Influential factors of personal burden rate in cerebral ischemic patients based on DRGs payment model
10.3969/j.issn.1671-332X.2024.02.026
- VernacularTitle:DRGs付费模式下脑缺血患者个人负担率影响因素研究
- Author:
Peilin YU
1
;
Bonian CHEN
;
Yue YI
;
Shuai MA
;
Yuchen FAN
Author Information
1. 天津市环湖医院 天津 300350
- Keywords:
DRGs;
Personal burden rate;
Cerebral ischemia;
Medical insurance;
Performance evaluation
- From:Modern Hospital
2024;24(2):258-262
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to investigate the factors influencing the personal burden rate incerebral ische-mic patients,compare the difference in the burden rate among the patients with varying degrees of cerebral ischemia,provide a reference for establishing a personal burden rate evaluation,and propose suggestions for control its increase.Methods The medi-cal insurance data were collected from 8164 discharged patients in a tertiary hospital in Tianjin between January and December 2022.With the data,the Generalized Linear Model was utilized to analyze the factors affecting the personal burden rate across different Diagnosis Related Groups(DRGs).Results Statistically significant differences were observed in the cost structure a-mong different DRGs.Age,length of hospital stays,total hospitalization cost,hospital admission mode,number of hospitaliza-tions,and type of medical insurance significantly impacted the personal burden rate.The personal burden rate was inversely cor-related with age and length of hospital stays,but directly correlated with the total hospitalization cost.The patients admitted from emergency,first-time hospitalization,and those covered by the basic medical insurance program for urban employees had a lower personal burden rate.Conclusion Hospitals should establish diverse personal burden rate performance evaluation standards for patients with different types of medical insurance,incorporating factors such as average length of hospital stays and average hospi-talization cost.A more equitable hospital internal assessment plan should be developed by considering patients admitted to differ-ent departments and aligning with the characteristics of clinical pathways.Medical institutions should minimize self-funded pro-jects under declared medical insurance,increase the enrollment of cases in DRGs,and promote tiered diagnosis and treatment to reduce the personal burden rate for patients.
