YANG Lang, WEI Junji, YIN Rui, WEN Junxian, CHANG Jianbo, CHEN Yihao, ZHANG Xiao, ZHANG Guojie, LI Chunhou, MA Wenbin, WANG Renzhi. Influencing Factors of Hospital Costs for Pituitary Tumor Under DRG Payment[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 148-152. doi: 10.12290/xhyxzz.2022-0068
Citation:
YANG Lang, WEI Junji, YIN Rui, WEN Junxian, CHANG Jianbo, CHEN Yihao, ZHANG Xiao, ZHANG Guojie, LI Chunhou, MA Wenbin, WANG Renzhi. Influencing Factors of Hospital Costs for Pituitary Tumor Under DRG Payment[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 148-152. doi: 10.12290/xhyxzz.2022-0068
YANG Lang, WEI Junji, YIN Rui, WEN Junxian, CHANG Jianbo, CHEN Yihao, ZHANG Xiao, ZHANG Guojie, LI Chunhou, MA Wenbin, WANG Renzhi. Influencing Factors of Hospital Costs for Pituitary Tumor Under DRG Payment[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 148-152. doi: 10.12290/xhyxzz.2022-0068
Citation:
YANG Lang, WEI Junji, YIN Rui, WEN Junxian, CHANG Jianbo, CHEN Yihao, ZHANG Xiao, ZHANG Guojie, LI Chunhou, MA Wenbin, WANG Renzhi. Influencing Factors of Hospital Costs for Pituitary Tumor Under DRG Payment[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 148-152. doi: 10.12290/xhyxzz.2022-0068
Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
2.
Medical Department, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
3.
Medical Insurance Office, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Funds:
Beijing Tianjin Hebei Basic Research Cooperation Project19JCZDJC64600(Z)
CAMS Innovation Fund for Medical Sciences2020-I2M-C & T-B-028
Non-profit Central Research Institute Fund of CAMS2020-JKCS-026
Objective To analyze the influencing factors of hospitalization expenses of patients treated in the KC19 group by the neurosurgery department of a tertiary hospital in Beijing, and provide reference for the refinement of diagnosis related groups(DRG).Methods The medical records of 3809 patients from January 1, 2017 to November 30, 2021 were reviewed, and relevant influencing factors were determined using descriptive statistics, univariate analysis, and multivariate linear regression.Results Among the 3809 patients included in this study, the average total hospitalization cost was 36 166.82 yuan, and the average hospital stay was 9.42 days. Neuroendoscopy accounted for 35.2%, while major complications or comorbidities (MCC) and complications or comorbidity (CC) accounted for 40%. Univariate analysis found that hospitalization costs were associated with gender, length of hospital stay, number of other diagnoses, number of surgical procedures, use of neuroendoscopy, and the presence of MCC or CC. Multivariate analysis found that the main influencing factors were the length of hospital stay, followed by the number of other diagnoses, the number of surgical operations, whether neuroendoscopy was used, whether there was MCC or CC, and gender.Conclusion In the follow-up fine grouping of KC19, the above influencing factors should be considered, and the use of neuroendoscopy and the presence of MCC or CC should be included in the grouping criteria.
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