北京某院DRGs付费改革实施效果分析——以经皮冠状动脉支架植入病组为例  

Analysis on implementation effect of DRGs payment reform in a hospital in Beijing: Take percutaneous coronary stent implantation as an example

作　　者：杜会征 焦卫平[1] DU Huizheng;JIAO Weiping(Xuanwu Hospital of Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《卫生软科学》2023年第2期11-13,共3页Soft Science of Health

摘　　要：[目的]对比分析CHS-DRG政策实施前后北京X医院出院结算纳入经皮冠状动脉支架植入病组的患者费用情况。[方法]采用横断面研究方法,对比分析政策实施前后(2019年、2021年)该院出院结算纳入经皮冠状动脉支架植入病组的各项数据指标进行统计分析。[结果]政策实施后,冠脉支架植入患者的住院例均费用平均降低了18,944.73元,例均个人负担平均降低了9172.37元,患者例均自付比例降低了7.86%。费用构成方面,耗材费用占比下降了21.56%。体现临床价值的医疗服务收入占比提升了20.97%。医院例均可支配收入增加了9357.19元。[结论]DRGs付费改革有利于不断规范医院和医务人员的医疗行为,有效控制医疗费用不合理增长,减轻参保人的就医经济负担。Objective To compare and analyze the cost of patients with percutaneous coronary stent implantation included in the discharge settlement of Beijing X Hospital before and after the implementation of the CHS-DRG policy. Methods Cross sectional study method was used to compare and analyze various data indicators before and after the implementation of the policy(i.e.2019 and 2021). Results After the implementation of the policy, the average hospitalization cost of patients with coronary stent implantation decreased by 18,944.73 yuan, the average personal burden of patients decreased by 9172.37 yuan, and the proportion of patients paid by themselves decreased by 7.86%. In terms of cost composition, the proportion of consumables decreased by 21.56%. The proportion of medical service revenue reflecting clinical value increased by 20.97%. The disposable income increased by 9357.19 yuan. Conclusions The reform of DRGs payment is conducive to continuously standardizing the medical behavior of hospitals and medical personnel, effectively controlling the unreasonable growth of medical expenses, and reducing the medical economic burden of the insured.

关 键 词：DRGS 经皮冠状动脉支架植入 效果评估 

分 类 号：R197.3[医药卫生—卫生事业管理]