescription can be by the list of each similar drug
The average daily drug expenditure of medicine is ranked up according to sequence from high to low, and then forward one that can sort from the average daily drug expenditure of single medicine
One that partially the average daily drug expenditure of single medicine is minimum in (such as 20%) drug is determined as the average daily drug expenditure threshold value of single medicine, at this time
The average daily drug expenditure of single medicine of each drug is all larger than or is equal to the average daily drug expenditure of single medicine in the drug of this part (i.e. 20%)
Threshold value, and then the drug of this part (i.e. 20%) can be determined as costly medicine.For example, in all drugs of odd-numbered day prescription,
Determine that single average daily drug expenditure of medicine is x member/day (i.e. average daily drug expenditure of single medicine according to the average daily drug expenditure of single medicine of each similar drug
Threshold value), such as the drug of 11 yuan/day is then costly medicine.In other words, as institute in the odd-numbered day prescription of medical institutions to be monitored
Including all drugs in have 20% drug be the average daily drug expenditure of single medicine be more than or equal to 11 yuan/day drug, this portion
Drug dispensing product are then costly medicine.
In some possible embodiments, it can determine that according to the medicine information of above-mentioned each similar drug and above-mentioned use effective prescription
In all drugs drug total value and the above-mentioned costly medicine total value with above-mentioned costly medicine included in effective prescription.Root
It can determine that in the odd-numbered day prescription of medical institutions to be monitored according to the drug total value and above-mentioned costly medicine total value of above-mentioned all drugs
Costly medicine ratio.Here, costly medicine ratio can be the drug total value of costly medicine in odd-numbered day prescription in odd-numbered day prescription
All drugs drug total price in ratio, that is to say, that costly medicine ratio meet:
Costly medicine ratio=costly medicine total value/all drugs drug total value (5)
In above-mentioned formula (5), costly medicine total value is the price-aggregate value of all kinds of costly medicines in odd-numbered day prescription,
In, the price of every class costly medicine is the product of the quantity of such costly medicine and the unit price of such costly medicine.It is above-mentioned all
The drug total value of drug is the price accumulated value of each similar drug in odd-numbered day prescription.
S15 is determined according to above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Whether the drug expenditure of above-mentioned medical institutions to be monitored is exceeded.
In some possible embodiments, it when carrying out medication monitoring for different medical unit, can preset each
The medication Standard of Monitoring of medical institutions and/or the performance assessment criteria threshold value of medication evaluation criterion, such as average daily drug expenditure threshold value, i.e.,
Upper limit up to standard (or average daily drug expenditure upper limit) of average daily drug expenditure etc..For example, being used for medical institutions to be monitored
It, can the information settings doctor to be monitored such as history medication record based on medical institutions to be monitored or drug Distursement when medicine monitors
The corresponding average daily drug expenditure threshold value of unit is treated, and then can be taken based on the average daily drug of the medical institutions to be monitored of above-mentioned determination
With, in conjunction with the corresponding average daily drug expenditure threshold value of medical institutions to be monitored can determine the medical institutions average daily drug expenditure whether
It is up to standard.In other words, as whether the average daily drug expenditure of medical institutions to be monitored is less than or equal to its corresponding average daily medicine
Product cost threshold.If the average daily drug expenditure of medical institutions to be monitored is less than or equal to its corresponding average daily drug expenditure threshold
Value, then can determine that the average daily drug expenditure of medical institutions to be monitored is up to standard.If the average daily drug of medical institutions to be monitored takes
Be greater than its corresponding average daily drug expenditure threshold value, then can determine the average daily drug expenditure of medical institutions to be monitored be it is exceeded,
At this point, above-mentioned average daily drug expenditure can be one of the exceeded Drug utilization index parameter of medical institutions to be monitored.
In some possible embodiments, it when carrying out medication monitoring for different medical unit, can also preset each
The medication Standard of Monitoring of a medical institutions and/or the performance assessment criteria threshold value of medication evaluation criterion, such as the day for human beings equal drug expenditure threshold
Value, the i.e. upper limit up to standard (or the day for human beings equal drug expenditure upper limit) etc. of the day for human beings equal drug expenditure.For example, single for medical treatment to be monitored
It, can the information settings such as history medication record based on medical institutions to be monitored or drug Distursement when position carries out medication monitoring
The corresponding day for human beings equal drug expenditure threshold value of medical institutions to be monitored, and then can be based on the people of the medical institutions to be monitored of above-mentioned determination
Average daily drug expenditure determines that the day for human beings of the medical institutions is equal in conjunction with the medical institutions to be monitored corresponding day for human beings equal drug expenditure threshold value
Whether drug expenditure is up to standard.In other words, as whether the day for human beings of medical institutions to be monitored equal drug expenditure is less than or equal to
Its corresponding day for human beings equal drug expenditure threshold value.If the day for human beings of medical institutions to be monitored equal drug expenditure is less than or equal to its correspondence
The day for human beings equal drug expenditure threshold value, then can determine that the day for human beings of medical institutions to be monitored equal drug expenditure is up to standard.If to be monitored
The day for human beings of medical institutions equal drug expenditure is greater than its corresponding day for human beings equal drug expenditure threshold value, then can determine medical institutions to be monitored
The day for human beings equal drug expenditure be it is exceeded, at this point, equal drug expenditure of the above-mentioned day for human beings can be medical institutions to be monitored exceeded medication
One of index parameter.
In some possible embodiments, it when carrying out medication monitoring for different medical unit, can preset each
The medication Standard of Monitoring of medical institutions and/or the performance assessment criteria threshold value of medication evaluation criterion, such as costly medicine proportion threshold value, i.e.,
Upper limit up to standard (or costly medicine ratio upper limit) of costly medicine ratio etc..For example, being used for medical institutions to be monitored
It, can the information settings doctor to be monitored such as history medication record based on medical institutions to be monitored or drug Distursement when medicine monitors
The corresponding costly medicine proportion threshold value of unit is treated, and then can be based on the costly medicine ratio of the medical institutions to be monitored of above-mentioned determination
Example, determines whether the costly medicine ratio of the medical institutions reaches in conjunction with the corresponding costly medicine proportion threshold value of medical institutions to be monitored
Mark.In other words, as whether the costly medicine ratio of medical institutions to be monitored is less than or equal to its corresponding costly medicine
Proportion threshold value.If the costly medicine ratio of medical institutions to be monitored is less than or equal to its corresponding costly medicine proportion threshold value,
It then can determine that the costly medicine ratio of medical institutions to be monitored is up to standard.If the costly medicine ratio of medical institutions to be monitored is big
In its corresponding costly medicine proportion threshold value, then it can determine that the costly medicine ratio of medical institutions to be monitored is exceeded, at this point,
Above-mentioned costly medicine ratio can be one of the exceeded Drug utilization index parameter of medical institutions to be monitored.
Optionally, in some possible embodiments, to medical institutions to be monitored carry out medication monitoring when, can based on to
Monitor multiple Drug utilization index parameters such as average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio of medical institutions into
Row overall merit.If the average daily drug expenditure of above-mentioned medical institutions to be monitored, the day for human beings equal drug expenditure and costly medicine ratio
It is up to standard etc. multiple Drug utilization index parameters, then it can determine that the drug expenditure of medical institutions to be monitored is not exceeded.If above-mentioned to be monitored
Have one in multiple Drug utilization index parameters such as the average daily drug expenditure of medical institutions, the day for human beings equal drug expenditure and costly medicine ratio
It is a and more than one is exceeded, then it can determine that the drug expenditure of medical institutions to be monitored is exceeded.For example, if above-mentioned average daily drug takes
It is less than or equal to equal medicine of the above-mentioned day for human beings with less than or equal to above-mentioned average daily drug expenditure threshold value, equal drug expenditure of the above-mentioned day for human beings
Product cost threshold, and above-mentioned costly medicine ratio is less than or equal to above-mentioned costly medicine proportion threshold value, it is determined that it is above-mentioned wait supervise
The drug expenditure for controlling medical institutions is not exceeded.Alternatively, if above-mentioned average daily drug expenditure is less than or equal to above-mentioned average daily drug and takes
It is less than or equal to equal drug expenditure threshold value of the above-mentioned day for human beings and above-mentioned costly medicine ratio with threshold value, equal drug expenditure of the above-mentioned day for human beings
Example, which is less than or equal in above-mentioned costly medicine proportion threshold value, one or more establishment, it is determined that above-mentioned medical treatment to be monitored is single
The drug expenditure of position is exceeded.
S16 is based on above-mentioned average daily drug expenditure, above-mentioned people if the drug expenditure of above-mentioned medical institutions to be monitored is exceeded
Average daily drug expenditure and above-mentioned target medicine ratio carry out above-mentioned medical institutions to be monitored super with the drug expenditure of effective prescription
Target risk control.
