[1]李文瑾,续晓方,田立启,等.基于DRG的乳腺癌手术患者住院费用及影响因素分析[J].卫生经济研究,2021,38(6):76-79.
　LI Wen-jin,XU Xiao-fang,TIAN Li-qi,et al.Analysis on Hospitalization Expenses and Its Influencing Factors of Breast Cancer Patients Based on DRG[J].Journal Press of Health Economics Research,2021,38(6):76-79.
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基于DRG的乳腺癌手术患者住院费用及影响因素分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年6期
页码:
76-79
栏目:
成本与费用
出版日期:
2021-05-28

文章信息/Info

Title:
Analysis on Hospitalization Expenses and Its Influencing Factors of Breast Cancer Patients Based on DRG
作者:
李文瑾1; 续晓方1; 田立启1; 高 冲1
1.青岛大学附属医院，山东 青岛266003
Author(s):
LI Wen-jin;  XU Xiao-fang;  TIAN Li-qi;  GAO Chong
The Affiliated Hospital of Qingdao University,Qingdao Shandong 266003, China
关键词:
DRG; 乳腺癌手术患者; 住院费用; 影响因素
Keywords:
DRG;  breast cancer patients;  hospitalization expenses;  influencing factors
分类号:
R19
文献标志码:
A
摘要:
目的：分析乳腺癌手术患者DRG分组效果及住院费用影响因素，为推行DRG付费提供依据。方法：收集某三甲医院乳腺癌手术的住院患者信息，采用变异系数、总体方差减少系数评价DRG分组效果，通过多元逐步回归分析住院费用影响因素。结果：DRG分组CV值均小于1，RIV值为5.50%；住院天数、耗材费、药品费、手术方式、治疗效果和付费方式对住院费用有一定的影响。结论：乳腺癌手术患者DRG分组能够客观反映医疗资源消耗水平；医院应以DRG付费为契机，结合流程再造理念，规范诊疗流程，重点缩短住院天数，减少耗材费和药品费，从而降低住院费用。
Abstract:
Objective To analyze the DRG grouping effect of hospitalization expenses and its influencing factors of breast cancer patients, so as to provide basis for the implementation of DRG payment. Methods The information of inpatients undergoing breast cancer surgery in 3 A hospitals was collected, and the DRG grouping effect was evaluated by coefficient of variation and reduction coefficient of total variance, and the influencing factors of hospitalization expenses were analyzed by multiple stepwise regression. Results The CV value of DRG grouping was less than 1, and the RIV value was 5.50%. The hospitalization days, consumable material fee, drug fee, operation mode, treatment effect and payment method were associated with the hospitalization expenses. Conclusion The DRG grouping of breast cancer patients can objectively reflect the consumption level of medical resources, and hospitals should take DRG payment as an opportunity and combine the process reengineering theory to standardize the process of diagnosis and treatment, focus on shortening hospitalization days, reduce the consumables and drugs fee to reduce the hospitalization expenses.

参考文献/References:

[1] Furusawa H,Namba K,Thomsen S,et al.Magnetic resonance-guided focused ultrasound surgery of breast cancer: Reliability and effectiveness[J].Journal of the American College of Surgeons,2006, 203(1): 54-63.
[2] 熊昊祾，许昌，路伟，等.DRG组内住院费用分析与比较研究——以急性心肌梗死DRG分组(FR13)为例[J].中国医院管理, 2020，40（2）：65-68.
[3] 国家医保局，财政部，国家卫生健康委，国家中医药局.关于印发按疾病诊断相关分组付费国家试点城市名单的通知（医保发〔2019〕34号）[EB/OL].（2019-06-05）[2020-11-06].http://www.nhsa.gov.cn/art/2019/6/5/art_37_1362.html.
[4] Zhao J,Wang B, Zhao J,et al.Male breast cancer:A closer look at patient and tumor characteristics and factors associated with survival[J].Thoracic Cancer,2020, 11(11):3107-3116.
[5] 徐衍，罗芳，王建刚.某省级DRG平台住院病例分组效果评价及完善建议[J].中国医院管理，2020，40（9）：32-33.
[6] 申鑫，韩春艳，甘勇，等.基于DRG的医疗服务绩效评价体系构建研究[J].中国卫生政策研究，2020，13（3）：77-82.
[7] 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，2020，37（7）：37-40.
[8] 赵忻怡，张晓，唐洋，等.乳腺癌手术病人住院费用及影响因素分析[J].中国卫生经济，2009（1）：41-43.
[9] 员浩雅，徐福强，张军，等.四种癌症患者长期治疗费用及影响因素分析——以济南市某三甲医院为例[J].中国卫生事业管理， 2019， 36（10）：740-742,772.
[10] 苏敏，方鹏骞，白雪.基于灰色关联的急性阑尾炎住院费用及影响因素分析[J].中华医院管理杂志，2018，34（12）：1022-1025.
[11] 贾农，罗薇.DRGs评价体系应用于医院管理运行模式探讨[J]. 中国医院统计，2019，26（4）：289-293.
[12] 袁继梅，张宁. 剖宫产住院费用构成及影响因素分析[J].中国卫生统计，2017，34（3）：490-491.
[13] 吴锁薇，潘琦，陈彤，等.1282例高额住院患者次均费用影响因素分析[J].中华医院管理杂志，2016，32（11）：826-829.
[14] Xin L,Li J Y,Yu Z G,et al.Chinese breast cancer surgery: clinical practice and research[J].Chinese Medical Journal,2020,133(19): 2269-2270.
[15] 向前，吴荣海，吴伟旋，等.基于临床路径的病种标准成本核算研究[J].卫生经济研究，2020，37（10）：66-69.
[16] 李珅，张长乐，张柯,等.基于误差反向传播神经网络模型的住院费用影响因素分析[J].中华医院管理杂志，2019，35（12）：1007-1009.

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更新日期/Last Update: 2021-05-28