2型糖尿病患者住院费用的DRGs分组研究  

Analysis on the Hospitalization Expenses of Patients with Type 2 Diabetes Basing on DRGs

作　　者：黄利娟[1] 查君敬 梁学柱[1] 伯伟[1] 周和平[1] 杨延国[1] Huang Lijuan;Zha Junjing;Liang Xuezhu;Bo Wei;Zhou Heping;Yang Yanguo(Anqing Hospital Affiliated to Anhui Medical University,Anqing 246003,Anhui Province,China;不详)

机构地区：[1]安徽医科大学附属安庆医院,安徽省安庆市246003

出　　处：《中国病案》2021年第8期21-24,共4页Chinese Medical Record

摘　　要：目的探索适合某地区2型糖尿病患者的DRGs病例组合,制定2型糖尿病住院费用的上限参考标准。方法选择某地区某三甲医院2017年1月1日-2019年12月31日诊断为2型糖尿病的2951例患者为研究对象,利用多元线性逐步回归提取住院费用的影响因素,再采用决策树模型中CHAID法建立2型糖尿病DRG病例组合及费用参考标准。结果2型糖尿病住院费用平均值为6670.2元,中位数为6172.9元。住院天数、年龄、有无并发症/合并症作为影响2型糖尿病患者住院费用的分类节点,利用决策树模型中CHAID法建立了6个DRGs组合及相应的住院费用标准。结论本研究利用决策树模型中CHAID法建立的2型糖尿病DRGs分组科学合理,住院费用上限标准可为该地区相关部门决策提供参考。Objective To explore the combination of method in diagnosis-related groups(DRGs)cases with type 2 diabetes in an area,and to provide a reference standard of payment ceiling for type 2 diabetes.Methods The medical record data of 2951 patients with type 2 diabetes was selected from Jan 1,2017 to Dec 31,2019 in a Tertiary comprehensive hospital of the area.The influencing factors of hospitalization costs were determined by multiple stepwise regression method,the CHAID of decision tree was used to establish the model for combination of DRGs and the cost standard for type 2 diabetes.Results The mean hospitalization costs was 6670.2 yuan and the median was 6172.9 yuan.The decision-making tree analysis was performed using hospital stay,age and complications/comorbidities as key independent variables,6 DRG combination and charging standards were formed.Conclusions Adopting DRGs in type 2 diabetes is scientific and reasonable,the reference standard of payment ceiling for type 2 diabetes can provide a positive reference for local relevant departments.

关 键 词：2型糖尿病 疾病诊断相关组 决策树 住院费用 

分 类 号：R197.32[医药卫生—卫生事业管理] R587.1[医药卫生—公共卫生与预防医学]