It in some possible embodiments, can will be above-mentioned when the drug expenditure of above-mentioned medical institutions to be monitored is exceeded
Exceeded Drug utilization index parameter in average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio carries out public
Show, the medication of the above-mentioned medical institutions' control evolution to be monitored of the exceeded Drug utilization index parameter prompts based on publicity, to realize medication
The exceeded risk control of the drug expenditure of prescription.Optionally, when the drug expenditure of above-mentioned medical institutions to be monitored is exceeded, may be used also
Difference by above-mentioned exceeded Drug utilization index parameter beyond the corresponding Drug utilization index parameter threshold of above-mentioned exceeded Drug utilization index parameter into
Row publicity, the above-mentioned difference based on publicity prompts the medication of above-mentioned medical institutions' control evolution to be monitored, with realization effective prescription
The exceeded risk control of drug expenditure.For example, will be below exceeded Drug utilization index ginseng with average daily drug expenditure for convenience of describing
It is illustrated for number.For example, when the average daily drug expenditure of medical institutions to be monitored is greater than average daily drug expenditure threshold value, it can be true
The average daily drug expenditure beyond average daily drug expenditure threshold portion is poor in the average daily drug expenditure of fixed above-mentioned medical institutions to be monitored
Value.Above-mentioned average daily drug expenditure and/or above-mentioned average daily drug expenditure difference can be carried out based on above-mentioned average daily drug expenditure difference
Publicity, average daily drug expenditure and/or average daily drug expenditure difference based on publicity prompt the doctor of medical institutions to be monitored to control
The medication of evolution avoids the doctor of medical institutions to be monitored random medication during evolution from causing the wave of the medical resources such as drug
Take, realizes and the drug expenditure risk of exceeding criterion with effective prescription of medical institutions to be monitored is controlled.Optionally, it is based on above-mentioned average daily medicine
Product expense and/or average daily drug expenditure difference can announce interface (such as unit hall in the unit hall of medical institutions to be monitored
Message announce display screen) on carry out publicity or monitor in the medical institutions' medication that goes out of medication supervision unit to carry out on daily paper
Publicity, to control the medication of medical institutions to be monitored and its each doctor's evolution, avoid medical institutions to be monitored uses effective prescription
Average daily drug expenditure continue the waste of exceeded bring medical resource, realize to the exceeded wind of the drug expenditure of medical institutions to be monitored
Danger control.It optionally, can also be in medical institutions to be monitored based on above-mentioned average daily drug expenditure and/or average daily drug expenditure difference
Carry out publicity on the information bulletin interface of each department, and/or the evolution tool of each doctor in medical institutions to be monitored
Publicity etc. is carried out in homepage, can specifically be determined according to practical application scene, herein with no restrictions.
The embodiment of the present application can be determined based on medical institutions to be monitored medicine information included in effective prescription wait supervise
The average daily drug expenditure of medical institutions is controlled, it can also be based on drug included in sufferer quantity corresponding to odd-numbered day prescription and prescription
The information such as sum determine the day for human beings equal drug expenditure of the medical institutions in conjunction with average daily drug expenditure.Based in above-mentioned odd-numbered day prescription
The medicine information of included each similar drug can determine that single medicine of all kinds of medications is average daily in conjunction with the calculation of average daily drug expenditure
Drug expenditure, to can determine that the costly medicine and costly medicine ratio in odd-numbered day prescription.Based on medical institutions to be monitored
Multiple Drug utilization index parameters such as average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio it is single to medical treatment to be monitored
The medication of position carries out overall merit, determines whether the drug expenditure of medical institutions to be monitored is exceeded, realizes single to medical treatment to be monitored
The evaluation of the Drug utilization index of position, it is easy to operate.Multiple Drug utilization index parameters can be based on based on method provided by the embodiments of the present application
It realizes the medication overall merit to medical institutions to be monitored, realizes, medication prison simple to the medication policer operation of each medical institutions
More comprehensively, and then the accuracy of the medication monitoring to medical institutions can be improved in the examination dimension of control, improves the use to medical institutions
The reliability of medicine monitoring.The prescription of each medical institutions is surpassed to which the medicining condition based on each medical institutions can be improved
The reliability that the drug expenditure risk of exceeding criterion of the effective prescription such as publicity of Drug utilization index parameter controls is marked, the medical institutions is improved and opens
The medication controllability of side, so that the effective rate of utilization of medical resource can be improved, applicability is stronger.
Embodiment two:
Referring to fig. 2, Fig. 2 is the drug expenditure risk of exceeding criterion control method provided by the embodiments of the present application based on data processing
Another flow diagram.Drug expenditure risk of exceeding criterion control method provided by the embodiments of the present application based on data processing can be real
Now medicining condition of the medical institutions to be monitored within more days single examination periods is monitored, this method can be by walking as follows
Rapid S21 implementation provided by each step into S27 is illustrated.
S21, obtain medical institutions to be monitored uses effective prescription.
In some possible embodiments, the implementation with effective prescription of above-mentioned acquisition medical institutions to be monitored can join
See implementation provided by step S11 in above-described embodiment, details are not described herein.
Optionally, in some possible embodiments, above-mentioned medical institutions with effective prescription may also include doctor to be monitored
That treats that unit generated within more days single examination periods all uses effective prescription.In other words, the above-mentioned single examination period is greater than
One day, such as a week, one month, a season or 1 year etc., herein with no restrictions.It is above-mentioned wait supervise for convenience of description
Control medical institutions within more days single examination periods it is generated it is all can singly examine period prescription with effective prescription for into
Row explanation.
Optionally, single examination period prescription of above-mentioned medical institutions can refer to institute in any examination period of medical institutions
All prescriptions issued, all places that including but not limited to individually all doctors of all departments of hospital are issued in the examination period
All prescriptions that all doctors of some department of hospital are issued in side, single examination period, or single examination period
Any situation in all prescriptions that some doctor of some department of interior hospital is issued.Wherein, above-mentioned single examination
Concrete condition represented by period prescription is according to the examination dimension (example that in practical application scene medical institutions are carried out with medication monitoring
Such as medication monitoring is carried out, for some department progress medication monitoring of medical institutions or for medical single for medical institutions
Some doctor of some department of position carries out medication monitoring etc.) it determines, herein with no restrictions.For convenience of description, below will
It is illustrated by taking all prescriptions for individually examining all doctors of all departments of hospital in the period to be issued as an example, hereinafter referred to as singly
Examine period prescription.
It is appreciated that can be wrapped on any prescription included in single examination period prescription of medical institutions to be monitored here
Include the drug details of write a prescription product in the prescription, including but not limited to nomenclature of drug, Sales Volumes, drug usage mode and medicine
Product use number of days, can specifically be determined according to practical application scene, herein with no restrictions.
S22 obtains above-mentioned medicine information included in effective prescription, and determining described wait supervise according to above-mentioned medicine information
Control the average daily drug expenditure of medical institutions.
In some possible embodiments, the above-mentioned letter of the drug included by effective prescription based on medical institutions to be monitored
Breath determines that the specific implementation of the average daily drug expenditure of medical institutions to be monitored can be found in step S12 in above-described embodiment and be mentioned
The implementation of confession, details are not described herein.
Optionally, in some possible embodiments, average daily with effective prescription based on above-mentioned medical institutions to be monitored
Drug expenditure can also handle to obtain the average daily drug expenditure of medical institutions to be monitored in designated time period, for example, a week, one
A month, the average daily drug expenditure etc. in a season or 1 year.For convenience of description, can be examined below using a week as one
Period is illustrated by taking the average daily drug expenditure in a week as an example, the average daily drug expenditure of referred to as single examination period prescription.
Optionally, the average daily drug expenditure of Dan Kaohe period prescription can meet following formula:
Average daily drug expenditure=period drug total value/period drug uses total number of days (6)
Wherein, period drug total value can be and be wrapped in all prescriptions in the single examination period in above-mentioned formula (6)
The total amount of the cumulative obtained all drugs of the Sales Volumes of all drugs included, above-mentioned period drug can be using total number of days
The drug of each drug uses the accumulated value of number of days in all drugs included by single examination period prescription.
Optionally, in some possible embodiments, institute in single examination period prescription based on medical institutions to be monitored
Including medicine information, any day in the single examination period any odd-numbered day effective prescription can be obtained, and obtain any odd-numbered day to use
The medicine information of included each drug in effective prescription wherein includes but is not limited to that Sales Volumes and drug use in medicine information
Number of days.Medical treatment to be monitored is determined using number of days according to the Sales Volumes of each drug included by effective prescription of any odd-numbered day and drug
Any day odd-numbered day of unit average daily drug expenditure.Wherein, the odd-numbered day average daily drug of any day of above-mentioned medical institutions to be monitored takes
With can be found in the corresponding implementation of formula in above-described embodiment (1), details are not described herein.In addition, single based on medical treatment to be monitored
The drug of position each drug included in daily prescription within the individually examination period can determine the medicine in daily prescription using number of days
Product use total number of days, and then can determine that the single of medical institutions to be monitored examines the period using total number of days based on the drug of daily prescription
The drug of included all drugs uses total number of days in prescription.Wherein, medical institutions to be monitored are within the individually examination period
Any day drug uses the summation of number of days using the drug that total number of days is each drug included in any odd-numbered day prescription.According to
Above-mentioned medical institutions to be monitored use total number of days can be true in individually the odd-numbered day average daily drug expenditure of examination period Nei Ge and drug
Average daily drug expenditure of the fixed medical institutions to be monitored within the individually examination period.
It in some possible embodiments, can according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge
Determine that medical institutions to be monitored, can be referred to as single for convenience of description in the accumulated value of the individually odd-numbered day average daily drug expenditure in examination period
Day average daily drug expenditure accumulated value.It can determine doctor to be monitored using total number of days according to the drug of above-mentioned single examination period Nei Ge
Treat unit individually examination the period in drug use total number of days accumulated value, for convenience of description can abbreviation drug use total number of days
Accumulated value.Medical treatment to be monitored is determined using total number of days accumulated value according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug
The average daily drug expenditure of unit.
Here, (medical institutions i.e. to be monitored are within the individually examination period for the average daily drug expenditure of medical institutions to be monitored
Average daily drug expenditure) following formula can be met:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value (7)
It is assumed that individually the examination period is a week here, then the odd-numbered day average daily drug expenditure in above-mentioned formula (7) is tired
The accumulated value of the average daily drug expenditure of each odd-numbered day prescription, above-mentioned public affairs in the value added 7 odd-numbered day prescriptions that can be in a week
Drug in formula (7) can be the medicine of each odd-numbered day prescription in 7 odd-numbered day prescriptions in a week using total number of days accumulated value
Product use the accumulated value of total number of days.
S23 determines above-mentioned medical treatment to be monitored according to above-mentioned average daily drug expenditure, above-mentioned sufferer quantity and above-mentioned drug sum
The day for human beings of unit equal drug expenditure.
