李静 章环宇

[摘要] 目的 探讨DRGs在2型糖尿病患者精细化管理中的应用。 方法 通过信息软件调取本院自2017年5月至2018年12月的2型糖尿病患者750例为研究对象。收集所有2型糖尿病患者的住院时间、药占比等信息，利用临床路径、DRGs管理平台，纵向比与历史数据之间相比较，横向比则与收治同种疾病其他医生对照，与医院制订的各监测项目的目标值进行比较。观察实施DRGs前后，2型糖尿病患者的医疗质量（平均住院时间、住院费用、药占比等）情况、满意度及血糖指标。 结果 在实施DRGs后，2型糖尿病患者的平均住院时间短于实施前，住院费用、药占比低于实施前，差异有统计学意义（P<0.05）;实施后，2型糖尿病患者的服務总满意度高于实施前，差异有统计学意义（P<0.05）;实施后，2型糖尿病患者患者的糖化血红蛋白、空腹血糖明显低于实施前，差异有统计学意义（P<0.05）。 结论 在精细化管理2型糖尿病患者中应用DRGs，可以有效实现提高该类患者的医疗服务质量的目标，让患者真正体会到了医院的公益性，值得在医院中推广应用。

[关键词] DRGs;糖尿病;2型糖尿病;精细化管理

[中图分类号] R473          [文献标识码] B          [文章编号] 1673-9701（2021）24-0180-04

Application of DRGs in fine management of patients with type 2 diabetes mellitus

LI Jing   ZHANG Huanyu

Hemodialysis Room， No.1 People′s Hospital of Jingdezhen City in Jiangxi Province， Jingdezhen   333000， China

[Abstract] Objective To explore the application of Diagnosis Related Group System（DRGs） in fine management of patients with type 2 diabetes mellitus（T2DM）. Methods A total of 750 patients with T2DM in our hospital from May 2017 to December 2018 were selected by information software. The information of hospitalization days and drug proportion of all patients with T2DM were collected. Using clinical pathway and DRGs management platform， the historical data of the patients were compared vertically. The patients were compared horizontally with the same kind of patients treated by other doctors， and the patients′ data were compared with the target values of the monitoring items established by the hospital.To observe the medical quality （average hospitalization， hospitalization cost， drug ratio， etc.）， patients′ satisfaction and blood glucose indexes of patients with T2DM before and after the implementation of DRGS. Results After the implementation of DRGS， the average hospitalization days of type 2 diabetes patients was shorter than before， and the hospitalization expenses and drug proportion were lower than before， the difference was statistically significant（P<0.05）. After the implementation， the patients′ total satisfaction with type 2 diabetes was higher than that before the implementation， the difference was statistically significant（P<0.05）. After the implementation， the glycosylated hemoglobin and fasting blood glucose of patients were significantly lower than those before implementation， and the difference was statistically significant（P<0.05）. Conclusion The application of DRGs in the fine management of T2DM patients can effectively achieve the goal of improving the quality of medical services for such patients， so that patients can truly realize the public welfare of hospitals， which is worthy of popularization and application in hospitals.