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江苏卫生事业管理:2022,Vol.>>Issue(11):1514-1517
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三甲医院2020年564例心力衰竭病例DRG费用研究△
陆 烨*,林博闻
(昆明医科大学人文与管理学院)
Study on DRG Cost of 564 Heart Failure Cases in Tertiary Grade A hospitals in 2020△
LU Ye*,Lin Bowen
(School of Humanity and Management,Kunming Medical University)
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中文摘要: 目的:探究心力衰竭病例DRG费用的结构和影响因素预测。方法:回顾性选取昆明某三甲医院心内科2020年564例心力衰竭患者的住院病例DRG支付数据对住院费用的结构、影响因素和相关性进行分析。结果:心力衰竭的患者以老年男性居多,平均住院11.47天;45岁-60岁患者住院总费用均值最高,住院总费用平均值为19 624.05元,中位数为10 042.06元;住院费用较高相关因素有住院日和耗材费,耗材费占比较大(38.84%);89.72%的患者住院费用小于3万元区间;42例使用高值耗材,其均值为99 108.46元,中位数为123 292.00元。结论:DRG支付方式下,心力衰竭住院费用的影响因素有年龄、性别、住院日、耗材费、药费,耗材在该疾病治疗费中的占比较高。
中文关键词: 心力衰竭  DRG  心内科  费用控制
Abstract:Objective:To explore the structure and influencing factors of DRG cost inheart failure cases. Methods:The DRG payment data of 564 cases with heart failure in the department of cardiology of a certain tertiarygrade A hospital in Kunming in 2020 were retrospectively selected to analyze the structure,influencing factors and correlation of hospitalization costs. Results:Most of the patients with heart failure were elderly men,and the average hospital stay was 11.47 days. Patients aged 45-60 years had the highest mean total hospitalization cost,average on ¥19,624.05 and median on ¥10,042.06.The related factors of higher hospitalization cost were length of stay and consumables cost,consumables cost accounts for a large proportion(38.84%). 89.72% of the patients’ hospitalization expenses are less than ¥30,000. High value consumables were used in 42 cases which average on ¥99,108.46 and median on ¥123,292.00. Conclusion:Under the DRG payment method,the influencing factors of heart failure hospitalization cost include age,gender,length of stay,consumables cost and drug cost,and consumables account for a relatively high proportion of the treatment cost of this disease.
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基金项目:昆明医科大学与云南省医保局2021年横向课题(42121003);昆明医科大学社会保障制度改革创新团队(CXTD202002)的阶段性成果 昆明医科大学与云南省医保局2021年横向课题(42121003);昆明医科大学社会保障制度改革创新团队(CXTD202002)的阶段性成果
引用文本:
陆 烨*,林博闻.三甲医院2020年564例心力衰竭病例DRG费用研究△[J].江苏卫生事业管理,2022,33(11):1514-1517.
LU Ye*,Lin Bowen.Study on DRG Cost of 564 Heart Failure Cases in Tertiary Grade A hospitals in 2020△[J].Jiangsu Health System Management,2022,33(11):1514-1517.

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