In some possible embodiments, the above-mentioned letter of the sufferer included by effective prescription based on medical institutions to be monitored
The implementation of sufferer quantity corresponding to determining effective prescription is ceased, and based on the above-mentioned medicine information included by effective prescription
Determine that the specific implementation of the day for human beings of medical institutions to be monitored equal drug expenditure can be found in step S13 in above-described embodiment and be mentioned
The implementation of confession, details are not described herein.
Optionally, in some possible embodiments, above-mentioned all drug sums in effective prescription are above-mentioned more days
The single examination period in each day the accumulated value with drug included in effective prescription, it is total to may be simply referred to as drug for convenience of description
Number.Above-mentioned sufferer quantity all prescription sums with effective prescription equal in above-mentioned more days single examination periods.Based on above-mentioned true
Fixed average daily drug expenditure, above-mentioned sufferer quantity (i.e. with the prescription sum of effective prescription, such as S=80) and above-mentioned 80 prescriptions institute
Including drug total (such as K=200) the day for human beings equal drug expenditures of the medical institutions can then be calculated.Wherein, above-mentioned people
The calculating of average daily drug expenditure can meet following formula:
The day for human beings equal drug expenditure=drug sum/average daily drug expenditure of sufferer quantity * (8)
Wherein, as known to above-mentioned formula (8), it is assumed that above-mentioned more days all drug sums included by effective prescription are K
A (such as 200), above-mentioned more days all sufferer quantity corresponding to effective prescription are S (such as S=80, i.e. prescription sum
It is 80) when, the above-mentioned day for human beings equal drug expenditure can meet following formula:
The day for human beings equal average daily drug expenditure of drug expenditure=S/K*
The average daily drug expenditure of=200/80* (9)
Wherein, the calculating of equal drug expenditure of the above-mentioned day for human beings can be found in realization side provided by step S13 in above-described embodiment
Formula, details are not described herein.
S24 is determined above-mentioned in effective prescription according to the medicine information of each similar drug included in above-mentioned medicine information
Target medicine, and determine above-mentioned target medicine in the above-mentioned target in effective prescription according to the medicine information of above-mentioned each similar drug
Drugs proportion.
In some possible embodiments, the above-mentioned letter of the drug included by effective prescription based on medical institutions to be monitored
Breath determines that the specific implementation of the average daily drug expenditure of single medicine of each similar drug of medical institutions to be monitored can be found in above-mentioned implementation
Implementation provided by step S14 in example, details are not described herein.
Further, in some possible embodiments, the calculating of the average daily drug expenditure based on above-mentioned medical institutions
The identical principle of mode, terminal device can also be calculated in all prescriptions in the single examination period of more days of medical institutions
The average daily drug expenditure of single medicine of every similar drug.All prescriptions in the single examination period based on above-mentioned medical institutions to be monitored,
The medicine information of each similar drug included in all prescriptions can be obtained, includes at least Sales Volumes and medicine in above-mentioned medicine information
Product use number of days.It is determined according to the medicine information of each similar drug in all prescriptions in the above-mentioned single examination period above-mentioned single
The drug of the drug total value of any similar drug and any of the above-described similar drug in all prescriptions in the period is examined to use total number of days,
Any of the above-described class medicine is determined using total number of days according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug
The average daily drug expenditure of single medicine of product is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug.Wherein, any of the above-described similar drug
The calculating of the average daily drug expenditure of single medicine can meet following formula:
Single average daily drug expenditure of medicine=the drug total value of any similar drug in the single examination period/is appointed in the single examination period
The drug of one similar drug uses total number of days (10)
Wherein, any similar drug total value is the single all medicines for examining all prescriptions in the period in above-mentioned formula (10)
The cumulative obtained single medicine drug total price of price of the drug of some type (being described for convenience of description with any sort) in product,
Any similar drug is in the single all drugs for examining all prescriptions in the period using total number of days in the above-mentioned single examination period
The accumulated value using number of days of this kind of similar drug drug.
Based on implementation provided by above-mentioned formula (10), in conjunction with unit to be monitored the single examination period in it is all
The medicine information of included each similar drug can determine all places in the single examination period of medical institutions to be monitored in prescription
The average daily drug expenditure of single medicine of each similar drug in side, and then can be determined based on the average daily drug expenditure of single medicine of above-mentioned each similar drug
The costly medicine in all prescriptions in the single examination period.
Here, the drug total value that costly medicine ratio can be costly medicine in all prescriptions in the single examination period exists
Ratio in the drug total price of all drugs of all prescriptions in the single examination period, that is to say, that costly medicine ratio is full
Foot:
Costly medicine ratio=costly medicine total value/all drugs drug total value (11)
In above-mentioned formula (11), costly medicine total value is individually to examine all kinds of costly medicines in all prescriptions in the period
Price-aggregate value, wherein the price of every class costly medicine be such costly medicine quantity and such costly medicine unit price
Product.The drug total value of above-mentioned all drugs is that the single price for examining each similar drug in all prescriptions in the period is cumulative
Value.
S25 determines the average daily of the medical institutions to be monitored according to the unit attribute information of the medical institutions to be monitored
Drug expenditure threshold value, the day for human beings equal drug expenditure threshold value and target medicine proportion threshold value.
S26, according to above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio, in conjunction with
Above-mentioned average daily drug expenditure threshold value, the day for human beings equal drug expenditure threshold value and the target medicine proportion threshold value, determine above-mentioned wait supervise
Whether the drug expenditure for controlling medical institutions is exceeded.
In some possible embodiments, the above-mentioned average daily drug expenditure according to medical institutions to be monitored, the above-mentioned day for human beings
The whether exceeded specific implementation of drug expenditure and the drug expenditure of above-mentioned target medicine ratio-dependent medical institutions to be monitored
Mode can be found in implementation provided by step S15 in above-described embodiment, and details are not described herein.
Optionally, in some possible embodiments, it when carrying out medication monitoring for different medical unit, can also be based on
The unit attribute information of each medical institutions determines the medication Standard of Monitoring of each medical institutions and/or examining for medication evaluation criterion
Core metrics-thresholds, above-mentioned performance assessment criteria threshold value may include average daily drug expenditure threshold value, the day for human beings equal drug expenditure threshold value and valuable
Upper limit up to standard of multiple Drug utilization indexes such as Drugs proportion threshold value, such as the upper limit up to standard of average daily drug expenditure etc..For convenience of description,
The upper limit up to standard of above-mentioned multiple Drug utilization indexes will be illustrated by taking the upper limit up to standard of average daily drug expenditure as an example, i.e., average daily drug takes
Use threshold value.Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit
Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of, it specifically can be according to practical application scene
It determines, herein with no restrictions.For example, based on different geographical, different cities, different drugs supply channels or different sufferer flowings
The performance assessment criteria threshold value of different medical unit associated by the parameters such as amount, medication monitoring can be not quite similar, i.e. different medical unit
Corresponding average daily drug expenditure threshold value can be not quite similar.For example, medical institutions associated by city higher for price or
The higher associated medical institutions of cost of drugs valence brought by drugs supply channel, then can be by the up to standard of its average daily drug expenditure
The upper limit is somewhat higherly settable, i.e., its corresponding average daily drug expenditure threshold value then may be set to higher threshold value etc..For object
The lower associated doctor of cost of drugs valence brought by medical institutions associated by the lower city of valence or drugs supply channel
Treatment unit, then can be more lowerly settable by the upper limit up to standard of its average daily drug expenditure, i.e. its corresponding average daily drug expenditure
Threshold value then may be set to lower threshold value etc..It can specifically be determined according to practical application scene, herein with no restrictions.Similarly, corresponding
The setting of the day for human beings of medical institutions to be monitored equal drug expenditure threshold value and costly medicine proportion threshold value can also be used and average daily medicine
The setting means of product cost threshold can specifically determine, herein with no restrictions according to practical application scene.
In some possible embodiments, when carrying out medication monitoring to medical institutions to be monitored, doctor to be monitored can be based on
Multiple Drug utilization index parameters such as average daily drug expenditure, the day for human beings equal drug expenditure and the costly medicine ratio of unit are treated to be integrated
Evaluation.If the average daily drug expenditure of above-mentioned medical institutions to be monitored, the day for human beings equal drug expenditure and costly medicine ratio these three
There is one in Drug utilization index parameter and more than one is exceeded, then can determine that the drug expenditure of medical institutions to be monitored is exceeded, it is no
Then determine that the drug expenditure of medical institutions to be monitored is not exceeded.For details, reference can be made to real provided by step S15 in above-described embodiment
Existing mode, details are not described herein.
Optionally, in some possible embodiments, if above-mentioned average daily drug expenditure, the day for human beings equal drug expenditure and expensive
There are two in multiple Drug utilization index parameters such as weight Drugs proportion or more than two Drug utilization index parameters are exceeded, then can be based on big
Data analysis, which is found, obtains the reason for Exceeding of each Drug utilization index parameter.For example, determining each medical treatment using big data analysis
The corresponding drug details of exceeded item Drug utilization index parameter in the Drug utilization index parameter of unit, and then can be based on each medical institutions
The drug details of exceeded item Drug utilization index parameter determine the reason for Exceeding of every Drug utilization index parameter, to be referred to according to every medication
The reason for Exceeding for marking parameter carries out drug expenditure control.In addition, in above-mentioned average daily drug expenditure, the day for human beings equal drug expenditure and expensive
When there are two in multiple Drug utilization index parameters such as weight Drugs proportion or more than two exceeded, it can join from above-mentioned multiple Drug utilization indexes
The maximum maximum Drug utilization index parameter of Drug utilization index parameter value is determined in number.For example, if the average daily medicine of medical institutions to be monitored
It is there are two in multiple Drug utilization index parameters such as product expense, the day for human beings equal drug expenditure and costly medicine ratio or more than two
Drug utilization index parameter is exceeded, at this time average daily drug expenditure be X1 member, the day for human beings equal drug expenditure be X2 member, costly medicine ratio it is exceeded
Corresponding costly medicine expense is X3 member.Wherein, if above-mentioned X1 is greater than X2, X2 is greater than X3, then average daily drug above-mentioned at this time takes
Maximum with Drug utilization index parameter in three Drug utilization index parameters of the, day for human beings equal drug expenditure and costly medicine ratio is average daily medicine
Product expense.
