DRG付费下成都市某三甲医院急性白血病患儿住院费用分析  

Analysis of Hospitalization Costs of Children with Acute Leukemia in a Grade-A Tertiary Hospital in Chengdu City Under DRG Payment

作　　者：马原 黄裕翔 李黎[1] 余莉[1] 王美先 黄诗尧 钟志刚 MA Yuan(Department of Medical Record Management,West China Second Hospital,Sichuan University,Key Laboratory of Birth Defects and Related Women and Children's Diseases,Ministry of Education,Chengdu,Sichuan,610041,China)

机构地区：[1]四川大学华西第二医院病案管理部,出生缺陷及相关妇儿疾病教育部重点实验室,四川成都610041 [2]四川大学华西第二医院中国出生缺陷监测中心,四川成都610041 [3]四川大学华西医院中国循证医学中心,四川成都610041 [4]四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学医学院附属肿瘤医院,四川成都610041

出　　处：《医学与社会》2024年第10期85-90,共6页Medicine and Society

基　　金：四川省基层卫生事业发展研究中心青年项目,编号为SWFZ23-Q-77。

摘　　要：目的:分析DRG付费下成都市某三甲医院急性白血病患儿住院费用,为精细化管控住院费用提供参考。方法:收集2020-2021年成都市某三甲医院急性白血病患儿的住院信息,采用新灰色关联分析探究患儿住院费用与内部各因素之间的关联度。结果:纳入研究的急性白血病患儿入组病例共计674人。DRG病组平均住院费用为22010.29元,其中RR11组、RR13组与RR15组费用水平分别为46359.13元、14600.59元、5071.16元。住院费用结构中,药品费(43.57%)、诊断费(19.16%)、综合医疗服务费(17.21%)总体构成比位居前3,与住院费用的关联度依次为0.951、0.846、0.784。结论:急性白血病患儿住院费用较高,不同DRG病组具有差异,药品费是其住院费用最主要内部影响因素。建议优化DRG病组住院费用结构,实施临床路径管理,控制不合理费用支出,多措并举维护患儿健康权益。Objective:To analyze the hospitalization costs of children with acute leukemia in a grade-A tertiary hospital in Chengdu city under DRG payment,so as to provide references for fine control of hospitalization costs.Methods:We collect the hospitalization information of acute leukemia children in a grade-A tertiary hospital in Chengdu city from 2020 to 2021,and use new grey correlation analysis to explore the correlation between hospitalization expenses and internal factors.Results:A total of 674 children with acute leukemia were enrolled in the study.The average hospitalization cost of DRG group was 22010.29 yuan,of which the cost levels of RR11,RR13 and RR15 groups were 46359.13 yuan,14600.59 yuan and 5071.16 yuan respectively.In the structure of hospitalization expenses,drug expenses(43.57%),diagnosis expenses(19.16%)and comprehensive medical service expenses(17.21%)ranked the top three,and the correlation degrees with hospitalization expenses were 0.951,0.846 and 0.784 respectively.Conclusion:The hospitalization cost of acute leukemia children is relatively high,and there are differences among different DRG groups.Drug cost is the most important internal influencing factor of hospitalization cost.It is suggested to optimize the hospitalization cost structure of DRG group,implement clinical path management,control unreasonable cost expenditure,and take various measures to safeguard children's health rights and interests.

关 键 词：DRG 住院费用 急性白血病 

分 类 号：R-05[医药卫生] R197.1