目的　研究病例科学分类的方法 ,实现住院病例质量—费用指标管理。方法　 1计算机病例分型 ;2第一诊断相同的病例组合 ;3病例单元包罗模型评价方法。结果　建立病例质量、效率、费用指标引导系统。结论　病例分型有利于科学评价医疗质量 ;有利于病例费用成本控制 ;有利于完善医院质量管理体系 ,促进医院提高科学化管理水平 Objective To study the methods of case-scientific classification and achieve management of inpatient quality-cost indicators. Methods 1 Computer case classification; 2 first diagnosis of the same case combination; 3 case unit inclusion model evaluation method. Results Establish a guidance system for case quality, efficiency, and cost indicators. Conclusion Case classification is conducive to the scientific evaluation of medical quality; it is conducive to the control of the cost of case costs; it is conducive to the improvement of the hospital quality management system, and promotes the hospital to improve the scientific management level.