基于元分析的诊断相关组的成本控制效应研究
Xin Feng1, Lulu Cheng1, Hua Wei1,2
1School of Medicine Economics and Management, Anhui University of Chinese Medicine, Hefei, Anhui Province, China.
诊断相关组 (DRG) 支付方式有效地减少了住院时间 (LOS) 和成本. 然而,需要仔细监测,因为护理质量可能会受到影响.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 基于诊断相关组 (DRG) 支付系统的实施是医疗改革的全球趋势.
- 对于决策者和提供者来说,了解DRG采用对医疗保健利用和质量的影响至关重要.
研究的目的:
- 系统地评估DRG支付方式对平均住院时间 (LOS),成本和护理质量的影响.
- 通过元分析综合现有证据,提供DRG实施结果的全面概述.
主要方法:
- 从2019年到2023年5月,在六个主要数据库 (CNKI,Wipu,Wanfang,PubMed,ScienceDirect,Web of Science) 进行了系统的文献搜索.
- 使用RevMan 5.4和Stata 12.0软件进行了元分析,分析了来自24篇纳入文章的LOS和住院费用数据.
- 护理质量与文献报告一起进行评估.
主要成果:
- 分析显示,在DRG实施后,平均住院费用 (综合效应:-1.13%,P = .00) 和平均住院费用 (综合效应:-2.58,P = .00) 在统计学上显著减少.
- 这些发现表明DRG支付方式在控制医疗保健成本和资源利用方面具有明显的优势.
结论:
- DRG支付方式有效地减少住院时间和住院费用.
- 与DRG采用相关的护理质量的潜在下降需要进一步调查和主动管理策略.
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