DRGs-based analysis of the impacts on inpatient costs incurred by the reform of clinic-pharmacy-separation
10.3760/cma.j.issn.1000-6672.2017.10.005
- VernacularTitle:基于DRGs分析医药分开综合改革对患者住院费用的影响
- Author:
Xinyue XU
1
;
Ningli WANG
;
Jiaji TANG
;
Duo ZENG
;
Jialin MA
;
Li REN
Author Information
1. 首都医科大学附属北京同仁医院
- Keywords:
Diagnosis-related groups;
Clinic-pharmacy-separation;
Inpatient costs;
Beijing
- From:
Chinese Journal of Hospital Administration
2017;33(10):734-737
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impacts on inpatient costs of a hospital in Beijing as incurred by the reform of clinic-pharmacy-separation by means of DRGs. Methods As required by BJ-DRGs, we selected DRGs grouping information and medical record homepage information of the inpatients discharged from a tertiary hospital in Beijing from January to March in 2017 ( pre-reform group ) and that from May to July in 2017 ( the post-reform group ) . Then we compared the differences of inpatient costs before and after the reform, and the inpatient cost changes of the DRGs groups. Results The median of inpatient costs before the reform was 8751. 21 yuan, and that after the reform was 8522. 07 yuan, a difference without statistical significance (P>0. 05). Of the 104 DRGs studied, cost changes were found in 28 DRGs (P<0. 05), with increases in 19 DRGs and drops in 9 DRGs groups. Conclusions The reform, though without impact on the inpatient costs, changed the makeup of costs on the other hand, especially on HJ13 and BB25 DRGs groups, worthy of attention. A dynamic tuning mechanism is thus suggested for pricing of medical services, and a fine management suggested for the hospitals to curb unreasonable growth of costs.