In some possible embodiments, in above-mentioned average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio
Drug utilization index parameter is maximum when being average daily drug expenditure in three Drug utilization index parameters of example, true that can be based on big data analysis
Make the exceeded reason of average daily drug expenditure, such as some drug (can be illustrated by taking exceeded drug as an example for convenience of description)
Expense caused by it is exceeded etc., but and then the exceeded drug expense as medical institutions to be monitored drug expenditure control expense mark
It is quasi-.At this point, can be using above-mentioned X1 member as the benchmark of the drug expenditure of medical institutions to be monitored, and then can will include in above-mentioned X2 member
Above-mentioned exceeded drug associated by drug expenditure reject the day for human beings except the drug expenditure for not included above-mentioned exceeded drug
Equal drug expenditure X2 '.Similarly, drug expenditure associated by the above-mentioned exceeded drug for including in above-mentioned X3 member can be rejected to obtain not
The costly medicine expense X3 ' of drug expenditure including above-mentioned exceeded drug, and according to eliminate exceeded drug drug expenditure it
Costly medicine expense afterwards determines the costly medicine ratio rejected after exceeded drug.Above-mentioned two or more than two medications
After removing the maximum average daily drug expenditure of Drug utilization index parameter in index parameter, it can further judge to reject except exceeded drug
The day for human beings equal drug expenditure perhaps whether the Drug utilization indexes such as costly medicine ratio parameter exceeded or the above-mentioned exceeded drug of rejecting
The corresponding drug expenditure of multiple Drug utilization index parameters such as the day for human beings equal drug expenditure or costly medicine ratio except drug expenditure
Whether cumulative calculation is exceeded.If the day for human beings equal drug expenditure or costly medicine except the drug expenditure of the above-mentioned exceeded drug of rejecting
Multiple Drug utilization index parameters such as ratio still remain one or more than one Drug utilization index parameter is exceeded, that is, include average daily medicine
It is exceeded that two or more Drug utilization index parameters are still including this maximum Drug utilization index parameter of product expense, Huo Zheshang
State multiple Drug utilization index ginsengs such as the day for human beings equal drug expenditure or costly medicine ratio except the drug expenditure for rejecting exceeded drug
The corresponding drug expenditure cumulative calculation of number is exceeded, then can determine that the drug expenditure of the medical institutions is exceeded.If above-mentioned rejecting
Surpass in multiple Drug utilization index parameters such as the day for human beings equal drug expenditure or costly medicine ratio except the drug expenditure of exceeded drug
Mark the day for human beings equal drug expenditure of the Drug utilization index parameter less than one or except the drug expenditure of the exceeded drug of above-mentioned rejecting or
The corresponding drug expenditure cumulative calculation of multiple Drug utilization index parameters such as costly medicine ratio is not exceeded, then can determine the medical institutions
Drug expenditure be up to standard.It can specifically be determined according to practical application scene, herein with no restrictions.
S27 is based on above-mentioned average daily drug expenditure, above-mentioned people if the drug expenditure of above-mentioned medical institutions to be monitored is exceeded
Average daily drug expenditure and above-mentioned target medicine ratio carry out above-mentioned medical institutions to be monitored super with the drug expenditure of effective prescription
Target risk control.
In some possible embodiments, based on the exceeded Drug utilization index parameter of above-mentioned medical institutions to be monitored to above-mentioned
The drug expenditure difference of the exceeded part of medical institutions to be monitored carries out publicity, to realize that the medication to medical institutions to be monitored carries out
The implementation of the exceeded risk control of drug expenditure can be found in implementation provided by step S16 in above-described embodiment,
This is repeated no more.
Optionally, in some possible embodiments, it is based on the corresponding exceeded medication of above-mentioned exceeded Drug utilization index parameter
Index parameter difference can also receive the drug expenditure reimbursement request or drug expenditure Claims Resolution that medical institutions to be monitored submit
When request, refuses the drug expenditure reimbursement request or drug expenditure Claims Resolution request of medical institutions to be monitored, realize for wait supervise
Control the exceeded progress of Drug utilization indexes parameter such as average daily drug expenditure, the day for human beings equal drug expenditure and the costly medicine ratio of medical institutions
Punishment, the medical institutions are carried out with the risk control of drug expenditure.For example, the average daily drug of some day when the medical institutions
It, can be when receiving the drug expenditure reimbursement and/or request of this day that medical institutions mention report, to the medical institutions when expense is exceeded
Feed back the reimbursement failure of the drug expenditure of this day all prescriptions.In other words, when the average daily drug of some day of the medical institutions
When expense is exceeded, when terminal device receives the ethical goods expense reimbursement and/or Claims Resolution request for this day that medical institutions mention report,
The medical institutions can be fed back with the reimbursement of ethical goods expense refusal or Claims Resolution of this day, and then the medical institutions can be prompted to every
The average daily drug expenditure of its prescription carries out self control to realize the prescription risk control exceeded to the drug expenditure of the medical institutions
System.
Optionally, in some possible embodiments, when the drug expenditure of medical institutions to be monitored is exceeded, such as wait supervise
When controlling the average daily drug expenditure of medical institutions' odd-numbered day prescription greater than average daily drug expenditure threshold value, terminal device can calculate doctor to be monitored
Treat the difference between the average daily drug expenditure and above-mentioned average daily drug expenditure threshold value of unit.When terminal device receives doctor to be monitored
Treat unit drug expenditure reimbursement and/or Claims Resolution request when, then can for medical institutions to be monitored average daily drug expenditure with it is upper
The difference between average daily drug expenditure threshold value is stated, to difference portion drug in the drug expenditure of medical institutions' odd-numbered day prescription to be monitored
The reimbursement of expense refusal is settled a claim to carry out the exceeded prescription risk control of drug cost to the medical institutions.
Optionally, in some possible embodiments, if terminal device determines some examination of medical institutions to be monitored
The drug expenditure of prescription in period (such as one day or a week etc.) is exceeded, including but not limited to average daily drug expenditure, people
One or more Drug utilization index parameter in average daily drug expenditure and costly medicine ratio is exceeded, such as medical treatment to be monitored is single
The average daily drug expenditure of prescription (such as odd-numbered day prescription) in some examination period of position is greater than average daily drug expenditure threshold value, then can be
Next examination period after the examination period (the exceeded average daily drug expenditure of odd-numbered day prescription is some day, such as Monday)
The drug in the examination period is taken at the beginning of (second day of this exceeded day of average daily drug expenditure of odd-numbered day prescription, such as Tuesday)
Medical institutions to be monitored are sent to exceeded report.Wherein, the exceeded report of the drug expenditure is for prompting medical institutions to be monitored
Drug expenditure is exceeded within the examination period, and if can remind medical institutions to be monitored next examination period or it is specified when
Average daily drug expenditure is still exceeded in interior continuous multiple examination periods, then will carry out drug expenditure to medical institutions to be monitored
Exceeded punishment.Wherein, above-mentioned punishment includes that all refusal is submitted an expense account or managed to the drug expenditure that medical institutions to be monitored are exceeded
It pays for, either to the refusal reimbursement of exceeded part or Claims Resolution of the average daily drug expenditure of medical institutions to be monitored etc..Above-mentioned average daily medicine
The exceeded report of product expense is for prompting medical institutions to be monitored to carry out self control to average daily drug expenditure to realize to be monitored
The exceeded risk control of the drug expenditure of medical institutions.
The embodiment of the present application can based on medical institutions to be monitored within the individually examination period with included in effective prescription
Medicine information determines the day for human beings equal drug expenditure of the medical institutions to be monitored within the individually examination period, individually examines the period here
It also include the examination period of any duration more than one day including the odd-numbered day.Based on all kinds of medicines included in above-mentioned odd-numbered day prescription
The medicine information of product can determine the average daily drug expenditure of single medicine of all kinds of medications in conjunction with the calculation of average daily drug expenditure, thus
It can determine that the costly medicine and costly medicine ratio in odd-numbered day prescription.Based on medical institutions to be monitored within the examination period
Multiple Drug utilization index parameters such as average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio it is single to medical treatment to be monitored
The medication of position carries out overall merit, determines whether the drug expenditure of medical institutions to be monitored is exceeded, realizes single to medical treatment to be monitored
The evaluation of the Drug utilization index of position, mode of operation multiplicity.It is realized based on method provided by the embodiments of the present application to each medical institutions
Medication policer operation mode multiplicity both can be improved the accuracy of the medication monitoring to medical institutions, and improve the use to medical institutions
The reliability of medicine monitoring, while the operating flexibility of the medication monitoring to medical institutions can also be enhanced, and then can be improved based on each
The medicining condition of a medical institutions carries out the exceeded publicity of drug expenditure, and/or refusal medication to the prescription of each medical institutions
The reliability of the exceeded risk control of medications such as the exceeded corresponding drug expenditure reimbursement of index parameter and/or Claims Resolution request, can mention
The medication controllability of high medical institutions' evolution, so that the effective rate of utilization of medical resource can be improved, applicability is stronger.
Embodiment three:
It is the drug expenditure risk of exceeding criterion control device provided by the embodiments of the present application based on data processing referring to Fig. 3, Fig. 3
Example structure schematic diagram.Drug expenditure risk of exceeding criterion control device packet provided by the embodiments of the present application based on data processing
It includes:
Data capture unit 31 for obtaining the use effective prescription of medical institutions to be monitored, and obtains above-mentioned in effective prescription
Included medicine information.
Medicine information processing unit 32, the above-mentioned medicine information for being obtained according to above-mentioned data capture unit 31 determine
State the average daily drug expenditure of medical institutions to be monitored.
