基于DRGs组合方式制定子宫平滑肌瘤患者住院费用标准的分析  

Analysis on the Hospitalization Expenses of Patients with Leiomyoma of Uterus Basing on DRGs Method

作　　者：黄利娟[1] 查君敬 毛以成[1] 梁学柱[1] 

机构地区：[1]安徽医科大学附属安庆医院医务科,安庆市246003

出　　处：《中国病案》2017年第6期64-66,共3页Chinese Medical Record

基　　金：安徽医科大学校科研基金资助(2015xkj070)

摘　　要：目的对安庆市某三甲医院子宫平滑肌瘤病例进行DRGs分组,探索该病种医保付费的补充方法。方法选取某院2013年1月-2015年11月以子宫平滑肌瘤为主要诊断的病例,运用决策树模型中的卡方自动交叉诊断法(CHAID),建立子宫平滑肌瘤患者的DRGs病例组合模型,比较分组费用与目前医保费用支付标准的差异。结果有效的DRGs分组有7个,不同的病例组合对住院医疗费用的影响有统计学意义,P<0.05;与现行医保费用标准之间的差异有统计学意义。结论子宫平滑肌瘤的DRGs分组综合住院天数、治疗方式、伴随的并发症/合并症等方面,通过制定符合相应组别的患者住院费用标准,有利于减轻患者的经济负担,可为医疗费用支付方式改革提供参考。Objective To first-class hospital, and to investigate the combination of DRGs cases of leiomyoma of uteru in a grade 3 and provide a reference for the related standard of hospitalization expenses. Methods Collecting the hospitalized information for patients with leiomyoma of Uterus from Jan. 2013 to Nov. 2015. The CHAID of decision tree was used to establish the model for combination of DRGs cases of patients with leiomyoma of uterus. The difference between the cost of DRGs groups and the current medical cost standard was compared. Results There were 4 valid DRGs. The differences among the cost of leiomyoma of uterus DRGs were significant （P 〈0. 05）, and it was also significantly different to the current medical cost standard. Conclusion Leiomyoma of uterus DRGs colligates the hospital stay, medical treatments and co-morbidities/complications. Adopting DRGs can provide more reasonable medical expense standards, and can reduce the economic burden of patients and provide a positive reference for medical payment system reform.

关 键 词：DRGS 子宫平滑肌瘤 决策树 住院费用 

分 类 号：R197.323[医药卫生—卫生事业管理] R737.33[医药卫生—公共卫生与预防医学]