Analysis of Influencing Factors of Hospital Expenses of Cerebral Hemorrhage Patients Under DRG Payment
Objective The hospitalization expenses of cerebral hemorrhage patients in the Second Affiliated Hospital of Fujian Medical University were compared before and after the implementation of diagnosis related groups(DRG)payment mode,and the influencing factors were analyzed,so as to provide a reference for effectively adjusting the regional DRG cost standard.Methods In this study,cases whose diagnostic code(disease classification code 2.0)was I60 to I62 on the first page of medical records of the Second Affiliated Hospital of Fujian Medical University from September 2021 to June 2023 were selected as the research objects.Kendall correlation analysis was used for univariate analysis,and variables with statistically significant differences were included in the multiple linear regression model for multivariate analysis.Results After implementation of the DRG payment reform,the average hospitalization cost and out-of-pocket payment of patients with Intracerebral hemorrhage decreased by 26.17%and 45.55%,respectively,which shows the effect has achieved desiered goal to some extent.The top four factors that have the greatest influence on hospitalization costs under DRG payment are length of stay,whether surgery is performed,cured at discharge,and serious illness at hospitalization.Under the DRG payment method,the DRG group related to cerebral hemorrhage showed a profitable state.Conclusion The DRG payment method effectively achieves the goal of fee control,and the reform results are obvious.Medical institutions should pay attention to shorten the number of days in hospital,reasonably increase the proportion of treatment costs reflecting medical value,and reduce unnecessary expenditures on medicine,consumables,examinations,etc.The medical insurance department should consider including the number of days in hospital into the DRG grouping standard,and dynamically adjust the DRG grouping payment standard by considering the quality of medical service,the payment ability of medical insurance and the individual financial burden of patients.
万方数据
维普
