Abstract:Objective：Through analyzing the hospitalization medical record information of patients with type 2 diabetes implemented by clinical pathway management，this paper provides management ideas and Countermeasures for the implementation of DRG payment. Methods：A retrospective analysis was conducted to analyze the first page data of hospitalized patients with type 2 diabetes discharged from a certain tertiary geriatric hospital in Nanjing in January 1，2019-2021 in December 31st，and to further analyze the main influencing factors of total hospitalization expenses and length of stay in type 2 diabetic patients with clinical pathway management. Results：The total hospitalization expenses and hospitalization days of patients in clinical pathway management were lower than those in patients without clinical pathway. Among the patients who implemented the clinical pathway，the more complications，the higher the total cost and the longer the length of stay. The results of multiple regression analysis showed that the number of complications，complications and length of stay had significant differences on the total cost of hospitalization. Conclusion：The implementation of clinical pathway management for patients with type 2 diabetes can help hospitals cope with the DRG payment. We should actively promote the multi-disciplinary joint diagnosis and treatment of diabetes，intervene early in diabetic complications and complications，standardize the diagnosis and fill in the front page of medical records，and improve the quality of medical records. Adjust and refine clinical pathway management diseases according to DRG grouping，and cover all DRG grouping diseases as much as possible. Medical staff should improve the awareness of cost control，reduce the proportion of drug costs，and use information means to strengthen the daily supervision of the path.