[1]胡云,陈军辉,曹明,等.应用DRG系统对我院神经外科医保病人治疗费用的影响[J].中国临床神经外科杂志,2024,29(10):608-611.[doi:10.13798/j.issn.1009-153X.2024.10.008]
　HU Yun,CHEN Jun-hui,CAO Ming,et al.Effect of the DRG system on the expenses of neurosurgical patients covered by medical insurance in our hospital[J].,2024,29(10):608-611.[doi:10.13798/j.issn.1009-153X.2024.10.008]
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应用DRG系统对我院神经外科医保病人治疗费用的影响()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年10期
页码:
608-611
栏目:
论著
出版日期:
2024-10-30

文章信息/Info

Title:
Effect of the DRG system on the expenses of neurosurgical patients covered by medical insurance in our hospital
文章编号:
1009-153X（2024）10-0608-04
作者:
胡云; 陈军辉; 曹明; 王玉海
214044江苏无锡，中国人民解放军联勤保障部队第904医院神经外科（胡云、陈军辉、曹明、王玉海）
Author(s):
HU Yun;  CHEN Jun-hui;  CAO Ming;  WANG Yu-hai
Department of Neurosurgery, The 904th Hospital of Joint Logistic Support Force, PLA, Wuxi 214044, China
关键词:
疾病相关诊断分组（DRG）; 神经外科; 住院费用; 住院天数
Keywords:
Disease Related Groups (DRG);  Neurosurgery department;  Hospitalization expenses;  Hospitalization days
分类号:
R 651
DOI:
10.13798/j.issn.1009-153X.2024.10.008
文献标志码:
A
摘要:
目的 探讨我院神经外科收治病人在疾病相关诊断分组（DRG）系统实施前后治疗费用的变化，为控制医保支付提供参考。方法 收集我院病案系统神经外科医保结算病人病历首页信息，为排除季节性因素影响，抽取2021年1月至6月（DRG实施前）及2022年1月至6月（DRG实施后）病人信息，包括入院途经、性别、年龄、住院天数、总费用、主要诊断及其他诊断、主要操作及其他操作。结果 共纳入1 360例病人，其中DRG实施前711例，DRG实施后649例。两组病人性别、年龄、手术情况、并发症情况、呼吸机使用及气管切开术情况等均无统计学差异（P>0.05）。实施DGR后，门诊入院占比明显增高（31.0% vs. 21.1%；P<0.001），住院天数明显减少[10 d（IQR：6~15 d） vs. 11 d（IQR：8~17 d）；P=0.001]，住院总费用明显减少[1.26万元（IQR：0.71~4.71万元） vs. 2.02万元（IQR：0.97~6.02万元）；P=0.001]。结论 对于神经外科收治的医保病人，合理运用DRG系统可实现整体控费，减少住院天数。
Abstract:
Objective To explore the variations in the expenses of patients admitted to the neurosurgery department of our hospital before and after the implementation of Diagnosis Related Groups (DRG), and to offer references for controlling medical insurance payments. Methods The information on the first page of the medical records of patients with medical insurance settlement in the neurosurgery department of our hospital was collected. To eliminate the influence of seasonal factors, patient information from January to June 2021 (prior to DRG implementation) and from January to June 2022 (after DRG implementation) was collected, including admission routes, gender, age, length of hospital stay, total cost, main diagnosis and other diagnoses, main operation and other operations. Results A total of 1 360 patients were included, among which 711 were before DRG implementation and 649 were after DRG implementation. There were no statistically significant differences in gender, age, surgical situations, complication conditions, the use of ventilators, and tracheotomy situations between the two groups (P>0.05). After the implementation of DRG, the ratio of outpatient admissions increased significantly (31.0% vs. 21.1%; P<0.001), the length of hospital stay decreased significantly [10 d (IQR: 6~15 d) vs. 11 d (IQR: 8~17 d); P=0.001], and the total cost of hospitalization decreased significantly [12 600 yuan (IQR: 7100~47100 yuan) vs. 20 200 yuan (IQR: 9700~60 200 yuan): P=0.001]. Conclusion For patients covered by medical insurance, the rational application of the DRG system can achieve overall cost control and reduce the length of hospital stay.

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备注/Memo

备注/Memo:
（2023-05-19收稿，2024-05-19修回）
通信作者：王玉海，Email：wangyuhai67@126.com
更新日期/Last Update: 2024-10-30