摘要
目的 分析DRGs智能术式套包对医院耗材成本和医疗管理方面的影响。方法 以食管、胃、十二指肠大手术为例,对样本医院DRGs智能术式套包未应用期(2021年8月—2022年7月)与DRGs智能术式套包应用期(2022年8月—2023年7月)两个阶段采用独立样本t检验分析基本情况,再运用中断时间序列分析两个阶段各指标的变化情况。结果 独立样本T检验分析显示术式套包应用期,住院总费用、耗材费用、手术时长、平均住院天数均有所下降(P<0.05);中断时间序列分析显示人均耗材费用和住院总费用显著下降(P<0.01)。结论 DRGs智能术式套包的应用一定程度上规范了临床路径,提升医疗服务效率和质量;降低耗材成本和医院成本;减少巡回护士对耗材的管理时间,实现手术室对耗材的精细化管理;为医用耗材的经济学分析及评价提供临床数据支撑,同时为其他大型医院实现手术室耗材精细化管理和DRG政策下耗材成本管控提供较好的借鉴意义。
Objective To analyze the effect of DRGs intelligent surgical kits on hospital consumable expenses and medical management.Methods Taking major surgery of esophagus,stomach and duodenum as an example,the independent sample t test was used to analyze the basic situation of the two stages of the sample hos-pital,DRGs intelligent surgical kits non-application period(August 2021-July 2022)and DRGs intelligent surgi-cal package application period(August 2022-July 2023),and then the interrupted time series was used to analyze the changes of each indicator in the two stages.Results The independent sample t test analysis results indicated a decrease in the total cost of hospitalization,consumable cost,operation time,and average length of hospital stay during the surgical kits application period(P<0.05).Interrupted time series analysis results revealed a signifi-cant decrease in per capita consumable cost and total cost of hospitalization(P<0.O1).Conclusions The appli-cation of DRGs intelligent surgical kit standardizes clinical pathways to a certain extent,improves the efficiency and quality of medical services,reduces consumable costs and hospital costs,shorten the time spent on consuma-ble management by circulating nurses,and achieves refined management of consumables in the operating room.It provides clinical data support for the economic analysis and evaluation of medical consumables and meanwhile provides reference for other large hospitals to achieve refined management of surgical consumables and cost control of consumables under the DRG policy.
作者
虞丽娟
赵跃
陈思思
YU Lijuan;ZHAO Yue;CHEN Sisi(Zhejiang Cancer Hospital,Hangzhou,Zhejiang 310022,China)
出处
《中国农村卫生事业管理》
2024年第7期515-521,共7页
Chinese Rural Health Service Administration
基金
浙江省卫生健康科技计划(2022RC117)。
关键词
DRG
医用耗材
智能手术套包
精细化管理
成本管控
中断时间序列分析
DRG
Medical consumable
Intelligent surgical kit
Refined management
Cost control
In-terrupted time series analysis
