Research on the setting of inpatient cost ratio target value based on DRG and performance assessment orientation
10.3969/j.issn.1671-332X.2025.01.025
- VernacularTitle:基于DRG与绩效考核导向的住院耗占比目标值的研究
- Author:
Huiqun LIAO
1
;
Zhuzhu LI
1
;
Hong GU
1
;
Qing YANF
1
Author Information
1. 深圳市光明区人民医院 广东 深圳 518106
- Publication Type:Journal Article
- Keywords:
Diagnosis-related groups;
Standardization;
Cost ratio;
Comprehensive target management
- From:
Modern Hospital
2025;25(1):92-95
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aims to establish a method for setting standardized cost ratio target values for inpatient departments,providing practical cases and theoretical support for effective implementation of DRG management.Methods Based on the 2022 Guangdong Province DRG big data,the standardized cost ratios for each department in a hospital in 2023 were calculated.By comparing the discharge cost ratio,departmental standardized cost ratio,and traditional target management cost ratio,combined with hospital control objectives,the cost ratio target values for each inpatient department were determined.Re-sults Through variance homogeneity test,significant differences were found among the three sets of cost ratio data.Based on the difference between the discharge cost ratio and the departmental standardized cost ratio,the departments were classified as lag-ging,saturated,or growing types for management control.From January to March 2024,the inpatient department cost ratio was 2.58 percentage points lower than the standardized cost ratio for the province.The monitoring of admission and discharge disease structure before and after was statistically analyzed,and it showed statistical significance when divided into three categories:RW＜1,1 ≤RW≤2,RW＞2.Based on disease-specific standardized cost ratio management,the acceptance rate of 48 inpatient de-partments was 83.33％.Conclusion The research on setting inpatient department cost ratio target values based on Diagnosis-Related Groups(DRG)is a measure for hospital refined management.It is scientific and reasonable,conducive to further optimi-zing the structure of medical income,and improving operational efficiency.
