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目的通过分析临床单病种实行情况,探讨DRGs的实施;方法对我院2011年出院的医保单病种及自费腹股沟疝、股疝患者共710例进行回顾性调查分析;结果单病种付费管理的医保腹股沟疝、股疝患者住院总费用、药费、手术麻醉费、治疗费及其他费用均低于自费患者,P<0.05有统计学差异。影响住院费用的5个主要因素依次为单病种(自费)、全麻、双侧手术、住院天数、腹腔镜;结论单病种可以有效控制部分疾病医疗费用的高速增长,为实施和推广DRGs奠定良好基础。
Objective To investigate the implementation of DRGs by analyzing the implementation of clinical diseases.Methods Retrospective analysis was carried out on 710 medical insurance patients discharged from our hospital in 2011 and 710 patients with inguinal hernia and femoral hernia at their expense. Of the Medicare groin hernia, femoral hernia patients hospitalization costs, medical expenses, surgical anesthesia, treatment costs and other costs were lower than those who at their own expense, P <0.05 have a statistically significant difference. The five main factors influencing the hospitalization expenses were single disease (at their own expense), general anesthesia, bilateral surgery, hospitalization days, and laparoscopy. Conclusion Single disease can effectively control the rapid growth of medical costs of some diseases. In order to implement and promote DRGs Lay a good foundation.