DRG支付改革下FE1主动脉手术患者住院费用分析  

Analysis of Hospitalization Expenses for FE1 Aortic Surgery Patients under DRG Payment Reform

作　　者：曾祥嫚[1] ZENG Xiang-man(Ningbo NO.2 Hospital,Ningbo,Zhejiang 315010,China)

机构地区：[1]宁波市第二医院,浙江省宁波市315010

出　　处：《现代医院管理》2024年第6期76-79,共4页Modern Hospital Management

基　　金：朱绣山先生人才奖励基金(2023HMYQ32)。

摘　　要：目的分析DRGs支付改革下主动脉手术患者费用,探索影响主动脉手术患者住院费用的潜在因素。方法以ADRG分组为FE1主动脉手术的医保患者为研究对象,分别从年龄、性别、住院时间、重症监护、呼吸机治疗和手术术式等方面对患者费用进行分析。采用Mannwhitney检验和Kruskalwallis检验对患者费用做差异性分析,以P<0.05为差异有统计学意义。结果纳入分析的126例患者,住院费用在不同住院天数、入院途径、重症监护、呼吸机治疗和手术术式间不同,差异具有统计学意义(P<0.05),主动脉开放手术患者费用显著高于主动脉介入手术患者。结论术式是影响FE1组费用的关键因素,在DRGs分组方案优化时,对此组病人应充分考虑患者自身疾病特性,从临床实际诊疗进行细分。Objective:To analyze the cost of aortic surgery patients under the DRG payment reform and explore potential factors affecting hospitalization costs for aortic surgery patients.Method:The medical insurance patients who underwent FE1 aortic surgery were grouped into ADRG groups as the research subjects,and the patient costs were analyzed from the aspects of age,gender,length of hospital stay,intensive care,ventilator treatment,and surgical procedures.Mann Whitney test and Kruskalwalis test were used to analyze the differences in patient costs,with P<0.05 indicating statistical significance.Result:Among the 126 patients included in the analysis,the hospitalization costs varied among different hospitalization days,admission routes,intensive care,ventilator treatment,and surgical procedures.And the differences were statistically significant(P<0.05).Patients undergoing aortic open surgery had significantly higher costs than those undergoing aortic interventional surgery.Conclusion:Therefore,the operation method is the key factor affecting the cost of FE1 group.When optimizing the DRGs grouping scheme,the patients’disease characteristics in this group should be fully considered and be subdivided from the actual clinical diagnosis and treatment.

关 键 词：DRGS FE1 主动脉手术 住院费用 

分 类 号：R197[医药卫生—卫生事业管理]