CAJ | 학술논문

目的探讨24小时病历归档管理对DRGs入组率及付费情况的影响.方法采用回顾性调查方法,对北京某三级甲等医院2011年11月18日至2012年5月31日DRGs试点期间,实施24小时病历归档管理前、后,出院病历的24小时病历归档率、48小时病历归档率、DRG入组率和付费情况进行调查,并进行多元线性回归分析.结果实施24小时病历归档管理后,24小时病历归档率、48小时病历归档率、DRGs入组率和付费率有大幅提高,差异有统计学意义(均P＜0.0001).DRGs付费数量与DRGs入组数量呈正相关(回归系数0.75284,P＜0.0001),DRGs入组数量与24小时病历归档数量呈正相关(回归系数0.44233,P＜0.0001).结论实施24小时出院病历归档管理后,显著提高了DRGs入组率和付费率,是医院顺利实施DRGs付费的必要条件之一.
목적 탐토24소시병력귀당관리대DRGs입조솔급부비정황적영향.방법 채용회고성조사방법,대북경모삼급갑등의원2011년11월18일지2012년5월31일DRGs시점기간,실시24소시병력귀당관리전、후,출원병력적24소시병력귀당솔、48소시병력귀당솔、DRG입조솔화부비정황진행조사,병진행다원선성회귀분석.결과 실시24소시병력귀당관리후,24소시병력귀당솔、48소시병력귀당솔、DRGs입조솔화부비솔유대폭제고,차이유통계학의의(균P＜0.0001).DRGs부비수량여DRGs입조수량정정상관(회귀계수0.75284,P＜0.0001),DRGs입조수량여24소시병력귀당수량정정상관(회귀계수0.44233,P＜0.0001).결론 실시24소시출원병력귀당관리후,현저제고료DRGs입조솔화부비솔,시의원순리실시DRGs부비적필요조건지일.
Objective To explore the impacts of 24-hour medical records archiving on the DRGs grouping ratio and payment.Methods Retrospective survey was made in a tertiary hospital in Beijing during its pilot from November 18,2011 to May 31,2012.The study covered such categories as the 24-hour medical records archiving ratio,48-hour medical records archiving ratio,DRG grouping ratio and payment for discharged patients prior to and after the practice of such archiving requirement.The data were subject to a multilinear regression analysis.Results The practice of 24-hour archiving,since in place,has significantly raised the 24-hour ratio,48-hour ratio,DRG grouping ratio and payment ratio,with the differences statistically significant (averaging P＜0.0001).DRGs payment amount is positively correlated to the number of DRGs grouping (regression coefficient 0.75284,P＜0.0001).DRGs grouping amount is positively correlated to the number of 24-hour medical records archiving (regression coefficient 0.44233,P＜0.0001).Conclusion The 24-hour archiving practice has significantly raised DRGs grouping and payment ratio,making it one of requisites for hospitals to successfully carry out DRGs payment system.