Analysis of the influence of age on average medical expenses under the diagnosis related group and prospective payment system model
10.3760/cma.j.issn.0254-9026.2021.11.018
- VernacularTitle:疾病诊断相关分组预定额付费制模式下年龄因素对平均住院费用的影响分析
- Author:
Chao LI
1
;
Yuanyuan GAI
;
Qi PAN
;
Tong CHEN
Author Information
1. 北京医院医务处 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Diagnosis related groups;
Average medical expenses;
Age
- From:
Chinese Journal of Geriatrics
2021;40(11):1425-1428
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the influence of patients' ages on average medical expenses under the diagnosis related group and prospective payment system(DRG-PPS)model.Methods:Medical records of 52 987 selected patients at a third-tier general hospital in Beijing were collected from January 1 to December 31, 2019, and were then divided into three age groups based on age, the elderly group, the middle-aged group and the young group, and one-way ANOVA was used to determine differences in medical expenses between the same DRG group and different age groups.Related-sample nonparametric tests and linear regression were carried out for the three age groups to estimate the influence of the age factor on the medical expenses of different DRG groups.Results:First, the data of the three age groups in the same DRG group were analyzed by one-way ANOVA.The P values of the DRG groups were less than 0.05, except for the cb39 crystal surgery DRG group; Then, the data of the three age groups in different DRG groups were analyzed with the nonparametric test( P=0.021, less than 0.05); Finally, linear regression analysis was also used to analyze the case data of the three age groups.The p value was less than 0.05, and the standardized influence coefficient was 0.173, suggesting age was positively correlated with hospitalization expenses. Conclusions:Age affects average hospitalization expenses.After the implementation of the DRG-PPS model, the payment of DRG patients should be standardized with the inclusion of the age factor.
