Optimization for technical resources of children′s gastroscopy based on diagnosis-related groups
10.3760/cma.j.cn111325-20200830-01853
- VernacularTitle:基于疾病诊断相关分组的儿童胃镜治疗技术资源优化研究
- Author:
Yaqi LYU
1
;
Yueping ZENG
;
Fei SONG
;
Guoshuang FENG
;
Jian TIAN
;
Xin XU
;
Xin NI
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院，北京 100045
- Keywords:
Diagnosis-related groups;
Front page of medical records;
Children;
Multicenter;
Gastroscopy operation
- From:
Chinese Journal of Hospital Administration
2021;37(3):203-206
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the gastroscopy treatment technology in a Children′s Medical Center based on the diagnosis-related groups(DRG) and put forward suggestions for resource optimization.Methods:The data of the front pages of medical records of 22 medical institutions in a Children′s Medical Center in 2018 were divided into DRG groups. The patients in gastroscope treatment operation group(GK3)were selected, and the disease diagnosis, operation and payment methods of the patients in this group were analyzed.Results:Of the 22 medical institutions, 16 had GK3 group cases, and the number of cases was significantly different, ranging from 2 to 917. Among them, the institution with code M was characterized by multiple endoscopic treatment of esophageal stricture, but most other institutions rarely carried out the treatment of esophageal stricture. In GK3 group, the main payment method of children in Institution M with the highest constituent ratio was at one′s own expense, followed by non-local medical insurance. The main payment type of O and P institutions with the second and third constituent ratio was local medical insurance.Conclusions:The gap of the technology of gastroscopy in the treatment of esophageal stricture is large in all institutions. The high-quality medical resources can be sunk through the construction of pediatric medical alliance, and the gap between the regional medical technology can be continuously leveled.
