基于差异性分析的骨科手术DRGs医用耗材调查研究

Difference-analysis-based investigation on orthopedic surgery consumables of diagnosis related groups

介绍了某院部分骨科手术疾病诊断相关分组(diagnosis related groups,DRGs)的基本情况,重点分析了IS02B、IS05Z、IS10B 3个DRGs医用耗材费用占比情况,采用差异性分析方法确定了同一DRGs下影响医用耗材费用的关键因素,提出了加强成本控制、加快执行骨科耗材带量采购结果、强化对关键医用耗材及关键医疗组的监管、确定骨科重点DRGs医用耗材费用控制区间等建议,为加强医疗资源精细化管理、合理控制医疗费用增长提供了决策依据。

The basic situation of some diagnosis related groups(DRGs)of orthopedic surgery in a hospital was introduced.The cost ratio of medical consumables of three DRGs(IS02B,IS05Z and IS10B)were analyzed in detail,and the key factors affecting the cost of medical consumables in the same DRGs were determined with difference analysis method.Some suggestions were put forward including strengthening cost control,accelerating the implementation of volume-based procurement of orthopedic consumables,enhancing the supervision of key medical consumables and key medical groups and determining the medical consumables cost intervals of key orthopedic DRGs.Decision making was facilitated for strengthening the refined management of medical resources and reasonably controlling the growth of medical expenses.[Chinese Medical Equipment Journal,2023,44(5):81-85]