Application effect of payment by diagnosis related groups payment mode in patients with nonthrombotic diseases
Objective To explore the application significance of payment by diagnosis related groups(DRGs)model in patients with nonthrombotic diseases and its influence on treatment cost.Methods General data of 307 patients with nonthrombotic diseases who received treatment in the De-partment of Neurosurgery of Jinhua Central Hospital,Zhejiang Province from January 2017 to December 2021 were collected,among which 154 pa-tients who received treatment from January 2017 to June 2019 were the control group,which was treated with routine payment mode during treat-ment.A total of 1 53 patients treated between July 2019 and December 2021 were in the observation group,which was treated with DRGs mode.The hospitalization costs,number of diseases,the number of type C and type D cases,the average length of hospital stay,and other indicators of the two groups were analyzed,and the mechanism of the influence of DRGs mode on the total cost of critically ill patients was studied.Results There was no significant difference in diagnosis and treatment fee between the two groups(P＞0.05).The inspection fee,operation fee,medicine fee,consumables fee,and per capita hospitalization fee in the observation group were lower than those in the control group(P＜0.05).The number of patients with type C and type D in the observation group was higher than that in the control group,and the average hospitalization time was shorter than that in the control group(P＜0.05).There was no significant difference in the number of in-hospital deaths between the two groups(P＞0.05).Comparison of direct effect of DRGs mode on medicine fee and inspection fee showed statistical significance(P＜0.05),while comparison of direct effect on op-eration fee and diagnosis and treatment fee showed no statistical significance(P＞0.05).The indirect effect value ofDRGs model on the total treat-ment expenditure of patients was 2 313.47,and the direct effect value was 257.89.Conclusion The introduction of DRGs model is helpful to opti-mize hospital cost control,improve medical technology,and strengthen the ability to cope with difficult diseases.At the same time,it can reduce the medical expenses of patients through precision treatment,so as to reduce the economic burden of patients.
Diagnosis related groups payment modelNonthrombotic diseaseHospital expensesLength of hospital stayStructural equality model
万方数据
维普
