Study on the combined payment standards for DRGs of circulatory system diseases
10.3760/cma.j.issn.1000-6672.2009.11.013
- VernacularTitle:循环系统病例DRGs组合支付标准研究
- Author:
Xiaorong YANG
;
Ming WU
- Publication Type:Journal Article
- Keywords:
DRGs;
Medical services;
Expenses;
Payment standards
- From:
Chinese Journal of Hospital Administration
2009;25(11):760-763
- CountryChina
- Language:Chinese
-
Abstract:
Objective Probing into the rationale of DRGs payment standards for references to making DRGs payment standards.Methods Based on the DRGs grouping results of circulatory diseases cases admitted by a tertiary hospital from 2003 to 2005,two typical combinations were selected to determine the payment standard for each DRGs combination.Unnecessary medical expenses were excluded.Results According to the percentage of unnecessary medical expenses,Angina,non-special nursing,and class 1 nursing were in a group,with unnecessary medical expenses per ease of 758.00 yuan;CAG,single stent implantation,acute myocardial infaction as the main diagnose were in a group,with medical expenses per case of 2814.03 yuan;such expenses account for 6.20% of the total hospitalization expenses of both groups.Conclusions If the average expenses with unnecessary medical expenses excluded are set as the combined payment standard,hospitals will be restrained from unnecessary medical behaviors and expenses so incurred.
