新生儿呼吸窘迫综合征患者住院费用的DRGs分组研究  

Medical expenses of neonatal respiratory distress syndrome based on DRGs

作　　者：张俊清[1] 郭亮 李法军[1] 王军[1] ZHANG Jun-qing;GUO Liang;LI Fa-jun;WANG Jun(The Third Affiliated Hospital of Zhengzhou University,Maternal and Child Health Hospital of Henan Province,Zhengzhou,Henan 450052,China)

机构地区：[1]郑州大学第三附属医院河南省妇幼保健院,河南郑州450052

出　　处：《现代预防医学》2020年第19期3513-3517,共5页Modern Preventive Medicine

基　　金：河南省医学科技攻关计划省部共建项目(SBGJ2018048)。

摘　　要：目的探讨适合河南地区新生儿呼吸窘迫综合征(NRDS)患者住院费用的DRGs病例组合方案,制定该病住院费用的参考标准。方法收集河南某三级妇幼专科医院2017-2019年4002例NRDS患者病例,采用单因素方差分析和多元线性逐步回归分析,确定住院费用的主要影响因素,利用决策树对NRDS患者进行病例组合分析。结果住院费用的主要影响因素有:呼吸机使用时长、有无操作、合并症或并发症的个数、新生儿出生体重、早产与否。通过对4002例NRDS患者分组共形成7个DRGs组合和相对应住院费用标准。结论基于NRDS患者住院费用DRGs病例组合方案,可为制定适合河南省医保支付费用标准,切实降低医疗费用提供参考依据。Objective To explore the combination of case-mix groups based on DRGs for the hospitalization expenses of neonatal respiratory distress syndrome in Henan Province,and to establish the reference standard for the medical expenses of NRDS.Methods 4002 cases with NRDS were collected from 2017 to 2019 in a tertiary hospital of maternal and child in Henan Province.One-way ANOVA and multiple linear regression analysis were used to analyze the main influencing factors of hospitalization expenses,and case-mix groups of neonatal respiratory distress syndrome were conducted by using decision trees.Results The main influencing factors of hospitalization cost were:duration of using ventilator,operation or not,the number of comorbidities or complications,birth weight of the newborn,premature delivery or not.7 DRGs and corresponding hospitalization cost standards were formed from 4002 cases.Conclusion Case-mix groups of medical expenses of NRDS based on DRGs can provide references for the development of medical insurance payment standards in Henan province and can reduce medical expenses.

关 键 词：决策树 DRGS 新生儿呼吸窘迫综合征 住院费用 

分 类 号：R722.1[医药卫生—儿科]