Medicine information processing unit 32 is also used to above-mentioned being wrapped in effective prescription according to the acquisition of above-mentioned data capture unit 31
The sufferer information included determines the above-mentioned sufferer quantity corresponding to effective prescription, true according to above-mentioned medicine information and above-mentioned sufferer quantity
The day for human beings equal drug expenditure of fixed above-mentioned medical institutions to be monitored.
Medicine information processing unit 32 is also used to the medicine information according to each similar drug included in above-mentioned medicine information
It determines the above-mentioned target medicine in effective prescription, and determines that above-mentioned target medicine exists according to the medicine information of above-mentioned each similar drug
The above-mentioned target medicine ratio in effective prescription.
Medication monitoring unit 33, for according to above-mentioned medicine information processing unit 32 determine above-mentioned average daily drug expenditure,
The above-mentioned day for human beings equal drug expenditure and above-mentioned target medicine ratio, determine whether the drug expenditure of above-mentioned medical institutions to be monitored surpasses
Mark.
Drug risk control unit 34, for determining the medicine of above-mentioned medical institutions to be monitored in above-mentioned medication monitoring unit 32
When product expense is exceeded, based on above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio to upper
It states medical institutions to be monitored and carries out the risk control exceeded with the drug expenditure of effective prescription.
In some possible embodiments, above-mentioned data capture unit 31 is used for:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper
State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned
Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes above-mentioned medical institutions to be monitored in the individually examination period with effective prescription
It is interior it is all use effective prescription, the above-mentioned single examination period includes odd-numbered day or more days.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription
All within the odd-numbered day of unit use effective prescription；
Above-mentioned medicine information processing unit 32 is used for:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information
Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug
Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug
Expense.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription
All within more days single examination periods of unit use effective prescription；
Above-mentioned medicine information processing unit 32 is used for:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication
The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days
State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge
Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days
Product use the summation of number of days.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge
Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined
Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise
Control the average daily drug expenditure of medical institutions.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.
Optionally, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=period drug total value/period drug uses total number of days；
Wherein, it can be the drug of all drugs of all prescriptions in the single examination period in above-mentioned period drug total value
The total amount of the cumulative obtained all drugs of the amount of money, above-mentioned period drug can be the institute in the single examination period using total number of days
There is the drug of each drug in drug to use the accumulated value of number of days.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
It obtains above-mentioned sufferer information included in effective prescription, and is determined according to above-mentioned sufferer information and above-mentioned use effective prescription
Targeted sufferer person-time, wherein one is directed to a sufferer person-time with effective prescription；
Above-mentioned sufferer person-time is determined as the above-mentioned sufferer quantity corresponding to effective prescription.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
It is determined according to above-mentioned medicine information above-mentioned single with drug sum included in effective prescription and above-mentioned medical treatment to be monitored
The average daily drug expenditure of position；
Above-mentioned medical institutions to be monitored are determined according to above-mentioned average daily drug expenditure, above-mentioned sufferer quantity and above-mentioned drug sum
The day for human beings equal drug expenditure.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days；
The day for human beings of above-mentioned medical institutions to be monitored, equal drug expenditure met:
The day for human beings equal drug expenditure=drug sum/average daily drug expenditure of sufferer quantity *.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
The above-mentioned medicine information with each similar drug included in effective prescription is determined according to above-mentioned medicine information, it is above-mentioned each
Number of days is used including at least the Sales Volumes of each similar drug and drug in the medicine information of similar drug；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with
And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned
The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug
Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine
The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
In some possible embodiments, above-mentioned medicine information processing unit 32 is used for:
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and
The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value
Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
In some possible embodiments, above-mentioned medication monitoring unit 33 is used for:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored
Cost threshold, the day for human beings equal drug expenditure threshold value and target medicine proportion threshold value；
If above-mentioned average daily drug expenditure is greater than above-mentioned average daily drug expenditure threshold value, above-mentioned average daily drug expenditure is determined as
Exceeded Drug utilization index parameter；And/or
If the above-mentioned day for human beings equal drug expenditure is greater than equal drug expenditure threshold value of the above-mentioned day for human beings, by equal drug expenditure of the above-mentioned day for human beings
It is determined as exceeded Drug utilization index parameter；And/or
If above-mentioned target medicine ratio is greater than above-mentioned target medicine proportion threshold value, it is by above-mentioned target medicine ratio-dependent
Exceeded Drug utilization index parameter；
According to the exceeded use in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Medicine index parameter determines whether the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit
Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of.
In some possible embodiments, above-mentioned medication monitoring unit 33 is used for:
In above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio include one or
When the multinomial exceeded Drug utilization index parameter of person, determine that the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
It is less than or equal to above-mentioned average daily drug expenditure threshold value, equal drug expenditure of the above-mentioned day for human beings in above-mentioned average daily drug expenditure
Less than or equal to equal drug expenditure threshold value of the above-mentioned day for human beings and above-mentioned target medicine ratio is less than or equal to above-mentioned target medicine
When proportion threshold value, determine that the drug expenditure of above-mentioned medical institutions to be monitored is not exceeded.
In some possible embodiments, above-mentioned drug risk control unit 34 is used for:
By the exceeded medication in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Index parameter carries out publicity, the use of the above-mentioned medical institutions' control evolution to be monitored of the exceeded Drug utilization index parameter prompts based on publicity
Medicine, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
Above-mentioned exceeded Drug utilization index parameter is exceeded into the corresponding Drug utilization index parameter threshold of above-mentioned exceeded Drug utilization index parameter
Difference carry out publicity, the above-mentioned difference based on publicity prompts the medication of above-mentioned medical institutions to be monitored control evolution, to realize
With the exceeded risk control of the drug expenditure of effective prescription；And/or
When receiving above-mentioned exceeded Drug utilization index parameter and/or the corresponding drug expenditure reimbursement of above-mentioned difference is requested, refuse
Drug expenditure reimbursement request above-mentioned absolutely is to realize the risk control for using the drug expenditure of effective prescription exceeded.
In some possible embodiments, the above-mentioned drug expenditure risk of exceeding criterion control device based on data processing can lead to
It crosses each functional module built in it and executes the implementation as provided by above-mentioned Fig. 1 each step into Fig. 2.Optionally, on
Stating the drug expenditure risk of exceeding criterion control device based on data processing can be terminal device described in above-mentioned each embodiment,
Herein with no restrictions.For example, above-mentioned data capture unit 31 can be used for executing medical institutions to be monitored in above-mentioned each step
With the acquisition of effective prescription and medicine information, for details, reference can be made to implementations provided by above-mentioned each step, no longer superfluous herein
It states.Above-mentioned medicine information processing unit 32 can be used for executing in above-mentioned each step institute in the use effective prescription of medical institutions to be monitored
Including each drug Sales Volumes, with the average daily drug expenditure of effective prescription, odd-numbered day average daily drug expenditure, with the day for human beings of effective prescription
Equal drug expenditure and the calculating of costly medicine ratio and other implementations, for details, reference can be made to realize provided by above-mentioned each step
Mode, details are not described herein.Above-mentioned medication monitoring unit 33 can be used for executing single based on medical treatment to be monitored in above-mentioned each step
The unit attribute information of position determines the average daily drug expenditure threshold value of medical institutions to be monitored, the day for human beings equal drug expenditure threshold value and expensive
The performance assessment criteria threshold value (or Drug utilization index parameter threshold) of the medications monitoring such as weight Drugs proportion threshold value, and it is based on doctor to be monitored
It treats the Drug utilization indexes parameters such as average daily drug expenditure, the day for human beings equal drug expenditure and the costly medicine ratio of unit and judges doctor to be monitored
Whether the drug expenditure for treating unit is exceeded and other implementations, for details, reference can be made to implementation provided by above-mentioned each step,
This is repeated no more.Above-mentioned drug risk control unit 34 is used to execute based on the above-mentioned of above-mentioned medicine information processing unit 32 determination
The Drug utilization indexes parameters such as average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio carry out medical institutions to be monitored
With the drug expenditure risk of exceeding criterion control and other implementations of effective prescription, for details, reference can be made to realization sides provided by above-mentioned each step
Formula, details are not described herein.
In the embodiment of the present application, medication monitoring device can be based on use of the medical institutions to be monitored within the individually examination period
Included medicine information in effective prescription determines the day for human beings equal drug expenditure of the medical institutions to be monitored within the individually examination period,
Here individually the examination period includes the odd-numbered day, also includes the examination period of any duration more than one day.Medication monitoring device can base
The medicine information of included each similar drug, can determine respectively in conjunction with the calculation of average daily drug expenditure in above-mentioned odd-numbered day prescription
The average daily drug expenditure of single medicine of class medication, to can determine that the costly medicine and costly medicine ratio in odd-numbered day prescription.With
Medicine monitoring device can based on average daily drug expenditure of the medical institutions to be monitored within the examination period, the day for human beings equal drug expenditure and
Multiple Drug utilization index parameters such as costly medicine ratio carry out overall merit to the medication of medical institutions to be monitored, determine doctor to be monitored
Whether the drug expenditure for treating unit is exceeded, realizes the evaluation to the Drug utilization index of medical institutions to be monitored, mode of operation multiplicity.Base
The medication policer operation mode multiplicity to each medical institutions can be realized in medication monitoring device, and the use to medical institutions both can be improved
The accuracy of medicine monitoring, improves the reliability of the medication monitoring to medical institutions, while can also enhance the medication to medical institutions
The operating flexibility of monitoring, and then the medicining condition based on each medical institutions can be improved, the prescription of each medical institutions is carried out
The exceeded publicity of drug expenditure, and/or the exceeded corresponding drug expenditure reimbursement of refusal Drug utilization index parameter and/or Claims Resolution request etc.
The reliability of the exceeded risk control of medication, can be improved the medication controllability of medical institutions' evolution, so that medical money can be improved
The effective rate of utilization in source, applicability are stronger.
