Analysis of Factors Affecting the Norm Deviation Coefficient of Tumor-related Diseases in DRGs Settlement
Objectives To find the abnormal norm deviation coefficient in DRGs group of tumor-related diseases and analyze its causes,so as to provide data support for hospital management.Methods 2418 groups of patients with tumor-related diseases were recruited from a hospital from January 1st,2023 to December 31st,2023 through the terminal business component of Beijing Medical Insurance Information Hospital,and the patients were divided into normal group and abnormal group according to whether the norm deviation coefficient was greater than 0.3.There were 2330 patients in the normal group and 88 patients in the abnormal group.One-way ANOVA and multiple linear regression analysis were performed on gender,length of stay,ICU admission,surgical treatment,profit and loss,tumor classification,and professional title of attending physicians of the two groups to screen the relevant factors affecting the norm deviation coefficient.Results There were 134 DRGs groups in the normal group(96.36％)and 17 DRGs groups in the abnormal group(3.64％).Univariate analysis showed that the length of stay,whether to stay in ICU,and the amount of profit and loss had statistical significance,P＜0.05.According to multiple regression analysis,the length of stay in ICU was the influential factor of the norm deviation coefficient,P＜0.05,and the total drug cost in the normal group was 1,251.65 yuan lower than that in the abnormal group,27911.82 yuan.The total consumables of 8310.77 yuan was higher than that of non-normal group(4403.45 yuan),and the difference was statistically significant(P＜0.05).Conclusions Hospital stay and ICU stay were the main causes of abnormal norm deviation coefficient in DRGs settlement.Hospitals should standardize diagnosis and treatment,and apply clinical pathways to shorten hospital stay.At the same time,when applying DRGs,it was necessary to adjust the weight of groups for patients in intensive care medicine,so as to group them more scientifically and rationally.
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