Does Korea's current diagnosis-related group-based reimbursement system appropriately classify appendectomy patients?
Annals of Surgical Treatment and Research
;
: 66-73, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-164175
ABSTRACT
PURPOSE:
As several years have passed since the implementation of the Korean diagnosis-related group (DRG) payment system for appendicitis, its early outcomes should be assessed to determine if further improvements are warranted.METHODS:
We retrospectively analyzed clinical data from Korean patients who underwent appendectomy, dividing the sample into 2 groups of those who received services before and after implementation of the DRG system. Based on the DRG code classification, patient data were collected including the amount of DRG reimbursement and the total in-patient costs. We subsequently performed univariate and multivariate analyses to identify independent factors contributing to higher total in-patient cost.RESULTS:
Although implementation of the DRG system for appendicitis significantly reduced postoperative length of stay (2.8 ± 1.0 days vs. 3.4 ± 1.9 days, P 70 years) have greater comorbidities, which contribute to higher inpatient costs. Thus, our study suggests that patient age be considered as a DRG classification variable.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Apendicectomia
/
Apendicite
/
Comorbidade
/
Análise Multivariada
/
Estudos Retrospectivos
/
Classificação
/
Grupos Diagnósticos Relacionados
/
Custos Hospitalares
/
Pacientes Internados
/
Tempo de Internação
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Annals of Surgical Treatment and Research
Ano de publicação:
2016
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS