Effect of DRG payment mode on the length of stay and hospitalization cost of patients with pressure injury in hospital
Objective To analyze the effect of diagnosis related groups(DRG)payment mode on the length of stay and hospitalization cost of patients with pressure injury in hospital.Methods The clinical data of 180 patients with in-hospital pressure injury admitted to the First People's Hospital of Lanzhou City from January 2016 to December 2022 were retrospectively analyzed,and the patients were grouped according to their admission time.Patients with in-hospital pressure injury admitted before the implementation of DRG payment mode were included in the control group(94 cases),and patients with in-hospital pressure injury admitted after the implementation of DRG payment mode were included in the observation group(86 cases).The length of stay,hospitalization cost,cost composition,treatment effect of pressure injury and satisfaction rate of patients were compared between the two groups.Results The length of stay in the observation group was shorter than that in the control group,and the total hospitalization cost and average daily hospitalization cost in the observation group were lower than those in the control group(all P<0.05).The proportion of drug cost and examination cost in the observation group was lower than that in the control group,and the proportion of treatment cost was higher than that in the control group(all P<0.05).There was no statistical difference in the proportion of bed cost and other cost between the observation group and the control group(P>0.05).The total effective rate of the observation group and the control group were 87.21%and 82.98%,respectively,and there was no statistical difference between the two groups(P>0.05).The satisfaction rates of treatment cost and medical staff in the observation group were higher than those in the control group(both P<0.05),and there was no statistical difference in the satisfaction rate of treatment effect between the two groups(both P>0.05).Conclusion After the implementation of DRG payment mode,the length of stay of patients with pressure injury in hospital is shortened,and the hospitalization cost is reduced,and the treatment effect of patients is stable,and the satisfaction rates of treatment cost and medical staff are improved.
pressure injurydiagnosis related groupspayment modelength of stayhospitalization cost
万方数据
维普
