DRG付费模式对院内压力性损伤患者住院时间及住院费用的影响  

Effect of DRG payment mode on the length of stay and hospitalization cost of patients with pressure injury in hospital

作　　者：华任 王玲 李萍 王靓琦 HUA Ren;WANG Ling;LI Ping;WANG Liangqi(The First People's Hospital of Lanzhou City,Lanzhou,Gansu,730030,China)

机构地区：[1]兰州市第一人民医院,甘肃兰州730030

出　　处：《中西医结合护理（中英文）》2024年第9期1-4,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析疾病诊断相关分组(DRG)付费模式对院内压力性损伤患者住院时间及住院费用的影响。方法回顾性整理兰州市第一人民医院于2016年1月至2022年12月收治的180例院内压力性损伤患者的临床资料,按照患者的入院时间进行分组,将DRG付费模式实施前收治的院内压力性损伤患者纳入对照组(94例),将DRG付费模式实施后收治的院内压力性损伤患者纳入观察组(86例)。对比2组患者的住院时间、住院费用、费用构成、压力性损伤治疗效果以及患者的满意率。结果观察组的住院时间较对照组短,总住院费用和日均住院费用均少于对照组(P均<0.05)。观察组的药品费、检查费占比均低于对照组,其治疗费占比高于对照组(P均<0.05)。两组间床位费和其他费用占比均无统计学差异(P均>0.05)。观察组、对照组的治疗总有效率分别为87.21%、82.98%,组间比较未见统计学差异(P>0.05)。观察组患者的治疗费用满意率、医护人员满意率均高于对照组(P均<0.05)。两组间治疗效果满意率无统计学差异(P>0.05)。结论DRG付费模式实施后,院内压力性损伤患者的住院时长缩短、住院费用下降,且患者的治疗效果稳定,对治疗费用、医护人员的满意率均有所提高。Objective To analyze the effect of diagnosis related groups(DRG)payment mode on the length of stay and hospitalization cost of patients with pressure injury in hospital.Methods The clinical data of 180 patients with in-hospital pressure injury admitted to the First People's Hospital of Lanzhou City from January 2016 to December 2022 were retrospectively analyzed,and the patients were grouped according to their admission time.Patients with in-hospital pressure injury admitted before the implementation of DRG payment mode were included in the control group(94 cases),and patients with in-hospital pressure injury admitted after the implementation of DRG payment mode were included in the observation group(86 cases).The length of stay,hospitalization cost,cost composition,treatment effect of pressure injury and satisfaction rate of patients were compared between the two groups.Results The length of stay in the observation group was shorter than that in the control group,and the total hospitalization cost and average daily hospitalization cost in the observation group were lower than those in the control group(all P<0.05).The proportion of drug cost and examination cost in the observation group was lower than that in the control group,and the proportion of treatment cost was higher than that in the control group(all P<0.05).There was no statistical difference in the proportion of bed cost and other cost between the observation group and the control group(P>0.05).The total effective rate of the observation group and the control group were 87.21%and 82.98%,respectively,and there was no statistical difference between the two groups(P>0.05).The satisfaction rates of treatment cost and medical staff in the observation group were higher than those in the control group(both P<0.05),and there was no statistical difference in the satisfaction rate of treatment effect between the two groups(both P>0.05).Conclusion After the implementation of DRG payment mode,the length of stay of patients with pressure injury in hospital is short

关 键 词：压力性损伤 疾病诊断相关分组 付费模式 住院时间 住院费用 

分 类 号：R197.1[医药卫生—卫生事业管理]