Example IV:
Referring to fig. 4, Fig. 4 is a kind of example structure schematic diagram of terminal device provided by the embodiments of the present application.Such as Fig. 4 institute
Show, the terminal device in the present embodiment may include: one or more processors 401 and memory 402.Above-mentioned processor 401
It is connected with memory 402 by bus 403.For memory 402 for storing computer program, which includes that program refers to
It enables, processor 401 is used to execute the program instruction of the storage of memory 402.Wherein, above-mentioned processor 401 is configured for calling
The program instruction performs the following operations:
Obtain medical institutions to be monitored uses effective prescription；
Above-mentioned medicine information included in effective prescription is obtained, and above-mentioned doctor to be monitored is determined according to above-mentioned medicine information
Treat the average daily drug expenditure of unit；
The above-mentioned sufferer quantity corresponding to effective prescription is determined with the sufferer information for including in effective prescription according to above-mentioned, according to
Above-mentioned medicine information and above-mentioned sufferer quantity determine the day for human beings equal drug expenditure of above-mentioned medical institutions to be monitored；
The above-mentioned mesh in effective prescription is determined according to the medicine information of each similar drug included in above-mentioned medicine information
Drug is marked, and determines above-mentioned target medicine in the above-mentioned target medicine in effective prescription according to the medicine information of above-mentioned each similar drug
Ratio；
According to above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio, determine above-mentioned
Whether the drug expenditure of medical institutions to be monitored is exceeded；
It is equal based on above-mentioned average daily drug expenditure, the above-mentioned day for human beings if the drug expenditure of above-mentioned medical institutions to be monitored is exceeded
Drug expenditure and above-mentioned target medicine ratio carry out above-mentioned medical institutions to be monitored exceeded with the drug expenditure of effective prescription
Risk control.
In some possible embodiments, above-mentioned processor 401, is used for:
The data system access qualification of above-mentioned medical institutions to be monitored is obtained, based on above-mentioned data system access qualification from upper
State obtain above-mentioned medical institutions to be monitored in the data system of medical institutions to be monitored use effective prescription；And/or
The medical treatment Claims Resolution data that above-mentioned medical institutions to be monitored provide are obtained, are obtained from above-mentioned medical treatment Claims Resolution data above-mentioned
Medical institutions to be monitored use effective prescription；
Wherein, above-mentioned medical institutions to be monitored includes above-mentioned medical institutions to be monitored in the individually examination period with effective prescription
It is interior it is all use effective prescription, the above-mentioned single examination period includes odd-numbered day or more days.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription
All within the odd-numbered day of unit use effective prescription；
Above-mentioned processor 401, is used for:
Above-mentioned all medicine informations with each drug included in effective prescription are obtained, are included at least in above-mentioned medicine information
Sales Volumes and drug use number of days；
Determine that the drug of above-mentioned all drugs all included by effective prescription is total according to the Sales Volumes of above-mentioned each drug
Volume, and determine that above-mentioned all drugs with effective prescription use total number of days using number of days according to the drug of above-mentioned each drug；
The average daily drug of above-mentioned medical institutions to be monitored is determined using total number of days according to above-mentioned drug total value and above-mentioned drug
Expense.
In some possible embodiments, above-mentioned medical institutions to be monitored includes above-mentioned medical treatment to be monitored with effective prescription
All within more days single examination periods of unit use effective prescription；
Above-mentioned processor 401, is used for:
Any day in the above-mentioned single examination period any odd-numbered day effective prescription is obtained, and obtains any of the above-described odd-numbered day medication
The medicine information of included each drug in prescription includes at least Sales Volumes in above-mentioned medicine information and drug uses number of days；
It is determined according to the Sales Volumes of each drug included by any of the above-described odd-numbered day effective prescription and drug using number of days
State the odd-numbered day average daily drug expenditure of medical institutions to be monitored；
According to above-mentioned medical institutions to be monitored in the above-mentioned single odd-numbered day average daily drug expenditure and medicine for examining period Nei Ge
Product determine the average daily drug expenditure of above-mentioned medical institutions to be monitored using total number of days；
Wherein, any day drug is the medicine of each drug included in any of the above-described odd-numbered day effective prescription using total number of days
Product use the summation of number of days.
In some possible embodiments, above-mentioned processor 401, is used for:
The list in above-mentioned single examination period is determined according to the odd-numbered day average daily drug expenditure of above-mentioned single examination period Nei Ge
Day average daily drug expenditure accumulated value is determined using total number of days according to the drug of above-mentioned single examination period Nei Ge and above-mentioned is individually examined
Drug in nuclear cycle uses total number of days accumulated value；
It is determined according to average daily drug expenditure accumulated value of above-mentioned odd-numbered day and above-mentioned drug using total number of days accumulated value above-mentioned wait supervise
Control the average daily drug expenditure of medical institutions.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=odd-numbered day average daily drug expenditure accumulated value/drug uses total number of days accumulated value.
Optionally, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=period drug total value/period drug uses total number of days；
Wherein, it can be the drug of all drugs of all prescriptions in the single examination period in above-mentioned period drug total value
The total amount of the cumulative obtained all drugs of the amount of money, above-mentioned period drug can be the institute in the single examination period using total number of days
There is the drug of each drug in drug to use the accumulated value of number of days.
In some possible embodiments, above-mentioned processor 401, is used for:
It obtains above-mentioned sufferer information included in effective prescription, and is determined according to above-mentioned sufferer information and above-mentioned use effective prescription
Targeted sufferer person-time, wherein one is directed to a sufferer person-time with effective prescription；
Above-mentioned sufferer person-time is determined as the above-mentioned sufferer quantity corresponding to effective prescription.
In some possible embodiments, above-mentioned processor 401, is used for:
It is determined according to above-mentioned medicine information above-mentioned single with drug sum included in effective prescription and above-mentioned medical treatment to be monitored
The average daily drug expenditure of position；
Above-mentioned medical institutions to be monitored are determined according to above-mentioned average daily drug expenditure, above-mentioned sufferer quantity and above-mentioned drug sum
The day for human beings equal drug expenditure.
Wherein, the average daily drug expenditure of above-mentioned medical institutions to be monitored meets:
Average daily drug expenditure=drug total value/drug uses total number of days；
The day for human beings of above-mentioned medical institutions to be monitored, equal drug expenditure met:
The day for human beings equal drug expenditure=drug sum/average daily drug expenditure of sufferer quantity *.
In some possible embodiments, above-mentioned processor 401, is used for:
The above-mentioned medicine information with each similar drug included in effective prescription is determined according to above-mentioned medicine information, it is above-mentioned each
Number of days is used including at least the Sales Volumes of each similar drug and drug in the medicine information of similar drug；
According to the medicine information of above-mentioned each similar drug determine the above-mentioned drug total value with similar drug any in effective prescription with
And the drug of any of the above-described similar drug uses total number of days；
It is determined according to the drug of the drug total value of any of the above-described similar drug and any of the above-described similar drug using total number of days above-mentioned
The average daily drug expenditure of single medicine of any similar drug is to obtain the average daily drug expenditure of single medicine of above-mentioned each similar drug；
The above-mentioned average daily medicine of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of above-mentioned each similar drug
Product cost threshold, and the average daily drug expenditure of medicine single in above-mentioned each similar drug is more than or equal to the average daily drug expenditure of above-mentioned single medicine
The drug of threshold value is determined as the above-mentioned target medicine in effective prescription.
Wherein, the average daily drug expenditure of single medicine of any of the above-described similar drug meets:
Drug total value/any similar drug drug of the single average daily drug expenditure of medicine=any similar drug uses total number of days.
In some possible embodiments, above-mentioned processor 401, is used for:
The above-mentioned drug total value with drugs all in effective prescription is determined according to the medicine information of above-mentioned each similar drug, and
The above-mentioned target medicine total value with above-mentioned target medicine included in effective prescription；
The above-mentioned target with effective prescription is determined according to the drug total value of above-mentioned all drugs and above-mentioned target medicine total value
Drugs proportion；
Wherein, above-mentioned target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
In some possible embodiments, above-mentioned processor 401, is used for:
The average daily drug of above-mentioned medical institutions to be monitored is determined according to the unit attribute information of above-mentioned medical institutions to be monitored
Cost threshold, the day for human beings equal drug expenditure threshold value and target medicine proportion threshold value；
If above-mentioned average daily drug expenditure is greater than above-mentioned average daily drug expenditure threshold value, above-mentioned average daily drug expenditure is determined as
Exceeded Drug utilization index parameter；And/or
If the above-mentioned day for human beings equal drug expenditure is greater than equal drug expenditure threshold value of the above-mentioned day for human beings, by equal drug expenditure of the above-mentioned day for human beings
It is determined as exceeded Drug utilization index parameter；And/or
If above-mentioned target medicine ratio is greater than above-mentioned target medicine proportion threshold value, it is by above-mentioned target medicine ratio-dependent
Exceeded Drug utilization index parameter；
According to the exceeded use in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Medicine index parameter determines whether the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
Wherein, the unit attribute information of above-mentioned medical institutions to be monitored includes flat type, region, unit institute locating for unit
Locate one of city, unit drugs supply channel and unit sufferer person-time or a variety of.
In some possible embodiments, above-mentioned processor 401, is used for:
In above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio include one or
When the multinomial exceeded Drug utilization index parameter of person, determine that the drug expenditure of above-mentioned medical institutions to be monitored is exceeded；
It is less than or equal to above-mentioned average daily drug expenditure threshold value, equal drug expenditure of the above-mentioned day for human beings in above-mentioned average daily drug expenditure
Less than or equal to equal drug expenditure threshold value of the above-mentioned day for human beings and above-mentioned target medicine ratio is less than or equal to above-mentioned target medicine
When proportion threshold value, determine that the drug expenditure of above-mentioned medical institutions to be monitored is not exceeded.
