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探索DRG系统下的子宫纤维瘤不同治疗方式的成本影响

Kun Tan¹, Linya Huang¹, Yuxian Nie²

¹Sichuan Provincial Health Information Center, Chengdu, Sichuan, China.

Frontiers in public health

|December 11, 2025

概括

高强度聚焦超声波 (HIFU) 对于子宫肌瘤,与传统手术相比,降低了住院时间和成本,特别是没有并发症. 诊断相关群体 (DRG) 系统有效地反映了这些资源差异.

科学领域:

医学经济学医学经济学
医疗保健服务研究医疗服务研究
妇科瘤学妇科瘤学

背景情况:

子宫纤维瘤 (ICD-10:D25) 是常见的,需要有效的治疗策略.
诊断相关组 (DRG) 系统对于医疗保健成本管理和资源分配至关重要.
高强度聚焦超声波 (HIFU) 是传统手术干预的最小侵入性替代方案.

研究的目的:

为了比较HIFU和子宫纤维瘤传统手术之间的医疗资源消耗和成本.
评估MS-DRG群组在分类并发症或并发症 (CC/MCC) 和没有并发症或并发症的患者中的有效性.
确定关键的成本驱动因素,并为DRG支付改革和治疗方式选择提供信息.

主要方法:

分析来自四川省医院的住院病历 (2016-2024年).
MS-DRG分类和XGBoost建模用于HIFU患者数据重新分类.
多因素回归分析,以确定影响成本的因素.

主要成果:

在非CC/MCC患者中,HIFU显著降低了停留时间 (LOS) 和耗材/药物成本的比例.
在CC/MCC组中,医院住院成本的中位数更高.
LOS,HIFU处理和CC/MCC分组被确定为主要的成本驱动因素.

结论:

DRG的分组有效地反映了HIFU和传统外科手术之间的资源消耗差异.
HIFU技术显示出在子宫纤维瘤治疗中优化医疗资源分配的潜力.
促进HIFU,优化保险政策和加强医院管理可以改善成本控制和医疗保健质量.

关键词:

成本驱动因素成本驱动因素与诊断相关的组系统系统.高强度聚焦超声波高强度聚焦超声波医疗资源消费的医疗资源消费.这是子宫纤维瘤.

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