1. a. Department of Computer Applications and Management| b. Department of Medical Engineering, The 900th Hospital of The PLA
Joint Logistics Support Force, Fuzhou Fujian 350025, China|
2. Department of Information, The 960th Hospital of The PLA Joint Logistics Support Force, Jinan Shandong 250031, China
Abstract：Objective In order to solve the problem that diagnosis related groups (DRGs) payment not only meets the treatment needs but does not exceed the payment standard, based on the clinical path of the hospital information system, the DRGs cost management and control system is designed to standardize diagnosis and treatment while effectively reducing medical costs. Methods The method of automatically matching DRGs, path cost templates, and off-path doctor’s order monitoring were adopted to realize pre-expense calculation, in-process cost comparison reminder, and post-expense statistical analysis. Results The system could effectively control the cost of DRGs in the course of normal diagnosis and treatment. T test was used to compare the difference of the average hospitalization expenses between before and after the use of the system in the four clinical pathways. After useing the average hospitalization expenses decreased by 5.8%. Conclusion The system is characteristic with optimized management of hospital resources and effective use of resources to make patients get better results.
于海铸1a，吴剑威1b，陈大鹏1a，王兴强2. 基于HIS临床路径的DRGs费用管控系统的设计与实现[J]. 中国医疗设备, 2020, 35(9): 120-123.
YU Haizhu1a，WU JianWei1b，CHEN Dapeng1a，WANG Xingqiang2. Design and Implementation of DRGs Cost Management System Based on
HIS Clinical Pathway. China Medical Devices, 2020, 35(9): 120-123.
