多学科协作诊疗管理模式对高倍率病案发生率的影响  

Effect of multi-disciplinary treatment management mode on the incidence of high-rate medical records

作　　者：李海虹[1] 谢文超[2] 梁世球 何锋 甘枚[1] 龚小玲[4] 辛燕[5] 黄庆林 LI Haihong;XIE Wenchao;LIANG Shiqiu;HE Feng;GAN Mei;GONG Xiaoling;XIN Yan;HUANG Qinglin(Department of Quality Control,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China;Department of Cardiology,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China;Hospital Office,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China;Department of Medical Record,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China;Medical Insurance Office,the First People’s Hospital of Yulin,Guangxi Zhuang Autonomous Region,Yulin 537000,China)

机构地区：[1]广西壮族自治区玉林市第一人民医院质控科,广西玉林537000 [2]广西壮族自治区玉林市第一人民医院心血管内科,广西玉林537000 [3]广西壮族自治区玉林市第一人民医院院办,广西玉林537000 [4]广西壮族自治区玉林市第一人民医院病案科,广西玉林537000 [5]广西壮族自治区玉林市第一人民医院医保办,广西玉林537000

出　　处：《中国医药导报》2023年第35期194-196,F0003,共4页China Medical Herald

基　　金：广西科技重大专项(桂科AA22096030)。

摘　　要：目的 探讨运用多学科协作诊疗(MDT)管理模式对高倍率病案发生率的影响。方法 数据来源于市医保系统医院端。将某院2021年5月至6月及2022年5月至6月出院的医保结算病案共33 263份作为研究对象,其中2022年5月至6月出院的医保结算病案17 683份作为干预组,2021年5月至6月出院的医保结算病案15580份作为对照组,组建MDT管理小组,通过MDT会议,制订措施,多部门协作落实,观察两组高倍率病案发生率情况。结果 干预组高倍率病案发生率低于对照组,差异有统计学意义(P<0.05)。干预组住院总费用、药品费、耗材费及药占比、耗占比低于对照组,差异有统计学意义(P<0.05)。干预组平均住院日短于对照组,差异有统计学意义(P<0.05)。结论 在疾病诊断相关分组支付下实施MDT管理模式可降低高倍率病案发生率,是目前疾病诊断相关分组支付下的一种有效果的管理方法。Objective To explore the effect of multi-disciplinary team(MDT)on the incidence of high rate cases.Methods The data came from the hospital of municipal medical insurance system.A total of 33263 medical records of medical insurance settlement discharged from a hospital from May to June 2021 and from May to June 2022 were taken as the research object,among which 17683 medical records of medical insurance settlement discharged from May to June 2022 were taken as the intervention group,and 15580 medical records of medical insurance settlement discharged from May to June 2021 were taken as the control group.Set up an MDT management team,formulate measures through MDT meetings,implement them in collaboration with multiple departments,and the incidence of high rate cases in the two groups was observed.Results The incidence of high rate cases in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total hospitalization cost,drug cost,consumables cost,drug proportion,and consumption proportion in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).The average length of stay in the pre-treatment group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The MDT management mode under the diagosis-related groups payment can reduce the incidence of high rate cases,and is an effective management method under the diagosis-related groups payment.

关 键 词：疾病诊断相关分组 多学科协作诊疗 高倍率病案发生率 

分 类 号：R197.323[医药卫生—卫生事业管理]