Study on the Application of DRGs Model to Construct the Grading Evaluation System of Hospital Surgery
Objective To explore the related experience of constructing the grading evaluation system of hospital surgery based on DRGs model,and report the results.Methods The department of surgical,the Second Affiliated Hospital of Shandong First Medical University from January 2022 to June 2023 was randomly selected,and the related data of the first page of inpatient medical records extracted by a unified performance appraisal platform were analyzed.In view of the grading evaluation system of hospital surgery,the observation group built a DRGs model,while the control group adopted the grading evaluation system of routine surgery.The operation weight and the average weight ratio of patients,the average hospitalization days and the average hospitalization expenses of the two groups were compared,and the proportion of third-and fourth-grade operations and the monthly operation volume of the two groups were counted,and the complications,28 days readmission and disease recovery rate of the two groups were analyzed.Results The proportion of operation weight and patients'average weight in the observation group was higher than that in the control group(P<0.05).The average hospitalization days of patients in the observation group were shorter than that in the control group,the average hospitalization expenses of patients were lower than that in the control group(P<0.05).The proportion of third and fourth level surgeries in the observation group was higher than that in the control group,and the monthly surgical volume was more than that in the control group.The average performance of the surgical system was higher than that in the control group(P<0.05).The incidence of complications and 28 days readmission in the observation group were 2.9%and 1.1%,respectively,lower than the control group's 11.6%and 4.3%(P<0.05),and the disease recovery rate was 96.7%,higher than the control group's 86.2%(P<0.05).Conclusion The construction of grading evaluation system of hospital surgery based on DRGs model can significantly improve the labor enthusiasm of medical staff,improve labor remuneration,shorten hospitalization time and reduce hospitalization expenses,which is of positive significance to reduce the incidence of surgical complications and 28 days readmission rate and improve the disease cure rate.
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