Interrupted Time Series Study on the Service Efficiency and Cost Structure of Appendectomy in Children
- VernacularTitle:儿童阑尾切除术病组服务效率及费用结构的间断时间序列研究
- Author:
Chunxia NA
1
,
2
;
Dongzi WANG
;
Zhihui LIU
;
Guangying GAO
Author Information
1. 首都医科大学公共卫生学院 北京 100069
2. 国家儿童医学中心(北京)首都医科大学附属北京儿童医院医保办 北京 100045
- Keywords:
Diagnosis Related Group;
pediatrics;
appendectomy;
multi-disciplinary treatment
- From:
Chinese Health Economics
2024;43(2):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the changes in service efficiency and cost structure before and after implementing multidisci-plinary treatment in the GD19(appendectomy with perforation,suppuration,gangrene,etc.)and GD29(appendectomy)groups of pedi-atric specialty medical institutions.Methods:The case data of GD19 and GD29 groups of medical insurance patients in sample hospi-tals in Beijing from 2021 to 2022 were collected.Mann Whitney U test was used to analyze the changes of medical expenses and effi-ciency indicators,and intermittent time series model was established to analyze the change trend.Results:Compared to 2021,the av-erage hospitalization expenses of GD19 group in 2022 decreased by 2 462.00 yuan year-on-year,and that of GD29 group decreased by 2 042.60 yuan year-on-year(P＜0.05).Among them,the cost of medicines,consumables,examinations and tests and treatment have all decreased.In the month when the management measures were implemented,the average consumption cost of GD19 group de-creased by 920.00 yuan(P＜0.05),and the average consumption cost of GD29 group decreased by 632.50 yuan.The average length of stay in GD29 group decreased from 3.74 days to 2.78 days(P＜0.05).Conclusion:After the implementation of management mea-sures,the cost of drug consumables in GD19 group and GD29 group was controlled,the cost level was reduced,and the operation effi-ciency was improved.It is suggested to adhere to the management measures of selection of key DRG groups and multidisciplinary con-sultation,mobilize the management enthusiasm of clinical departments,and strengthen the demonstration and optimization of pediatric DRG grouping and payment scheme.
