[1]张雅莉,荆 媛,姚魏紫,等.基于DRG的剖宫产病例分组效果与费用结构分析[J].卫生经济研究,2020,(07):37-40.
　ZHANG Ya-li,JING Yuan,YAO Wei-zi,et al.Analysis on Grouping Efficiency and Cost Structure of Cesarean Section Based on DRG[J].Journal Press of Health Economics Research,2020,(07):37-40.
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基于DRG的剖宫产病例分组效果与费用结构分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年07期
页码:
37-40
栏目:
成本与费用
出版日期:
2020-06-30

文章信息/Info

Title:
Analysis on Grouping Efficiency and Cost Structure of Cesarean Section Based on DRG
作者:
张雅莉1; 荆 媛2; 姚魏紫1; 李家伟1
1.成都中医药大学管理学院，四川 成都 611137
2.四川省乐山市人民医院，四川 乐山 614000
Author(s):
ZHANG Ya-li; JING Yuan; YAO Wei-zi; LI Jia-wei
Management College of Chengdu University of Traditional Chinese Medicine，Chengdu Sichuan 611137，China
关键词:
疾病诊断相关分组; 剖宫产; 分组效果; 费用结构
Keywords:
DRG; cesarean section; grouping efficiency; cost structure
分类号:
R195
文献标志码:
B
摘要:
目的：分析DRG分组效果与住院费用结构，为推广实施DRG付费提供参考。方法：收集某三甲综合医院剖宫产住院患者信息，以变异系数、方差减少系数评价DRG分组效果，以结构变动度评价住院费用结构变化的总体特征，通过多元逐步回归分析影响费用的主要因素。结果：病案首页质量影响DRG入组，剖宫产DRG分组费用结构不合理，临床路径管理、术前天数等影响住院费用。结论：加强职能科室与临床科室的沟通协作，提高病案首页质量；优化费用结构，体现医务人员劳动技术价值；灵活调整符合实际的临床路径。
Abstract:
Objective To analyze the DRG grouping efficiency and hospitalization cost structure，and provide references for the promotion and implementation of DRG payment. Methods Collect the information of cesarean section inpatients in a top three general hospital，evaluate the DRG grouping efficiency by the coefficient of variation and variance reduction，evaluate the overall characteristics of hospitalization costs structure change by structural variability，and analyze the main factors affecting the cost by multiple stepwise regression analysis. Results The quality of the first page of the medical record affected DRG enrollment，the DRG group cost structure for cesarean section was unreasonable，clinical pathway management and days before surgery affected hospitalization costs. Conclusion Strengthen the communication and collaboration between functional departments and clinical departments to improve the quality of the first page of medical records；optimize the cost structure to reflect the labor and technical value of medical staff；flexibly adjust the clinical path in line with the actual situation.

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更新日期/Last Update: 2020-06-30