现代医院2025，Vol.25Issue(5)：713-717,5.DOI:10.3969/j.issn.1671-332X.2025.05.015
DRG支付背景下达芬奇机器人手术耗材精细化管理的效果研究
Effect of refined management of da vinci robot surgical consumables under the DRG payment system
王宝嘉 1贺吉群 1陈静 1肖映平 1李蓓 1高慧敏1
作者信息
- 1. 中南大学湘雅医院临床护理学研究室 湖南长沙 410008
- 折叠
摘要
Abstract
Objective To evaluate the effectiveness of implementing precise management for Da Vinci robotic surgical consumables under the Diagnosis Related Group(DRG)payment system.Methods This retrospective case-control study ana-lyzed 200 patients undergoing Da Vinci robotic lung resection surgery in a tertiary hospital:100 cases from May to June 2022 as the control group,and 100 cases from May to June 2023 with implemented precision management as the observation group.The control group did not implement the payment according to DRG,while the observers implemented payment according to DRG and optimized refined management of Da Vinci robotic surgical consumables.Hospitalization duration,intraoperative costs,and utili-zation of high-value consumables were compared between the two groups.Results No statistically significant differences(P＞0.05)were observed between the two groups in terms of gender,age,medical insurance status,operative time,or intraoperative blood loss.The observation group exhibited a significantly shorter hospitalization duration(8.29±4.13 vs.10.47±4.57 days;P＜0.05),and higher surgical costs[(11 366.81±2 504.23)RMB vs.(8 716.07.78±256.34)RMB,P＜0.05]compared with the control group.Conclusion DRG-oriented precision management optimizes resource utilization through shortened hospi-talization time and rationalizes cost allocation,and sustainable consumable consumption patterns,demonstrating effective balance between clinical quality and economic efficiency under healthcare payment reforms.关键词
DRG支付/达芬奇机器人/手术/费用/耗材/精细化管理Key words
DRG payment/Da Vinci robots/Surgery/Costs/Consumables/Refined management分类
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王宝嘉,贺吉群,陈静,肖映平,李蓓,高慧敏..DRG支付背景下达芬奇机器人手术耗材精细化管理的效果研究[J].现代医院,2025,25(5):713-717,5.