In some possible embodiments, above-mentioned processor 401, is used for:
By the exceeded medication in above-mentioned average daily drug expenditure, equal drug expenditure of the above-mentioned day for human beings and above-mentioned target medicine ratio
Index parameter carries out publicity, the use of the above-mentioned medical institutions' control evolution to be monitored of the exceeded Drug utilization index parameter prompts based on publicity
Medicine, with the exceeded risk control of the drug expenditure of realization effective prescription；And/or
Above-mentioned exceeded Drug utilization index parameter is exceeded into the corresponding Drug utilization index parameter threshold of above-mentioned exceeded Drug utilization index parameter
Difference carry out publicity, the above-mentioned difference based on publicity prompts the medication of above-mentioned medical institutions to be monitored control evolution, to realize
With the exceeded risk control of the drug expenditure of effective prescription；And/or
When receiving above-mentioned exceeded Drug utilization index parameter and/or the corresponding drug expenditure reimbursement of above-mentioned difference is requested, refuse
Drug expenditure reimbursement request above-mentioned absolutely is to realize the risk control for using the drug expenditure of effective prescription exceeded.
In some possible embodiments, above-mentioned processor 401 can be central processing unit (central
Processing unit, CPU), which can also be other general processors, digital signal processor (digital
Signal processor, DSP), specific integrated circuit (application specific integrated circuit,
ASIC), ready-made programmable gate array (field-programmable gate array, FPGA) or other programmable logic
Device, discrete gate or transistor logic, discrete hardware components etc..General processor can be microprocessor or this at
Reason device is also possible to any conventional processor etc..
The memory 402 may include read-only memory and random access memory, and to processor 401 provide instruction and
Data.The a part of of memory 402 can also include nonvolatile RAM.For example, memory 402 can also be deposited
Store up the information of device type.
In some possible embodiments, above-mentioned terminal device can pass through each function mould of processor 401 built in it
Block executes the implementation as provided by above-mentioned Fig. 1 each step into Fig. 2, and for details, reference can be made to provided by above-mentioned each step
Implementation, details are not described herein.
In the embodiment of the present application, terminal device can be based on medical institutions to be monitored at the medication in the individually examination period
Included medicine information in side determines the day for human beings equal drug expenditure of the medical institutions to be monitored within the individually examination period, here
The single examination period includes the odd-numbered day, also includes the examination period of any duration more than one day.Terminal device can be based on above-mentioned list
The medicine information of included each similar drug, can determine all kinds of medications in conjunction with the calculation of average daily drug expenditure in day prescription
Single average daily drug expenditure of medicine, to can determine that the costly medicine and costly medicine ratio in odd-numbered day prescription.Terminal device can
Average daily drug expenditure, the day for human beings equal drug expenditure and costly medicine ratio based on medical institutions to be monitored within the examination period
Overall merit is carried out to the medication of medical institutions to be monitored etc. multiple Drug utilization index parameters, determines the drug of medical institutions to be monitored
Whether expense is exceeded, realizes the evaluation to the Drug utilization index of medical institutions to be monitored, mode of operation multiplicity.Implemented based on the application
The terminal device that example provides can realize the medication policer operation mode multiplicity to each medical institutions, both can be improved to medical institutions
The accuracy of medication monitoring, improves the reliability of the medication monitoring to medical institutions, while can also enhance the use to medical institutions
The operating flexibility of medicine monitoring, so can be improved the medicining condition based on each medical institutions to the prescriptions of each medical institutions into
The exceeded publicity of row drug expenditure, and/or the exceeded corresponding drug expenditure reimbursement of refusal Drug utilization index parameter and/or Claims Resolution request
The reliability of the exceeded risk control of equal medications, can be improved the medication controllability of medical institutions' evolution, so that medical treatment can be improved
The effective rate of utilization of resource, applicability are stronger.
The embodiment of the present application also provides a kind of computer readable storage medium, which has meter
Calculation machine program, the computer program include program instruction, which realizes that Fig. 1 is each into Fig. 2 when being executed by processor
Drug expenditure risk of exceeding criterion control method based on data processing provided by step, for details, reference can be made to above-mentioned each steps to be mentioned
The implementation of confession, details are not described herein.
Above-mentioned computer readable storage medium can be the drug expense based on data processing that aforementioned any embodiment provides
With the hard disk or memory of risk of exceeding criterion control device or the internal storage unit of above-mentioned terminal device, such as electronic equipment.It should
Computer readable storage medium is also possible to the grafting being equipped on the External memory equipment of the electronic equipment, such as the electronic equipment
Formula hard disk, intelligent memory card (smart media card, SMC), secure digital (secure digital, SD) card, flash card
(flash card) etc..Further, which can also both include the storage inside of the electronic equipment
Unit also includes External memory equipment.The computer readable storage medium is for storing the computer program and the electronic equipment
Other required programs and data.The computer readable storage medium, which can be also used for temporarily storing, have been exported or will
The data of output.
Term " includes " and " having " and their any changes in following claims and specification and attached drawing
Shape, it is intended that cover and non-exclusive include.Such as contain the process, method of a series of steps or units, system, product or
Equipment is not limited to listed step or unit, but optionally further comprising the step of not listing or unit or optional
Ground further includes the other step or units intrinsic for these process, methods, product or equipment.Referenced herein " embodiment "
It is meant that a particular feature, structure, or characteristic described may be embodied at least one embodiment of the application in conjunction with the embodiments.
Each position in the description shows that the phrase might not each mean identical embodiment, nor mutual with other embodiments
The independent or alternative embodiment of reprimand.Those skilled in the art explicitly and implicitly understand, reality described herein
Applying example can combine with other embodiments.The term "and/or" used in present specification and the appended claims
Refer to any combination and all possible combinations of one or more of associated item listed, and including these combinations.
Those of ordinary skill in the art may be aware that list described in conjunction with the examples disclosed in the embodiments of the present disclosure
Member and algorithm steps, can be realized with electronic hardware, computer software, or a combination of the two, in order to clearly demonstrate hardware
With the interchangeability of software, each exemplary composition and step are generally described according to function in the above description.This
A little functions are implemented in hardware or software actually, the specific application and design constraint depending on technical solution.Specially
Industry technical staff can use different methods to achieve the described function each specific application, but this realization is not
It is considered as beyond scope of the present application.Method provided by the embodiments of the present application and relevant apparatus are provided referring to the embodiment of the present application
Method flow diagram and/or structural schematic diagram come what is described, can specifically be realized by computer program instructions method flow diagram and/or
The combination of each flow and/or block of structural schematic diagram and process and/or box in flowchart and/or the block diagram.This
A little computer program instructions can provide at general purpose computer, special purpose computer, Embedded Processor or other programmable datas
The processor of equipment is managed to generate a machine, so that holding by the processor of computer or other programmable data processing devices
Capable instruction generates for realizing in one box of one or more flows of the flowchart and/or structural schematic diagram or multiple sides
The device for the function of being specified in frame.These computer program instructions, which may also be stored in, is able to guide computer or other programmable datas
In processing equipment computer-readable memory operate in a specific manner, so that finger stored in the computer readable memory
It enables and generates the manufacture including command device, which realizes in one or more flows of the flowchart and/or structure
The function of being specified in schematic diagram one box or multiple boxes.These computer program instructions can also be loaded into computer or other
In programmable data processing device, so that executing series of operation steps on a computer or other programmable device in terms of generating
The processing that calculation machine is realized, so that instruction executed on a computer or other programmable device is provided for realizing in flow chart one
The step of function of being specified in a process or multiple processes and/or structural representation one box or multiple boxes.
Claims (15)
1. a kind of drug expenditure risk of exceeding criterion control method based on data processing, which is characterized in that the described method includes:
Obtain medical institutions to be monitored uses effective prescription；
The medicine information included in effective prescription is obtained, and determines that the medical treatment to be monitored is single according to the medicine information
The average daily drug expenditure of position；
The sufferer quantity corresponding to effective prescription is determined with the sufferer information for including in effective prescription according to described, according to described
Medicine information and the sufferer quantity determine the day for human beings equal drug expenditure of the medical institutions to be monitored；
The target medicine in effective prescription is determined according to the medicine information of each similar drug included in the medicine information
Product, and determine the target medicine in the target medicine ratio in effective prescription according to the medicine information of each similar drug
Example；
According to the average daily drug expenditure, the day for human beings equal drug expenditure and the target medicine ratio, determine described wait supervise
Whether the drug expenditure for controlling medical institutions is exceeded；
If the drug expenditure of the medical institutions to be monitored is exceeded, it is based on the average daily drug expenditure, the day for human beings equal drug
Expense and the target medicine ratio carry out the risk exceeded with the drug expenditure of effective prescription to the medical institutions to be monitored
Control.
2. the method according to claim 1, wherein it is described obtain medical institutions to be monitored with effective prescription packet
It includes:
Obtain the data system access qualification of the medical institutions to be monitored, based on the data the qualification of system access from it is described to
The medical institutions to be monitored are obtained in the data system of monitoring medical institutions uses effective prescription；And/or
The medical treatment Claims Resolution data that the medical institutions to be monitored provide are obtained, are obtained from the medical treatment Claims Resolution data described wait supervise
Control medical institutions use effective prescription；
Wherein, the medical institutions to be monitored includes the medical institutions to be monitored within the individually examination period with effective prescription
All to use effective prescription, the cycle duration in the single examination period includes odd-numbered day or more days.
3. method according to claim 1 or 2, which is characterized in that the medical institutions to be monitored include with effective prescription
All within the odd-numbered day of the medical institutions to be monitored use effective prescription；
It is described to obtain the medicine information included in effective prescription, and the doctor to be monitored is determined according to the medicine information
Treat unit average daily drug expenditure include:
All medicine informations with each drug included in effective prescription are obtained, include at least drug in the medicine information
The amount of money and drug use number of days；
The drug total value of all drugs all included by effective prescription is determined according to the Sales Volumes of each drug, and
Determine that all drugs with effective prescription use total number of days using number of days according to the drug of each drug；
The average daily drug expenditure of the medical institutions to be monitored is determined using total number of days according to the drug total value and the drug.
