A Study on the Influencing Factors of Hospitalization Costs in Patients Undergoing Laparoscopic Cholecystectomy Based on DRG Grouping
Objectives To analyze the influencing factors of hospitalization costs for laparoscopic cholecystectomy after DRG grouping,and provide reference for costs control.Method A study was conducted on 2603 patients who underwent laparoscopic cholecystectomy at a tertiary comprehensive hospital in Sichuan Province from January 1st,2022 to June 30th,2023.Non parametric tests and Chi-square tests were used to compare the differences in influencing factors between the normal group and the high costs group,and structural equations were used to verify the correlation between each influencing factor and hospitalization costs.Results There were statistical differences(P＜0.05)between the normal group and the high costs group in terms of age,admission status,number of hospitalizations,length of stay,number of other diagnoses,number of other surgical procedures,transfer status,whether the patient was critically ill or seriously ill,whether consultation was conducted,whether antibiotics were used,and whether there were comorbidities and complications.The results of the structural equation model showed that the influencing factors ranked from large to small were the number of other surgical procedures(0.50),length of hospital stay(0.31),number of other diagnoses(0.24),presence of comorbidities and complications(0.14),use of antibiotics(0.12),presence or absence of consultations(0.10),critical or severe illness(0.07),admission status(0.07),age(0.05),transfer status(0.03),and number of hospitalizations(0.01).Conclusions The most significant factor affecting hospitalization costs was the number of other surgical procedures,followed by the length of hospital stay.We should strengthen the supervision of diagnostic fees,drug costs,and consumables costs,standardize diagnosis and treatment behaviors,shorten hospitalization days,and effectively reduce the total hospitalization costs of patients undergoing laparoscopic cholecystectomy.
Laparoscopic cholecystectomyHospitalization costsInfluencing factorsDRGStructural equation model
NETL
NSTL
万方数据
