Hospitalization days and costs of patients with acute cholecystitis in different departments by DRGs
10.3760/cma.j.issn.1000-6672.2019.07.007
- VernacularTitle:基于DRGs探讨急性胆囊炎住院天数及费用的科室差异
- Author:
Xueyu CAI
1
;
Huiming ZHENG
;
Jiarong LIN
;
Juanjuan ZHENG
;
Yunzong SUN
;
Mengling GUO
;
Zhijun SU
Author Information
1. 福建医科大学附属泉州第一医院病案室 362000
- Keywords:
Cholecystitis,acute;
Diagnosis-related groups;
Length of stay;
Hospitalization expenses;
Hospital departments
- From:
Chinese Journal of Hospital Administration
2019;35(7):554-558
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the differences in hospitalization days and costs of patients with acute cholecystitis in different departments or diagnosis related groups ( DRGs ), and provide scientific references for clinical medical management. Methods All the medical record homepages of the patients with acute cholecystitis were selected from a tertiary hospital from January 2017 to December 2017. The hospital analysis system of DRGs was used to calculate the classification results of DRGs. The Kruskal-Wallis H test was used to analyze the differences in hospital stays and costs between different DRGs or departments. Results The average length of stay was the shortest and the hospitalization cost in the department of hepatobiliary surgery was lower than other departments among patients with surgery and non-surgical(all P<0.05); The average length of stay at the department of hepatobiliary surgery was lower than the same other DRGs groups, namely the department of digestive medicine and gastrointestinal surgery(all P<0.05). There was no significant difference in the cost of " acute biliary tract disease with complications" between the various departments(P>0.05). The average cost in the department of hepatobiliary surgery was the lowest, and the average cost of gastrointestinal surgery was the highest in two DRGs of " acute biliary disease without complications and concomitant symptoms" and " laparoscopic cholecystectomy without common bile duct exploration" ( all P < 0.05 ). Conclusions Department of hepatobiliary surgery was better than other departments in the treatment of acute cholecystitis. Medical institutions should follow the principle of special treatment to reduce interdisciplinary patients and improve the professional competitiveness of the department.
