Study on the Mating Degree between Diagnosis and Treatment Items for Cerebral Ischemic Diseases and Clinical Pathways under DRG Payment
- VernacularTitle:DRG付费下脑缺血性疾病诊疗项目与临床路径匹配程度研究
- Author:
Shanshan DAI
1
;
Guangying GAO
;
Yinghong FU
Author Information
1. 首都医科大学公共卫生学院 北京 100069
- Publication Type:Journal Article
- Keywords:
DRG;
cerebral ischemic diseases;
diagnosis and treatment items;
clinical pathway
- From:
Chinese Hospital Management
2025;45(2):35-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective Taking cerebral ischemic disease as an example,it explores the use of doctors'actual diagnosis and treatment items under DRG payment,and analyzes the matching degree between actual diagnosis and treatment items and clinical pathways.Methods Based on the actual diagnosis and treatment items for patients with cerebral ischemic diseases,it sorted out their usage and cost proportion,built a diagnosis and treatment item pool,determined the basic diagnosis and treatment items based on expert consultation,and compared and matched them with clinical pathways.Results Among all the diagnosis and treatment items of cerebral ischemic diseases,only 21.27％had a utilization rate of more than 10％,but the cost accounted for 82.96％.42 diagnosis and treatment items were screened as basic diagnosis and treatment items.The degree of matching between laboratory inspection items and clinical pathways was high,but there were certain differences in drug treatment.Conclusion There are certain differences between actual diagnosis and treatment items and clinical pathways of cerebral ischemic diseases,and there are a large number of low-utilization items,some high-utilization items are not basic diagnosis and treatment items,and most of them are concentrated in laboratory inspection items.It is recommended to enhance the attention of clinical pathway under DRG payment and update and optimize it regularly,improve doctors'awareness of diagnosis and treatment based on clinical pathways,and improve the supervision and assessment mechanism of doctors'diagnosis and treatment behaviors,regularly update and optimize clinical pathways to improve their operability.
