ECMO患者住院费用影响因素分析及DRG支付策略优化研究  

Research on the Analysis of Influencing Factors of ECMO Patients'Hospitalization Costs and Optimization of DRG Payment Strategies

作　　者：张沛 张忠满 张华忠[2] 李歆[1] 丁海霞[2] 万彬[2] 王滢鹏 吕金如[2] 

机构地区：[1]南京医科大学药学院,南京211166 [2]南京医科大学第一附属医院/江苏省人民医院,南京210029

出　　处：《中国医疗保险》2024年第4期91-97,共7页China Health Insurance

摘　　要：目的:深入分析体外膜肺氧合(ECMO)患者的住院费用影响因素,旨在为医疗资源配置及诊断相关分组(DRG)支付策略的优化提供科学依据。方法:采用回顾性分析方法,对南京某三级甲等医院急诊中心在2020年1月至2022年12月期间收治的114例成人ECMO患者的病例进行深入探讨。运用多元线性回归分析识别影响ECMO患者住院费用的主要因素。结果:影响ECMO患者住院费用的5个主要因素分别是住院天数、ECMO辅助时间、治疗模式、支持治疗措施以及是否进行气管切开。结论:研究结果为调整DRG支付策略提供了重要参考,有助于减轻患者的治疗负担,并提高医疗资源的有效利用水平。Objective:The paper deeply analyzes the influencing factors of hospitalization costs of extracorporeal membrane oxygenation(ECMO)patients,to provide scientific basis for optimizing the allocation of healthcare resources and improvement of diagnosis-related grouping(DRG)payment strategies.Methods:In this study,114 cases of adult ECMO patients admitted to the emergency center of a tertiary hospital in Nanjing between January 2020 and December 2022 were examined with retrospective analysis.Using multiple linear regression analysis,the study attempted to identify the main factors affecting patients'hospitalization costs.Results:The study revealed 5 main factors affecting the hospitalization costs of ECMO patients,including the number of days of hospitalization,the duration of ECMO assistance,the mode of treatment,supportive therapeutic measures,and whether or not a tracheotomy was performed.Conclusion:The results of this study provide an important reference in terms of adjusting DRG payment strategies,which can help reduce the burden of treatment on patients and promote the effective utilization of healthcare resources.

关 键 词：体外膜肺氧合 住院费用 影响因素 DRG支付策略 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]