Effect of the DRG system on the expenses of neurosurgical patients covered by medical insurance in our hospital
HU Yun
CHEN Jun-hui
CAO Ming
WANG Yu-hai
Abstract：Objective To explore the variations in the expenses of patients admitted to the neurosurgery department of our hospital before and after the implementation of Diagnosis Related Groups(DRG),and to offer references for controlling medical insurance payments.Methods The information on the first page of the medical records of patients with medical insurance settlement in the neurosurgery department of our hospital was collected.To eliminate the influence of seasonal factors,patient information from January to June 2021(prior to DRG implementation)and from January to June 2022(after DRG implementation)was collected,including admission routes,gender,age,length of hospital stay,total cost,main diagnosis and other diagnoses,main operation and other operations.Results A total of 1 360 patients were included,among which 711 were before DRG implementation and 649 were after DRG implementation.There were no statistically significant differences in gender,age,surgical situations,complication conditions,the use of ventilators,and tracheotomy situations between the two groups(P>0.05).After the implementation of DRG,the ratio of outpatient admissions increased significantly(31.0%vs.21.1%;P<0.001),the length of hospital stay decreased significantly[10 d(IQR:6～15 d)vs.11 d(IQR:8～17 d);P=0.001],and the total cost of hospitalization decreased significantly[12 600 yuan(IQR:7100～47100 yuan)vs.20 200 yuan(IQR:9700～60 200 yuan):P=0.001].Conclusion For patients covered by medical insurance,the rational application of the DRG system can achieve overall cost control and reduce the length of hospital stay.
Keywords：Disease Related Groups(DRG)Neurosurgery departmentHospitalization expensesHospitalization days
Publication Date：2024-10-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 608-611 )