中国卒中杂志2024，Vol.19Issue(8)：866-872,7.DOI:10.3969/j.issn.1673-5765.2024.08.002
脑心共患疾病共治与分治模式的卫生经济学比较研究
A Comparative Study of Health Economics of Co-Management and Separate Management Models for Brain-Heart Comorbidity Diseases
摘要
Abstract
Objective To evaluate the health economic benefits of the co-management and separate management models for patients with brain-heart comorbidity diseases,to determine better medical strategy,and to improve treatment efficiency and financial benefits. Methods This study used a retrospective analysis method to collect the medical records of patients who were clarified into both neurological disorders and dysfunction(code MDCB)and cardiovascular diseases(code MDCF)following the Chinese diagnosis related groups(CN-DRG)method,and received treatment at the department of cardiovascular,department of neurology,department of neurosurgery,department of cardiovascular surgery,and department of interventional radiology of Beijing Tiantan Hospital,Capital Medical University from January 2019 to December 2023.The data including demographic characteristics,total length of hospital stay,various medical expenses,case mix index(CMI),and relative weight(RW)were recorded.Patients were divided into two groups:a co-management group(comprehensive treatment of cerebrovascular and cardiovascular diseases during a single hospitalization)and a separate management group(treatment of neurological and cardiovascular diseases during separate hospitalizations).The baseline characteristics and economic indexes including the total length of hospital stay and medical expenses were compared between the two groups. Results A total of 442 patient data were included.The total length of hospital stay in the co-management group was significantly shorter than that in the separate management group(6 days vs.14 days,P＜0.001).The economic benefit analysis showed that the total cost in the co-management group was significantly lower than that in the separate management group(¥65 967 vs.¥106 673,P＜0.001).In addition,the RW value in the co-management group was significantly higher than that in the separate management group(2.24 vs.1.61,P＜0.001). Conclusions Compared with the separate management model,the co-management model provides shorter hospital stays and lower total costs for patients with brain-heart comorbidity diseases,which is of great significance for optimizing the allocation of medical resources and the patient's diagnosis and treatment process.关键词
脑心共患疾病/共治/卫生经济学/资源配置/诊疗流程Key words
Brain-heart comorbidity disease/Integrated treatment/Health economics/Resource allocation/Diagnostic and treatment process分类
医药卫生引用本文复制引用
夏岩,王晓岩,林发,梁艳超,张佳妮..脑心共患疾病共治与分治模式的卫生经济学比较研究[J].中国卒中杂志,2024,19(8):866-872,7.基金项目
国家重点研发计划(2021YFC2501101) （2021YFC2501101）
