现代医院2024，Vol.24Issue(7)：1070-1074,5.DOI:10.3969/j.issn.1671-332X.2024.07.022
PDSA循环在DRG付费模式下应对脑卒中病种分解住院问题的应用
Application of PDSA cycle in addressing the problem of decomposed hospitalization for stroke disease under the DRG payment model
曹可 1陈博年 1林诗雨 2伊越3
作者信息
- 1. 天津市环湖医院 天津 300350
- 2. 天津医科大学总医院 天津 300052
- 3. 天津医科大学眼科医院/眼视光学院、眼科研究所/国家眼耳鼻喉疾病临床医学研究中心天津市分中心/天津市视网膜功能与疾病重点实验室 天津 300384
- 折叠
摘要
Abstract
Objective To explore the application value of the Plan-Do-Study-Act(PDSA)cycle in reducing the occur-rence of decomposed hospitalization for stroke disease under the Diagnosis Related Group(DRG)payment model and validate the effectiveness of strategies to reduce decomposed hospitalization.Methods Taking stroke cases participating in DRG payment from January 2022 to December 2022 in a tertiary hospital in Tianjin as the baseline,the criteria for decomposed hospitalization were determined based on the"Implementation Rules for DRG/DIP Network Audit(Trial)"issued by the Tianjin Medical Insur-ance Fund Settlement Center.A PDSA cycle plan was developed according to the document content,and the PDSA cycle was im-plemented from January to December 2023.The relationship between the number of decomposed hospitalizations before and after the PDSA cycle was analyzed using SPSS 20.0 to determine the actual application effect.Results After the PDSA cycle,the number of decomposed hospitalizations decreased from1268 cases to26 cases,a total decrease of 97.95%.The number of cases in each target subgroup and the frequency of factors leading to decomposed hospitalization all showed a significant decrease.Con-clusion The PDSA cycle plays a significant role in addressing the problem of decomposed hospitalization for stroke disease under the DRG payment model.It can effectively reduce the occurrence of decomposed hospitalization,improve the quality of medical insurance settlement lists and medical records,and standardize clinical diagnosis and treatment behavior.关键词
DRG支付/PDSA/分解住院/脑卒中Key words
DRG payment/PDSA/Decomposed hospitalization/Stroke分类
医药卫生引用本文复制引用
曹可,陈博年,林诗雨,伊越..PDSA循环在DRG付费模式下应对脑卒中病种分解住院问题的应用[J].现代医院,2024,24(7):1070-1074,5.
