Strategies Study on DRG Subdivision of Gastrointestinal Surgery Cases
- VernacularTitle:消化道手术病例DRG再细分策略研究
- Author:
Hongxing YU
1
;
Xinru ZHAO
;
Mingju WANG
;
Fuxing LI
;
Rui TIAN
;
Qin LUO
;
Jin ZHANG
;
Jie LUO
Author Information
1. 十堰市太和医院·湖北医药学院附属医院 湖北 十堰 442000
- Publication Type:Journal Article
- Keywords:
gastrointestinal surgery;
case;
DRG
- From:
Chinese Hospital Management
2025;45(5):92-96
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore strategies for further subdivision of DRG in gastrointestinal surgery cases,providing references to enhance the differentiation of DRG subgroups.Methods A total of 5 108 gastrointestinal surgery cases were selected from a tertiary grade A hospital and a tertiary hospital in Hubei Province,spanning from January 2019 to June 30,2023,and another secondary hospital's data from 2020 and 2021.It employs single factor analysis and multiple linear regression analysis to identify factors influencing case costs.Additionally,the opinions of nine clinicans were gathered regarding factors affecting resource consumption in gastrointestinal surgery cases.The four selected case groups were further subdivided considers the peak characteristics of disease costs.It compares subdivided groups with the DRG Payment Subgroups Scheme(Version 2.0).Results Groups GB1,GB2,GC1,and GC2 were subdivided into 7,4,7,and 6 DRG groups,respectively.The coefficient of variation of each subdivided DRG were reduced,homogeneity was increased,and inter-group differentiation was increased.The results were consistent with the DRG Payment Subgroups Scheme(Version 2.0).Conclusion Based on DRG grouping,the DRG groups can be further subdivided according to the peak characteristics presented by case costs.This subdivision strategy is helpful to provide new ideas for case grouping of Medicare payment.
