论文部分内容阅读
目的:探讨基于临床路径对各种非手术指征的合并症的病例进行疾病相关分组(DRGs)管理的必要性。方法:选取2011年10月~2012年10月广东省妇幼保健院顺产病例,将其顺产分娩费用、各类费用项、平均住院天数进行比较。结果:3个院区顺产平均费用:番禺>越秀>海珠;平均住院天数:海珠>番禺>越秀;化验费:番禺>越秀>海珠;床位费:海珠>番禺>越秀。结论:在同一科室运行机制和诊疗规范指引下,住院费用和住院天数具有明显差异,说明医疗资源的使用存在人为干预,以临床路径方式强制性将某些符合路径条件的病例纳入管理,将有效调配医疗资源(人力和物力),为DRGs分组做铺垫。
Objective: To explore the necessity of disease-related grouping (DRGs) management based on clinical pathology for various non-surgical indications of comorbidities. Methods: From October 2011 to October 2012, maternal and child health centers in Guangdong Province, the incidence of obstetrics and gynecology, delivery costs, all kinds of cost items, the average length of stay were compared. Results: The average hospital delivery costs in 3 hospitals: Panyu> Yuexiu> Haizhu; Average days of hospitalization: Haizhu> Panyu> Yuexiu; Laboratory fee: Panyu> Yuexiu> Haizhu; Bed fee: Haizhu> Panyu> Yuexiu. Conclusion: Under the guidance of the operating mechanism and diagnosis and treatment guidelines in the same department, there are significant differences between hospitalization fees and days of hospitalization, indicating that there are human interventions in the use of medical resources. Some cases that meet the path conditions are included in the management by clinical pathways and will be effective The deployment of medical resources (manpower and material resources), paving the way for the DRGs grouping.