基于DRG对因非计划再次手术增加的时间与费用的分析  

Analysis on Incremental Time Cost and Hospitalization Expenditure Due to Unplanned Reoperation by DRG

作　　者：庄昱 胡文爽 董书[1] 陈剑铭[1] 吴昕霞[1] 胥雪冬[1] ZHUANG Yu;HU Wen-shuang;DONG Shu(Peking University Third Hospital,Beijing,100191,China;Departmentof Philosophy,Pking University,Beijing,100871,China)

机构地区：[1]北京大学第三医院,北京100191 [2]北京大学哲学系,北京100871

出　　处：《中国卫生经济》2022年第7期28-31,36,共5页Chinese Health Economics

摘　　要：目的:基于DRG工具对因非计划再次手术增加的时间和费用成本进行分析。方法:对样本医院2016-2021年非计划再次手术住院患者开展研究,基于患者的DRG组、出院时间等变量,遴选出可比的患者群,统计因非计划再次手术导致增加的平均住院日、费用等,并进行敏感性分析。结果:2016-2021年,共有767例非计划再次手术患者纳入分析。非计划再次手术的平均住院日增加1.4倍,住院费用增加1.0倍。结论:非计划再次手术较明显地增加了患者住院成本,医疗机构应积极应用DRG工具,继续加强对非计划再次手术的管理,减轻患者就医负担。Objective:To analyze incremental time cost and hospitalization expenditure due to unplanned reoperation by Diagnosis Related Group(DRG).Methods:Patients suffered from unplanned reoperations from the sample hospital during 2017 to 2021 were enrolled.Comparable patient groups were collected based on the DRG Group,discharge months for unplanned-reoperation patient.The coefficient of patients with unplanned reoperations verses other patients on length of stay,hospitalization expenditure,etc.were calculated.Results:From 2016 to 2021,767 patients with unplanned reoperations were enrolled.The average incremental coefficients for LOS and hospitalization expenditure were 1.4 and 1.0.Conclusion:Unplanned reoperation has remarkably increased the cost.Hospitals should actively deploy and apply DRG tools to strengthen the quality control on unplanned reoperations to ease the patient’s costs.

关 键 词：非计划再次手术 时间成本 住院费用 按疾病诊断相关分组 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F840.613[经济管理—保险]