DRG付费下恶性肿瘤住院费用管理策略及评价视角

Study on the Management Strategy and Evaluation of Hospitalization Expenses for Malignant Tumors on DRG Payment

目的:分析恶性肿瘤住院患者费用构成差异及个人负担情况,为医疗机构深入推进DRG付费和加强精细化管理提供建议。方法:利用SPSS19.0软件对费用构成差异性、患者个人负担等数据进行方差分析。结果:不同医师的费用构成存在差异,药品费和卫生材料费差异显著,组间差异有统计学意义(P<0.05)。患者个人负担构成中,医保支付范围以外的费用所占比例较大。结论:定点医疗机构应加强对DRG病组管理,控制医疗费用不合理增长。

Objective:The paper analyzes the difference of cost composition and individual burden of inpatients with malignant tumor to provide suggestions for promoting DRG payment and strengthening fine management in medical institutions.Methods:SPSS19.0 software was used to analyze the variance of cost composition and patient's economic burden.Results:There were differences in the expenses composition among physicians,and there were significant differences in the cost of medicines and sanitary materials,with statistical significance among groups(P<0.05).Among patients'economic burden,the expenses beyond the scope of medical insurance accounted for a large proportion.Conclusion:Designated medical institutions should strengthen the management of DRG group and control the unreasonable increase of medical expenses.