摘要
目的:分析甲状腺恶性肿瘤DRG病例费用结构及其影响因素。方法:选取2021年安徽省某三甲医院甲状腺亚专科951例甲状腺恶性肿瘤患者的住院DRG病例数据,对住院费用的结构、影响因素和关联度进行分析。结果:甲状腺恶性肿瘤的患者以青年女性居多,平均住院8.17天;住院日和不同的入组方式是住院费用的影响因素;手术治疗费与住院费用的关联度最高(0.979)、占比37.5%;其次是材料费(0.954)、占比21.9%。结论:重视对年轻女性人群的观察和监测,进一步优化甲状腺恶性肿瘤DRG费用结构,体现医务人员的劳动和技术价值,为医保管理部门制定精细化管理措施提供依据,以降低患者的经济负担。
Objective:By analyzing the cost structure of thyroid cancer DRG cases,the influencing factors were estimated.Meth-ods:In 2021,the inpatient DRG data of 951 patients with thyroid malignant tumor in the thyroid sub-specialty of a certain grade Ater-tiaryhospital in Anhui Province were selected to analyze the structure,influencing factors and correlation degree of hospitalization ex-penses.Results:Most of the patients with thyroid malignancy were young women,and the average hospital stay was 8.17 days.Length of stay and different types of enrollment were influencing factors of hospitalization cost.In the cost structure of inpatients,the correla-tion between surgical treatment cost and inpatient cost was the highest(0.979),accounting for the highest proportion(37.5%),followed by material cost(0.954),accounting for 21.9%.Conclusion:Attention should be paid to the observation and monitoring of young fe-male population,the cost structure of thyroid cancer DRGS should be optimized,the labor and technical value of medical personnel should be reflected,and the basis should be provided for the medical insurance administration department to formulate refined manage-ment measures,so as to reduce the economic burden of patients.
作者
代俊
DAI Jun(Medical Insurance Office,The First Affiliated Hospital of University of Science and Technology of China,Hefei,An-hui,230032)
出处
《江苏卫生事业管理》
2023年第11期1581-1584,共4页
Jiangsu Health System Management
基金
2021年安徽省科技创新战略与软科学研究基金(202106f01050035)。
