Objective To retrospectively analyze the changes in DRG indicators in the oncology-re-lated departments of Hospital A from 2021 to 2023,and to explore the reasons for these changes and factors influencing the indicators in conjunction with the policies implemented by the hospi-tal.Methods The DRG-related historical data of Hospital A from 2021 to 2023 were exported u-sing the Wantian DRG management system to analyze DRG-related indicators and compare them across various departments.The reasons and influencing factors for the changes in indicators were investigated in conjunction with the DRG-related policies and timelines implemented by the hospital.Matrix analysis was used to categorize departments and analyze the disease characteris-tics of each.Results From 2021 to 2023,there was a significant improvement in the CMI value,average length of stay,and profit and loss amount the each department.The hospital has signifi-cantly improved key indicators through direct evaluation and reform of day care mode.The dis-ease structure was the most significant factor affecting CMI.There is a positive correlation be-tween the average length of stay and CMI value,but departments can shorten the average length of stay by optimizing the treatment model.By controlling inpatient costs,each department a-chieved a simulated surplus.Conclusion This study confirmed the impact of different hospital policies on key indicators and proposed methods for further improving these indicators.The stud-y can provide a reference for hospital management and policy formulation in public hospitals dur-ing DRG reform and also offers experience and evidence for the high-quality development of on-cology disciplines.Additionally,the study suggests that DRG reform has improved medical be-havior and contributed to the development of China's healthcare industry.
关键词
医保改革/医院管理/DRG/CMI/平均住院日
Key words
Healthcare Reform/Hospital Management/DRG(Diagnosis-Related Groups)/CMI(Case Mix Index)/Average Length of Stay
维普
万方数据