Impact analysis of 24-hour medical records archiving on DRGs
10.3760/cma.j.issn.1000-6672.2013.03.011
- VernacularTitle:24小时病历归档管理对DRGs的影响分析
- Author:
Junqun ZENG
;
Tong GAO
;
Liya BAO
- Publication Type:Journal Article
- Keywords:
Medical records;
Archiving;
DRGs;
Grouping ratio;
Payment
- From:
Chinese Journal of Hospital Administration
2013;(3):195-197
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impacts of 24-hour medical records archiving on the DRGs grouping ratio and payment.Methods Retrospective survey was made in a tertiary hospital in Beijing during its pilot from November 18,2011 to May 31,2012.The study covered such categories as the 24-hour medical records archiving ratio,48-hour medical records archiving ratio,DRG grouping ratio and payment for discharged patients prior to and after the practice of such archiving requirement.The data were subject to a multilinear regression analysis.Results The practice of 24-hour archiving,since in place,has significantly raised the 24-hour ratio,48-hour ratio,DRG grouping ratio and payment ratio,with the differences statistically significant (averaging P＜0.0001).DRGs payment amount is positively correlated to the number of DRGs grouping (regression coefficient 0.75284,P＜0.0001).DRGs grouping amount is positively correlated to the number of 24-hour medical records archiving (regression coefficient 0.44233,P＜0.0001).Conclusion The 24-hour archiving practice has significantly raised DRGs grouping and payment ratio,making it one of requisites for hospitals to successfully carry out DRGs payment system.
