Effect of refined management of da vinci robot surgical consumables under the DRG payment system
10.3969/j.issn.1671-332X.2025.05.015
- VernacularTitle:DRG支付背景下达芬奇机器人手术耗材精细化管理的效果研究
- Author:
Baojia WANG
1
;
Jiqun HE
1
;
Jing CHEN
1
;
Yingping XIAO
1
;
Bei LI
1
;
Huimin GAO
1
Author Information
1. 中南大学湘雅医院临床护理学研究室 湖南长沙 410008
- Publication Type:Journal Article
- Keywords:
DRG payment;
Da Vinci robots;
Surgery;
Costs;
Consumables;
Refined management
- From:
Modern Hospital
2025;25(5):713-717
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of implementing precise management for Da Vinci robotic surgical consumables under the Diagnosis Related Group(DRG)payment system.Methods This retrospective case-control study ana-lyzed 200 patients undergoing Da Vinci robotic lung resection surgery in a tertiary hospital:100 cases from May to June 2022 as the control group,and 100 cases from May to June 2023 with implemented precision management as the observation group.The control group did not implement the payment according to DRG,while the observers implemented payment according to DRG and optimized refined management of Da Vinci robotic surgical consumables.Hospitalization duration,intraoperative costs,and utili-zation of high-value consumables were compared between the two groups.Results No statistically significant differences(P＞0.05)were observed between the two groups in terms of gender,age,medical insurance status,operative time,or intraoperative blood loss.The observation group exhibited a significantly shorter hospitalization duration(8.29±4.13 vs.10.47±4.57 days;P＜0.05),and higher surgical costs[(11 366.81±2 504.23)RMB vs.(8 716.07.78±256.34)RMB,P＜0.05]compared with the control group.Conclusion DRG-oriented precision management optimizes resource utilization through shortened hospi-talization time and rationalizes cost allocation,and sustainable consumable consumption patterns,demonstrating effective balance between clinical quality and economic efficiency under healthcare payment reforms.
