DRGs病种组NB23和NB25的费用结构分析与策略探讨

Cost Structure Analysis and Management Strategies for NB23 and NB25 in Diagnosis Related Groups

通过对NB23和NB25两个显亏病种组的费用结构分析,发现平均住院日、诊查环节总费用、治疗环节总费用、材料费和总药费是亏损发生的危险因素,术前平均住院日为保护因素,依此提出从医院层面加强成本控制、从科室层面提高医疗效率、从管理层面强化质量监管、从发展层面鼓励技术创新、从政策层面支持支付标准动态调整等策略建议,以探索在DRG付费制度下的精益化管理模式。

By analyzing the cost structures of NB23 and NB25,the study reveals that the risk factors of loss include average length of stay,cost of examinations,cost of service and cost of consumables and medications.The protective factor of loss is preoperative average length of stay.Based on these findings,the study further proposes strategies to explore a lean management model under the DRG-PPS,including strengthening cost control at hospital level,improving operation efficiency at department level,emphasizing quality culture at management level,encouraging technology innovation at development level,and supporting dynamic adjustment of payment standards at policy level.