Under the regulation of"disease diagnosis-related group payment"the medical cost consciousness status of nurses working in interventional catheterization room and the analysis of its influencing factors
10.3969/j.issn.1008-794X.2025.01.014
- VernacularTitle:疾病诊断相关分组支付背景下介入导管室护士医疗成本意识现状及影响因素分析
- Author:
Weixiu JIANG
1
;
Zhipeng BAO
;
Ying HE
;
Fang LIU
;
Guozhen SUN
Author Information
1. 210006 江苏南京 南京医科大学附属南京医院(南京市第一医院)心血管内科
- Keywords:
interventional catheter room;
nurse;
medical cost consciousness;
diagnosis-related group;
influencing factor;
patient safety
- From:
Journal of Interventional Radiology
2025;34(1):85-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the medical cost consciousness status among catheterization lab nurses in grade-Ⅲ general hospitals where the diagnosis-related group(DRG)payment method has been implemented,and to explore its influencing factors.Methods By using the general data questionnaire form,the medical cost consciousness scale of medical staff and the Chinese version of the safety attitude scale,a total of 251 nurses working in the interventional catheterization room from 39 grade-Ⅲ general hospitals(being member unit of China Cardiovascular Health Alliance and being distributed in 13 provinces and cities)were surveyed.Results The total score of medical cost consciousness in nurses working in interventional catheterization room was(49.11±6.80)points.A positive correlation existed between the medical cost consciousness of nurses working in interventional catheterization room and the patient safety attitudes(P＜0.01).Multivariate linear regression analysis showed that team collaboration,job satisfaction,stress perception,management mode of medical consumables,and cost-effectiveness training were the main factors influencing cost awareness.Conclusion The interventional catheterization room nurses have a good consciousness of medical costs,but their actual participation degree is insufficient.Under the regulation of DRG payment method the hospital administration and nursing care managers should take targeted measures to enhance the efficiency of catheter room cost management.
