Comparative analysis of hospitalization costs between high-multiplication DRG Cases and normal-mul-tiplication patients
10.3969/j.issn.1671-332X.2024.10.023
- VernacularTitle:基于DRG付费高倍率病例与正常倍率患者住院费用的比较分析
- Author:
Lei ZHANG
1
;
Peng WANG
;
Huiming LI
;
Jie RONG
Author Information
1. 天津市人民医院 天津 300121
- Keywords:
DRG;
High-multiplication cases;
Hospitalization costs;
Grey relational analysis
- From:
Modern Hospital
2024;24(10):1560-1563
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the cost structure and influencing factors of high-multiplication cases.Methods Using medical insurance settlement data from a tertiary hospital in Tianjin from April 2023 to March 2024,this study analyzes the characteristics of high-multiplication DRG cases and compares hospitalization costs between high-multiplication and normal-multi-plication patients.The grey relational analysis method is employed to assess the grey correlation between hospitalization costs and various itemized expenses for both groups.Results Significant differences were found between the high-multiplication group and the normal-multiplication group in terms of gender,age,insurance type,length of stay,base points,and all hospitalization costs except for surgical expenses(P＜0.05).Within the cost structure,drug costs from multiple DRG groups showed the strongest correlation with total hospitalization costs.Treatment costs ranked highest in overall grey correlation.Conclusion Enhancing the management of high-multiplication cases is crucial.Future efforts should focus on improving separate payment policies for high-multiplication and special cases,refining clinical pathways,standardizing medical practices,optimizing performance distribution methods,and strengthening operational management to enhance the fine management of medical insurance.
