| 引用本文: |
冷家骅,刘忆,刘晶,等.结直肠肿瘤手术患者DRGs分组效果与费用分析[J].中国卫生经济,2017,(5):29-32.[点击复制] |
.Expenses Analysis and Classification Effect on DRGs Grouping of Colorectal Tumor in a Single Institution[J].CHINESE HEALTH ECONOMICS,2017,(5):29-32.[点击复制] |
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| 摘要: |
| 目的：分析结直肠恶性肿瘤手术患者的住院费用与DRGs分组情况，探讨结直肠手术病种DRGs分组的规律，为DRGs付费推广作参考，为医疗机构费用管理作借鉴。方法：回顾搜集2015年结直肠肿瘤相关数据，回归分析费用及DRGs分组的主要影响因素。结果：次均费用中位数为88 642元；分为15组DRGs、主要集中在GB23组和GB25组；平均住院日、病理类型、专病科室与否、肿瘤部位，是不同DRGs分组的主要差异因素。结论：要根据肿瘤病种的治疗阶段与方案，进一步细化病种的DRGs分布，一方面政府应积极、科学发挥支付制度的杠杆作用，另一方面医疗机构应强化多部门合作，摸清肿瘤病种规律，为DRGs付费作铺垫。 |
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| Expenses Analysis and Classification Effect on DRGs Grouping of Colorectal Tumor in a Single Institution |
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| Abstract: |
| Objective: This study was aimed to pinpoint the DRGs grouping efficacy as well as hospitalization expense and its’ influence factors for large intestinal malignant tumor patients, to investigate the grouping regulation and provide cost management strategies for hospitals. Methods: Retrospectively collected data of hospitalized patients with colorectal tumor from January 201 5 to December 201 5, applied Logistics Regression Analysis to construct main influencing factors of hospitalization expenses. Results: The median cost of patients was 88 642 Yuan. DRGs groups were mainly concentrated in GB23 and GB25. Length of Stay (LOS) , Pathological Classification , and Specialized Department or not, Tumor locations can affect the grouping results of DRGs . Conclusions: Delicacy management of tumor treatment phases and schemes should take into consideration for cancer DRGs grouping . On the one hand, the government should actively and scientifically play a role in the payment system, on the other hand, medical institutions should strengthen multi-sectoral cooperation, to find out the regularities of the cancer disease, and eventually pave the way for DRGs payment reform . |
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