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| Analysis of influencing factors of hospitalization expenses for patients with chronic obstructive pulmonary disease based on diagnosis related groups |
| Li Yongfeng1，Yu Chuhong2 |
1 Department of Medical Records, Jiangmen Central Hospital, Jiangmen 529030, China;
2 Medical Insurance Department, Jiangmen Central Hospital, Jiangmen 529030, China |
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Abstract Objective To explore the factors influencing the hospitalization expenses of patients with chronic obstructive pulmonary disease (COPD) in groups related to disease diagnosis. Methods The DRG evaluation of 989 COPD inpatients in a tertiary public hospital in Jiangmen City in 2019 was analyzed. The coefficient of variation CV was used for intra-group comparison, the rank sum test was used for inter-group comparison, and multiple linear regression was used for multivariate analysis of factors influencing hospital expenses. Results COPD patients were mainly distributed in three DRGs, including chronic airway obstructive disease with important comorbidities and concomitant diseases (ET11), chronic airway obstructive disease with comorbidities and concomitant diseases (ET13), and chronic airway obstructive disease without comorbidities and concomitants Disease (ET15). The grouping of ET11 was poor, and the grouping of ET13 and ET15 was better. The time index of the ET11 group was higher than 1, the time consumption index of the ET13 and ET15 groups was lower than 1, and the expense index of the 3 groups were all higher than 1. The difference in hospitalization expenses among the 3 groups was statistically significant. The influencing factors were the length of stay in hospital, rescue, age, and full self-finance for the group ET11; the influencing factors of hospitalization expenses in the ET13 group were the length of hospitalization and the new rural cooperative medical insurance; the influencing factors of hospitalization expenses in the ET15 group were the length of hospitalization. Conclusion DRGs can be used as a management tool to control the hospitalization expenses of COPD patients, and to reduce the hospitalization expenses of COPD patients, thereby to reduce patients′ disease burden.
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Received: 08 February 2021
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