关于GE1集团DRG支付服务效率和成本结构的中断时间序列研究
Xiaoyan Yu1, Hong Zhang2, Lili Shen3
1Medical Insurance Management Section, Haimen District People's Hospital, Nantong, China.
Frontiers in public health
|December 4, 2025
概括
基于多学科团队 (MDT) 的诊断相关小组 (DRG) 支付管理提高了医院的效率,并降低了GE13和GE15患者组的成本. 这种方法提高了护理质量和患者负担,但不影响服务,支持中国.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 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:
- 高等综合医疗机构在管理服务效率和成本结构方面面临挑战.
- 诊断相关集团 (DRG) 支付系统旨在控制医疗保健支出和标准化医疗实践.
- 将多学科团队 (MDT) 整合到DRG管理中,为优化医疗保健提供提供提供了一个潜在的战略.
研究的目的:
- 分析基于MDT的DRG支付管理对服务效率和医疗成本结构的影响.
- 评估干预前后对特定DRG组 (GE13和GE15) 关键绩效指标的变化.
- 在中国医疗改革倡议的背景下,评估基于MDT的DRG管理的有效性.
主要方法:
- 在中国一家三级医院,对GE13和GE15组 (2022-2023) 的患者数据进行了回顾性分析.
- 应用曼·惠特尼U测试来比较干预前后的医疗成本结构和服务效率指标.
- 使用中断时间序列 (ITS) 模型来检查这些指标在基于MDT的DRG管理实施后的趋势.
主要成果:
- 医院住院时间中位数显著减少 (GE13:10至7天;GE15:8至6天) 和平均住院费用 (GE13:¥4,912.89下降;GE15:¥2,156.01下降).
- ITS分析证实,GE13组干预后的入院时间,平均入院费用和药物费用有显著改善.
- 一些成本指标,包括材料成本,检查费和实验室测试成本,没有显示出统计学上显著的减少 (P > 0.05).
结论:
- 基于MDT的DRG管理提高了运营效率,标准化了临床实践,并改善了研究组的医疗质量.
- 该干预措施有效控制了医疗费用,并减少了患者的财务负担,扭转了之前的医院结算损失.
- 建议在DRG框架内继续实施和完善MDT管理,以优化医疗保健资源利用率并支持国家医疗保健改革.
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