基于DRG模式进行结肠多手术的患者的成本和相关因素分析
1Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. Lixueliang_015@163.com.
European review for medical and pharmacological sciences
|September 5, 2023
概括
诊断相关分组 (DRG) 的实施使肠瘤手术的住院费用减少了19.46%. 关键的成本驱动因素包括住院时间,息肉数量和的使用,这凸显了为有效控制成本而需要精细的临床途径管理的需要.
科学领域:
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 肠需要手术干预,导致大量住院费用.
- 有效的成本控制策略对于可持续的医疗保健系统至关重要.
研究的目的:
- 分析结肠多手术的住院费用.
- 确定影响这些成本的因素.
- 探索成本控制和精细的管理策略.
主要方法:
- 在 (2021) 和 (2022) 实施诊断相关分组 (DRG) 之前 (2021) 和之后 (2022) 进行结肠多手术的患者的回顾性分析.
- 使用了描述性分析和多重线性回归.
- 从中国南京的一家医院收集的数据,使用南京分组方案.
主要成果:
- 在DRG实施后,平均住院费用下降了19.46%.
- 医疗技术成本占住院费用的最高比例.
- 住院日数,多胞体数,数,年龄和临床途径显著影响了成本 (p<0.05).
结论:
- DRG的实施积极影响了结肠多手术的住院费用控制.
- 分析疾病组内的成本结构是准确成本管理的关键.
- 优化临床途径管理对于提高DRG有效性和实现科学成本控制至关重要.
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