基于DRGs的急性化脓性扁桃体炎(非手术)患者住院费用分析

Analysis on acute suppurative tonsillitis(non-surgical)hospitalization expenses based on DRGs

[目的]分析急性化脓性扁桃体炎(非手术)患者住院费用及影响因素,基于DRGs研究急性化脓性扁桃体炎(非手术)患者的费用标准,为探索DRGs控制住院费用提供参考建议。[方法]采用方差分析、回归分析、决策树卡方自动交叉检验对数据进行分析。[结果](1)急性化脓性扁桃体炎多发于儿童,且住院时间多在7天之内;(2)急性化脓性扁桃体炎以药物治疗为主;(3)药品费用占比、住院天数、年龄和费用支付方式等因素影响住院费用总额;(4)基于DRGs提出各分组费用区间,其中住院天数5天且付费方式为自付或新农合或贫困救助的患者费用标准是1207.35元。[建议](1)DRGs研究要求更加准确的疾病分类和完整的病案信息。(2)控制住院费用措施包括缩短住院天数、关注异常值病例等。

Objective To analyzes acute suppurative tonsillitis （ non - surgical） patients hospitalization expenses and influencing factors based on fee - standard of DRGs research so as to provide reference suggestion for DRGs research and expense - control. Methods Adopted document a- nalysis, variance analysis, regression analysis, E - CHIAD. Results （ 1 ） Acute suppurative tonsillitis happens to children easily, and hospi- talization time was not more than 7 days. （2） Drug therapy was the preferred method. （3） The factors such as ratio of medical expense, hospi- talization time, age and payment method influenced hospitalization expenses. （4） Secfionalization expenses came up with DRGs. For example, expenses standard is 1207. 35 yuan which hospitalization time was 5 days and payment method belong to self - pay/NCMS/poverty relief. Conclusions （ 1 ） DRGs research needs more accurate classification of diseases and complete medical record information, （2） Expense - control measures include shorten HLOS and focus on abnormal valuve cases.