CAJ | 학술논문

目的以临床路径病例为基础,制定住院费用标准,为合理控制病种住院费用提供参考依据.方法通过多因素回归分析筛选出子宫肌瘤住院费用的影响因素,采用疾病诊断相关组(DRGs)病例组合方法,对1777例子宫肌瘤患者进行分组.结果影响子宫肌瘤患者住院费用的主要因素按其作用强度,依次为是否手术治疗、伴随疾病及其数量,调整R2 =0.654 5.子宫肌瘤病例共分为4个组合,变异系数(CV)均较小,分别为0.068、0.104、0.102、0.116,并测算了4个病例组合住院费用的标准值.结论通过疾病诊断相关组(DRGs)病例组合方法制定的住院费用标准区间是合理有效的,对规范诊疗活动和控制高额住院费用具有积极意义.
목적 이림상로경병례위기출,제정주원비용표준,위합리공제병충주원비용제공삼고의거.방법 통과다인소회귀분석사선출자궁기류주원비용적영향인소,채용질병진단상관조(DRGs)병례조합방법,대1777례자궁기류환자진행분조.결과 영향자궁기류환자주원비용적주요인소안기작용강도,의차위시부수술치료、반수질병급기수량,조정R2 =0.654 5.자궁기류병례공분위4개조합,변이계수(CV)균교소,분별위0.068、0.104、0.102、0.116,병측산료4개병례조합주원비용적표준치.결론 통과질병진단상관조(DRGs)병례조합방법제정적주원비용표준구간시합리유효적,대규범진료활동화공제고액주원비용구유적겁의의.
Objective To set the cost standards for hospitalization based on the eases of the clinical pathway in order to help set a reasonable ceiling for the expenses of various diseases.Methods The multiple linear regression analysis was applied to find out influencing factors of hospitalization costs of the hysteromyoma.Diagnosis Related Groups(DRGs)ease mix was used to group 1777 hysteromyoma cases.Results The main factors for the expenses,as listed by their influence,were surgical operation or not,disease(s)of concomitance and the amount,adjusted R2 =0.6545.Hysteromyoma patients were divided into four diagnosis related groups; the all coefficient of variation(CV)is as small as 0.068,0.104,0.102,and 0.116 respectively.The hospitalization costs of the hysteromyoma of standard reference value were then calculated.Conclusion The standards interval for hospitalization costs set with DRGs case mix is reasonable and efficient,significantly useful for regulating medical practice and harnessing excessive costs of hospitalization.