多学科协作诊疗管理模式对高倍率病案发生率的影响

Effect of multi-disciplinary treatment management mode on the incidence of high-rate medical records

目的 探讨运用多学科协作诊疗(MDT)管理模式对高倍率病案发生率的影响。方法 数据来源于市医保系统医院端。将某院2021年5月至6月及2022年5月至6月出院的医保结算病案共33 263份作为研究对象,其中2022年5月至6月出院的医保结算病案17 683份作为干预组,2021年5月至6月出院的医保结算病案15580份作为对照组,组建MDT管理小组,通过MDT会议,制订措施,多部门协作落实,观察两组高倍率病案发生率情况。结果 干预组高倍率病案发生率低于对照组,差异有统计学意义(P<0.05)。干预组住院总费用、药品费、耗材费及药占比、耗占比低于对照组,差异有统计学意义(P<0.05)。干预组平均住院日短于对照组,差异有统计学意义(P<0.05)。结论 在疾病诊断相关分组支付下实施MDT管理模式可降低高倍率病案发生率,是目前疾病诊断相关分组支付下的一种有效果的管理方法。

Objective To explore the effect of multi-disciplinary team(MDT)on the incidence of high rate cases.Methods The data came from the hospital of municipal medical insurance system.A total of 33263 medical records of medical insurance settlement discharged from a hospital from May to June 2021 and from May to June 2022 were taken as the research object,among which 17683 medical records of medical insurance settlement discharged from May to June 2022 were taken as the intervention group,and 15580 medical records of medical insurance settlement discharged from May to June 2021 were taken as the control group.Set up an MDT management team,formulate measures through MDT meetings,implement them in collaboration with multiple departments,and the incidence of high rate cases in the two groups was observed.Results The incidence of high rate cases in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total hospitalization cost,drug cost,consumables cost,drug proportion,and consumption proportion in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).The average length of stay in the pre-treatment group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The MDT management mode under the diagosis-related groups payment can reduce the incidence of high rate cases,and is an effective management method under the diagosis-related groups payment.