Analysis of Hospitalization Expenses and Influencing Factors in the DRG Basic Disease Group——Taking IF59 Disease Group as an Example
Objective:To compare and analyze the operation of IF59 basic disease group in a certain grade Atertiary hospital in 2022 and 2023,and evaluate the implementation effect of DRG management measures in the hospital,so as to provide references for fine management and high-quality development of the hospital.Methods:Descriptive analysis was performed on the hospitalization ex-penses,patient out-of-pocket expenses,drug consumption ratio,hospitalization days,clinical pathway management,and profit and loss of the 458 IF59 disease group.Multivariate linear regression was used to analyze the influencing factors of hospitalization expenses.Results:In 2023,the average hospitalization expenses per time,self-paid expenses of patients,proportion of drug consumption,aver-age loss per case and other indicators of IF59 disease group in case hospitals were significantly better than those in 2022.Multivariate linear regression analysis showed that the number of surgical sites,age,length of hospital stay,material costs,surgical costs,drug costs,and the implementation of clinical pathways were the main factors of hospitalization costs in the IF59 disease group.Conclusion:The DRG management of the case hospital has achieved initial results,but the IF59 disease group is still losing money,and the operation management still faces many challenges.The hospital should further clarify the management strategy of basic disease group according to its own functional positioning,build a DRG-based clinical path management system,continuously improve the fine management lev-el of the department,and constantly standardize the medical behavior.
万方数据
维普
