DRGs付费实施对某院颈椎椎管狭窄住院费用影响分析  

Effect of DRGs Paid Implementation on Hospitalization Cost of Cervical Spinal Stenosis in a Hospital

作　　者：成卓[1] 罗明薇 Cheng Zhuo;Luo Mingwei(Panzhihua Central Hospital,Panzhihua,617067,Sichuan Province,China;不详)

机构地区：[1]攀枝花市中心医院,四川省攀枝花市617067

出　　处：《中国病案》2022年第3期48-50,共3页Chinese Medical Record

基　　金：2020年四川省卫生信息学会项目(202002)。

摘　　要：目的 探讨某三甲医院在2019年国家DRGs付费制度实施前后颈椎椎管狭窄患者住院费用构成的变化,为政策制定提供参考。方法 选取DRGs付费制度实施前2018年9月1日-2019年8月31日和DRGs付费制度实施后2019年9月1日-2020年8月31日某院颈椎椎管狭窄患者的住院费用、住院时间等相关数据,采用Z检验、非参检验和描述性分析进行统计。结果 DRGs付费制度实施后,药品费用占住院费用的比值由22.72%下降到20.71%,治疗费和其他费用的差异不具有统计学意义(P>0.05),而总费用、床位费、护理费、检查费、手术费、药费和耗材费的差异具有统计学意义(P<0.05)。平均住院日(10.26±7.218)天下降至(9.42±7.016)天,住院时间的差异(P<0.05)具有统计学意义。结论 DRGs付费制度实施对颈椎椎管狭窄住院费用构成影响明显,手术费用、治疗费和护理费用提高,提高医护人员技术劳动价值,有效实现了总额费用的控制。Objectives To discuss the changes of hospitalization expenses of patients with cervical spinal stenosis before and after the implementation of the national DRGs payment system in a Three A and Tertiary Hospital in Panzhihua in 2019.Methods The data from September 1st,2018 to August 31st,2019(before the implementation of DRGs) and from September 1st,2019 to August 31st,2020(after the implementation of DRGs) were selected,Z test,non-parametric test and descriptive analysis were used.Results After DRGs payment system was implemented,the ratio of drug cost to hospitalization cost decreased,and the difference between treatment cost and other costs was not statistically significant(P>0.05),the difference of total cost,bed fee,nursing fee,examination fee,operation fee,medicine fee and consumable fee was statistically significant(P<0.05).The average length of stay decreased from 10.26±7.218 days to 9.42±7.016 days(P<0.05).Conclusions The implementation of DRGs payment system had a significant impact on the cost of hospitalization in patients with cervical spinal stenosis.The operation cost,treatment cost and nursing cost were increased,the technical labor value of medical staff was increased,and the total cost was effectively controlled.

关 键 词：DRGs付费制度 颈椎椎管狭窄 住院费用分析 

分 类 号：R197.3[医药卫生—卫生事业管理]