4. method according to claim 1 or 2, which is characterized in that the medical institutions to be monitored include with effective prescription
All within more days single examination periods of the medical institutions to be monitored use effective prescription；
It is described to obtain the medicine information included in effective prescription, and the doctor to be monitored is determined according to the medicine information
Treat unit average daily drug expenditure include:
Any day in the single examination period any odd-numbered day effective prescription is obtained, and obtains any odd-numbered day effective prescription
In included each drug medicine information, include at least Sales Volumes in the medicine information and drug use number of days；
Described in being determined according to the Sales Volumes of each drug included by any odd-numbered day effective prescription and drug using number of days to
Monitor the odd-numbered day average daily drug expenditure of medical institutions；
Made according to the medical institutions to be monitored in the odd-numbered day average daily drug expenditure and drug of the single examination period Nei Ge
The average daily drug expenditure of the medical institutions to be monitored is determined with total number of days；
Wherein, any day drug is made using the drug that total number of days is each drug included in any odd-numbered day effective prescription
With the summation of number of days.
5. according to the method described in claim 4, it is characterized in that, it is described according to the medical institutions to be monitored described single
The odd-numbered day average daily drug expenditure and drug of examination period Nei Ge determines the average daily of the medical institutions to be monitored using total number of days
Drug expenditure includes:
The odd-numbered day day in the single examination period is determined according to the odd-numbered day average daily drug expenditure of the single examination period Nei Ge
Equal drug expenditure accumulated value determines the single examination week using total number of days according to the drug of the single examination period Nei Ge
Drug in phase uses total number of days accumulated value；
The doctor to be monitored is determined using total number of days accumulated value according to the odd-numbered day average daily drug expenditure accumulated value and the drug
Treat the average daily drug expenditure of unit.
6. the method according to claim 3 or 4, which is characterized in that it is described according to described with the sufferer for including in effective prescription
Information determines that the sufferer quantity corresponding to effective prescription includes:
The sufferer information included in effective prescription is obtained, and the effective prescription institute needle is determined according to the sufferer information
Pair sufferer person-time, wherein one with effective prescription be directed to a sufferer person-time；
The sufferer person-time is determined as the sufferer quantity corresponding to effective prescription.
7. according to the method described in claim 6, it is characterized in that, described true according to the medicine information and the sufferer quantity
The day for human beings equal drug expenditure of the medical institutions to be monitored includes: calmly
It is determined according to the medicine information described with drug sum included in effective prescription and the medical institutions to be monitored
Average daily drug expenditure；
The people of the medical institutions to be monitored is determined according to the average daily drug expenditure, the sufferer quantity and the drug sum
Average daily drug expenditure.
8. method according to claim 1 or 2, which is characterized in that described each included by the medicine information
The medicine information of similar drug determines that the target medicine in effective prescription includes:
The medicine information with each similar drug included in effective prescription, all kinds of medicines are determined according to the medicine information
Number of days is used including at least the Sales Volumes of each similar drug and drug in the medicine information of product；
The drug total value with similar drug any in effective prescription and institute are determined according to the medicine information of each similar drug
The drug for stating any similar drug uses total number of days；
It is determined according to the drug of the drug total value of any similar drug and any similar drug using total number of days described any
The average daily drug expenditure of single medicine of similar drug is to obtain the average daily drug expenditure of single medicine of each similar drug；
The average daily drug expense of the corresponding single medicine of effective prescription is determined according to the average daily drug expenditure of single medicine of each similar drug
It is more than or equal to the average daily drug expenditure threshold value of single medicine with threshold value, and by the average daily drug expenditure of medicine single in each similar drug
Drug be determined as the target medicine in effective prescription.
9. according to the method described in claim 8, it is characterized in that, the medicine information according to each similar drug is determined
The target medicine includes: with the target medicine ratio of effective prescription described
The drug total value with drugs all in effective prescription and described is determined according to the medicine information of each similar drug
With the target medicine total value of the target medicine included in effective prescription；
The target medicine with effective prescription is determined according to the drug total value of all drugs and the target medicine total value
Ratio；
Wherein, the target medicine ratio meets:
Target medicine ratio=target medicine total value/all drugs drug total value.
10. -9 described in any item methods according to claim 1, which is characterized in that described according to the average daily drug expenditure, institute
The day for human beings equal drug expenditure and the target medicine ratio are stated, determines whether the drug expenditure of the medical institutions to be monitored is exceeded
Include:
The average daily drug expenditure of the medical institutions to be monitored is determined according to the unit attribute information of the medical institutions to be monitored
Threshold value, the day for human beings equal drug expenditure threshold value and target medicine proportion threshold value；
If the average daily drug expenditure is greater than the average daily drug expenditure threshold value, the average daily drug expenditure is determined as exceeded
Drug utilization index parameter；And/or
If the day for human beings equal drug expenditure is greater than the day for human beings equal drug expenditure threshold value, the day for human beings equal drug expenditure is determined
For exceeded Drug utilization index parameter；And/or
It is exceeded by the target medicine ratio-dependent if the target medicine ratio is greater than the target medicine proportion threshold value
Drug utilization index parameter；
Referred to according to the exceeded medication in the average daily drug expenditure, the day for human beings equal drug expenditure and the target medicine ratio
Mark parameter determines whether the drug expenditure of the medical institutions to be monitored is exceeded；
Wherein, the unit attribute information of the medical institutions to be monitored includes flat type, city locating for region, unit locating for unit
One of city, unit drugs supply channel and unit sufferer person-time are a variety of.
11. according to the method described in claim 10, it is characterized in that, described according to the average daily drug expenditure, the day for human beings
Exceeded Drug utilization index parameter in equal drug expenditure and the target medicine ratio determines the medicine of the medical institutions to be monitored
Whether product expense is exceeded to include:
If including one or more in the average daily drug expenditure, the day for human beings equal drug expenditure and the target medicine ratio
The exceeded Drug utilization index parameter of item, it is determined that the drug expenditure of the medical institutions to be monitored is exceeded；
If the average daily drug expenditure is less than or equal to the average daily drug expenditure threshold value, the day for human beings equal drug expenditure is less than
Or it is equal to the day for human beings equal drug expenditure threshold value and the target medicine ratio and is less than or equal to the target medicine ratio
Threshold value, it is determined that the drug expenditure of the medical institutions to be monitored is not exceeded.
12. according to the method described in claim 10, it is characterized in that, described be based on the average daily drug expenditure, the day for human beings
Equal drug expenditure and the target medicine ratio carry out the medical institutions to be monitored exceeded with the drug expenditure of effective prescription
Risk control include:
By the exceeded Drug utilization index in the average daily drug expenditure, the day for human beings equal drug expenditure and the target medicine ratio
Parameter carries out publicity, the medication of medical institutions' control evolution to be monitored described in the exceeded Drug utilization index parameter prompts based on publicity,
With the exceeded risk control of the drug expenditure of realization effective prescription；And/or
The exceeded Drug utilization index parameter is exceeded to the difference of the corresponding Drug utilization index parameter threshold of the exceeded Drug utilization index parameter
Value carries out publicity, and the difference based on publicity prompts the medication of medical institutions' control evolution to be monitored, to realize medication
The exceeded risk control of the drug expenditure of prescription；And/or
When receiving the exceeded Drug utilization index parameter and/or the corresponding drug expenditure reimbursement of the difference is requested, refuse institute
Drug expenditure reimbursement request is stated to realize the risk control for using the drug expenditure of effective prescription exceeded.
13. a kind of drug expenditure risk of exceeding criterion control device based on data processing, which is characterized in that described device includes:
Data capture unit for obtaining the use effective prescription of medical institutions to be monitored, and obtains described with included in effective prescription
Medicine information；
Medicine information processing unit, the medicine information for being obtained according to the data capture unit determine described to be monitored
The average daily drug expenditure of medical institutions；
Medicine information processing unit is also used to be obtained according to the data capture unit described with the sufferer for including in effective prescription
Information determines the sufferer quantity corresponding to effective prescription, according to the medicine information and the sufferer quantity determine it is described to
Monitor the day for human beings equal drug expenditure of medical institutions；
Medicine information processing unit is also used to be determined according to the medicine information of each similar drug included in the medicine information
The target medicine in effective prescription, and determine the target medicine in the use according to the medicine information of each similar drug
Target medicine ratio in effective prescription；
Medication monitoring unit, the average daily drug expenditure, the day for human beings for being determined according to the medicine information processing unit
Equal drug expenditure and the target medicine ratio, determine whether the drug expenditure of the medical institutions to be monitored is exceeded；
Drug risk control unit, the drug expenditure for determining the medical institutions to be monitored in the medication monitoring unit are super
When mark, based on the average daily drug expenditure, the day for human beings equal drug expenditure and the target medicine ratio to described to be monitored
Medical institutions carry out the risk control exceeded with the drug expenditure of effective prescription.
14. a kind of terminal device, which is characterized in that including processor and memory, the processor and memory are connected with each other,
Wherein, the memory is for storing computer program, and the computer program includes program instruction, and the processor is configured
For calling described program to instruct, such as the described in any item methods of claim 1-12 are executed.
15. a kind of computer readable storage medium, which is characterized in that be stored with computer in the computer readable storage medium
Program, the computer program include program instruction, and described program instruction when being executed by a processor executes the processor
Such as the described in any item methods of claim 1-12.
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| CN201811228496.2A CN109524075A (en) | 2018-10-22 | 2018-10-22 | Drug expenditure risk of exceeding criterion control method and device based on data processing |
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| CN201811228496.2A CN109524075A (en) | 2018-10-22 | 2018-10-22 | Drug expenditure risk of exceeding criterion control method and device based on data processing |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2020082802A1 (en) * | 2018-10-22 | 2020-04-30 | 平安医疗健康管理股份有限公司 | Data processing-based drug expense risk control method and device |
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| WO2004001539A2 (en) * | 2002-06-21 | 2003-12-31 | Mckesson Information Solutions Llc | Closed loop medication use system and method |
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