Research on the Impact of Implementing DRG Payment on the Cost of Radiofrequency Ablation for Atrial Fibrillation
Objective To investigate the effect of the diagnosis related group(DRG)payment on the cost of atrial fibrillation radiofrequency ablation.Methods Using the method of retrospective analysis and descriptive analysis,data of 326 cases from January to June of 2021(before implementation)and 363 cases from January to June of 2022(after implementation)in Fujian Provincial Hospital were derived for analysis and comparison.The changes of various cost indexes(hospitalization days,drug costs,operation costs,medical income,consumables costs,anesthesia costs,examination and laboratory costs)of RF ablation of atrial fibrillation before and after DRG implementation were analyzed.Multiple linear regression was used to analyze the influencing factors of total hospitalization costs,and analysis of variance was used to analyze the influence of complications on total hospitalization costs.Results After the implementation of DRG collection and payment,the hospitalization days were shorter than before,the cost of drugs,consumables and surgery were lower than before,and the medical income was higher than before,the difference was statistically significant(P<0.05).There was no statistical significance in the comparison of laboratory fees and anesthesia fees before and after the implementation of DRG(P>0.05).The cost of consumables and drugs were the main factors affecting the amount of medical insurance payment(P<0.05).The total inpatient cost was(78 290.320±5 020.166)yuan in the non-complication group,(84 669.870±20 566.278)yuan in the 1 complication group,and(84 881.250±20 369.003)yuan in the 2 complication group.The total inpatient cost of the three complication groups was(93 440.170±28 814.175)yuan,and the difference was statistically significant(P<0.05).The more complications,the higher the total inpatient cost.Conclusion The DRG collection and payment system plays a certain role in optimizing the structure of medical expenses.The implementation of DRG can effectively reduce medical expenses,reduce residents'medical service expenditure,improve the quality of medical service,and has great significance in promoting the implementation of DRG collection and payment in our country.It provides a theoretical basis for further promoting the improvement of DRG collection and payment reform,and has important theoretical and practical significance for curbing the unreasonable growth of medical costs and promoting public hospitals to strengthen their own operational capacity building.However,there are still some problems that need to be improved.
DRGradiofrequency ablation for atrial fibrillationpharmaceutical expensesoperation feeconsumables costprice managementcost control
万方数据
维普
