Evidence map›Paper›PMID 32607325›Full record

ArticleWorld journal of clinical cases2020

Research on diagnosis-related group grouping of inpatient medical expenditure in colorectal cancer patients based on a decision tree model.

Suo-Wei Wu, Qi Pan, Tong Chen

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Article in World journal of clinical cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

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24citing papers in PubMed
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3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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  18. Application of DRGs in hospital medical record management and its impact on service quality.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Suo-Wei WuDepartment of Medical Administration, Beijing Hospital, Beijing 100730, China.
Qi PanDepartment of Medical Administration, Beijing Hospital, Beijing 100730, China.
Tong ChenDepartment of Medical Administration, Beijing Hospital, Beijing 100730, China. chentong@bjhmoh.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2018, the diagnosis-related groups prospective payment system (DRGs-PPS) was introduced in a trial operation in Beijing according to the requirements of medical and health reform. The implementation of the system requires that more than 300 disease types pay through the DRGs-PPS for medical insurance. Colorectal cancer (CRC), as a common malignant tumor with high prevalence in recent years, was among the 300 disease types.

aimTo investigate the composition and factors related to inpatient medical expenditure in CRC patients based on disease DRGs, and to provide a basis for the rational economic control of hospitalization expenses for the diagnosis and treatment of CRC.

methodsThe basic material and cost data for 1026 CRC inpatients in a Grade-A tertiary hospital in Beijing during 2014-2018 were collected using the medical record system. A variance analysis of the composition of medical expenditure was carried out, and a multivariate linear regression model was used to select influencing factors with the greatest statistical significance. A decision tree model based on the exhaustive

resultsThe average hospital stay of the 1026 CRC patients investigated was 18.5 d, and the average hospitalization cost was 57872.4 RMB yuan. Factors including age, gender, length of hospital stay, diagnosis and treatment, as well as clinical operations had significant influence on inpatient expenditure (

conclusionIt is important to strengthen the control over the use of drugs and management of the hospitalization process, surgery, diagnosis and treatment to reduce the economic burden on patients. Tailored adjustments to medical payment standards should be made according to the characteristics and treatment of disease types to improve the comprehensiveness and practicability of the DRGs-PPS.

Indexed as

Colorectal cancerDiagnosis-related groupsHealth care costLength of stay

Identifiers

PMID32607325
PMCPMC7322429

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.