DRG based Analysis of Influencing Factors and Benchmark Values of Anesthesia Costs for Colorectal Can-cer Surgical Patients
- VernacularTitle:基于DRG的结直肠肿瘤外科手术患者麻醉费用影响因素及标杆值分析
- Author:
Licheng ZHANG
1
;
Ming GAO
;
Jiahua LENG
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所·恶性肿瘤发病机制及转化研究教育部重点实验室 北京 100142
- Keywords:
anesthesia expenses;
DRG;
influencing factors;
benchmark value
- From:
Chinese Hospital Management
2024;44(2):79-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors and benchmark value of anesthesia cost in GB25 group in CHS-DRG Group Division Strategy(1.0),and explore the cost control strategy for surgical patients.Methods The data of 152 GB25 cases in sample hospitals were analyzed statistically.Through single factor analysis and multiple stepwise regression analysis,the influencing factors of anesthesia expenses were analyzed,and the evaluation system of hospital anesthesia expenses was built according to the payment standard of GB25 group and the average level of the city.Results Univariate analysis showed that there was significant difference in the influence of laparoscopic surgery or not,operation duration and anesthesiologist on anesthesia cost(P＜0.05);Stepwise regression further analysis showed that the length of operation and the anesthesiologist were the main influencing factors of anesthesia costs.Early warning shall be given when the anesthetic cost is greater than the median in the hospital,and rewards shall be given when the anesthetic cost is less than the average level in the city.Conclusion Hospitals should pay attention to standardize the diagnosis and treatment process,shorten the operation time,and reduce the anesthesia cost.At the same time,they should actively promote the clinical pathway management,and establish and improve the internal assessment mechanism of DRG.
