1.Clinical Application of ~(99m)Tc-Octreotide and ~(99m)Tc-MIBI Imaging in the Diagnosis of Breast Cancer
Nianying DENG ; Jinshan ZHANG ; Youqing XIAN
Chinese Journal of Bases and Clinics in General Surgery 2004;0(01):-
Objective To evaluate the value of 99mTc-Octreotide somatostatin receptor and 99mTc-MIBI imaging in the detection of breast cancer. Methods 99mTc-Octreotide and 99mTc-MIBI imaging were performed in 26 patients with breast masses before operation. The scintigraphy results were analysed compared with pathologic study.Results The sensitivity, specificity and accuracy of 99mTc-Octreotide scintigraphy for breast cancer were 94.4%, 87.5%and 92.3%respectively and those of 99mTc-MIBI were 88.9%, 75.0%and 84.6%respectively. Significant difference was found between 99mTc-Octreotide and 99mTc-MIBI in both of specificity and accuracy (P
2.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.
3.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.
4.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.
5.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.
6.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.
7.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.
8.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.
9.Study on the Existing State and Optimization Approach for Executing Orthopedic Case Simulation in a Pediatric Specialty Hospital Using CHS-DRG
Xiaoyan GUO ; Guangying GAO ; Ning XU ; Nianying ZHANG ; Na ZHANG ; Chudi YOU ; Jiashuai TIAN
Chinese Health Economics 2024;43(11):21-26
Objective:To guide cost control and the development of orthopedic specialty services in actual payment by thoroughly analyzing the functioning of DRG simulation in the pediatric orthopedic department of the Capital Institute of Pediatrics.Methods:A total of 736 patients from the orthopedic ward of the Capital Institute of Pediatrics were included as study subjects.The four-quadrant grouping method was employed to examine the profitability status of each diagnosis group in detail.A logistic regression model explored the key factors influencing profitability.Results:Congenital illnesses and traumas account for most pediatric orthopedic cases.Benefit groups(2 groups,4.8%),disadvantageous groups(15 groups,35.7%),key groups(8 groups,19.0%),and potential groups(17 groups,40.5%)are found using the Boston Matrix analysis.The profit group depends on the benefit groups(IF19,IH15)for 67.7%of its total revenue.No matter how profitable they are,medical consumables comprise a sizable portion(43%-45%).According to regression analysis,hospital profitability is highly impacted by age,consumable ratio,examination cost ratio,surgery cost ratio,and other cost ratios(P<0.05).The consumable ratio is the most significant negative predictor(β=-2.238).Conclusion:Hospitals need to optimize their cost structure and increase the probability of profitability through refined management of consumables,the four-quadrant analysis method,strengthened cost accounting,and differentiated resource allocation.