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该研究的目的是依据妇科病人年龄的差异分析医院资源的消费情况并调查医院如建立按诊断分类定额支付制度(DRG)是否行之有效。作者在15个月期间对住在一所专科院校医疗中心的所有妇科病人(N=2232)用DRG的方式进行按年龄分析。一般讲老年病人的消费额较高。住院时间长短、使用监护病房、输血的需求、医院总的耗资随年龄增大而增加。虽然DRG制度对每个病人的平均补贴也随年龄的增大而升高,但65岁及65岁以上的病人补贴最高。除了75～79岁年龄组的病人以外,按照DRG对老年病人提供医疗,我们医院没有亏本。尽管老年病人比年轻病人医院耗费大,但目前的DRG似乎足够补偿我们医院病人的医疗费用。
The purpose of this study is to analyze the consumption of hospital resources based on the differences in the age of gynecological patients and to investigate whether hospitals are effective in setting up a DRG system. The authors analyzed the age of all gynecological patients (N=2232) living in a medical school of a specialist college during the 15 months using DRG. Generally speaking, elderly patients have higher spending. The length of stay, the use of guardianship wards, the need for blood transfusions, and the total cost of the hospital increase with age. Although the average allowance for each patient in the DRG system also increases with age, the highest subsidies are for patients aged 65 and over. With the exception of patients in the age group 75 to 79 years old, according to the DRG to provide medical care for elderly patients, our hospital did not lose money. Although elderly patients are more expensive than younger patients’ hospitals, the current DRG appears to be sufficient to compensate the medical expenses of our hospital patients.