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| Analysis of medical service radius of a hospital from the perspective of DRGs |
| Jiang Guojian, He Guobin, Xu Minhui, Zheng Pan, Zhu Jingjing, Guo Jiayi |
| Affiliated Jinhua Hospital, School of Medicine, Zhejiang University, Jinhua 321000, China |
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Abstract Objective To provide the decision-making basis for the scientific development planning of the hospital, by analyzing the medical service radius and its variation trend of a hospital. Methods The first page information of medical records and DRGs operation indicators from 2016 to 2019 were obtained, and the changes of various business indicators were statistically analyzed according to the administrative region of the patients′ current address. Results The number of discharged patients and DRGs group in all regions of the hospital increased year by year, and the patient composition ratio at city level decreased year by year (χ2trend=441.74, P<0.001). The CMI value was higher in patients from other cities than from local city. MDCY (burns), MDCN (diseases and dysfunction of the female reproductive system), MDCQ (diseases and dysfunction of the blood, hematopoietic and immune organs) and other MDC as well as orthopedics and traumatology, neurosurgery, and cardiothoracic surgery showed increased regional radiation capacity. Conclusion On the whole, the radiation scope of medical services in a hospital has been expanding year by year. In the future, measures such as continuous improvement of medical quality and efficiency, active implementation of graded diagnosis and treatment, and strengthening of discipline construction should be taken to provide more high-quality and efficient medical services for patients in the local city and surrounding area.
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Received: 18 August 2020
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