Analysis of Grouping Effect of Gastric Cancer Patients and Influencing Factors of Hospitalization Cost based on DRG
- VernacularTitle:基于DRG的胃癌患者分组效果及住院费用影响因素分析
- Author:
Xuqiang DONG
1
;
Rui SU
;
Xi CHAI
;
Bin WAN
;
Guangfeng WANG
;
Chong GAO
;
Chengye CHE
;
Dongmei MENG
Author Information
1. 青岛大学附属医院 山东 青岛 266000
- Keywords:
DRG;
gastric cancer;
grouping effect;
hospitalization cost
- From:
Chinese Hospital Management
2024;44(9):70-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective Analyzes the grouping effect and its influencing factors under DRG payment,provides reference for the reform of DRG payment.Methods Evaluates the effectiveness of DRG grouping using Coefficient of Variation(CV)and Reduction in Variance;using Value of Structure of Variation and Degree of Structure Variation,analyzes hospitalization costs structure changes of different DRG groups,and calculates the degree of correlation between average hospitalization costs through grey relational analysis;using non parametric tests and multiple regression to analyze the influencing factors of hospitalization cost.Results DRG grouping effect was not good,inter-group heterogeneity was not obvious;the structure of hospitalization expenses is unreasonable,and the proportion of consumables expenses is too high,ranking first in the grey correlation degree of hospitalization expenses,comprehensive medical service fees and treatment fees rank third and fifth respectively;the main factors affecting hospitalization costs are treatment methods,length of stay,presence of complications,and first hospitalization,the difference is statistically significant(P＜0.05).Conclusion More grouping nodes or higher CV value standards should be added to enhance the grouping effect of gastric cancer DRG;optimize the structure of hospitalization costs to reflect the labor and technical value of medical personnel;strengthen internal management and control the unreasonable use of drugs and consumables.
