The Effect of Type of Stroke and Modified Rankin Scale on the Consumption of Hospitalized Medical Resources Teaching Hospital in a Certain Area in the North DRG01401-01402 and DRG01405-01406 as Examples

• Main Authors: Mei-Ling Lin, 林美伶
• Other Authors: Bang-Han Chiu
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/65xj8z

碩士 === 元智大學 === 管理碩士在職專班 === 107 === In order to realize the influences of utilization of medical resources that Tw-DRGs system causes, this research is aimed to analyze whether there are differences in consumptions of medical resources-medical expenses and days of hospitalization-among clients who have various types of brain stroke-hemorrhagic and infarction-and those categorized in Modified Rankin Scale(MRS) in the same hospital. The research suggests that different types of brain stroke indeed lead to pronounced differences-the medical expenses of are reduced about $48,384 NTD than the hemorrhagic cost in total-in statistics. From the 1st to 5th level of MRS, the substantial differences are also found in the MRS among medical expenses and days of hospitalization. Every level rises in MRS will increases about $9,617 NTD of medical expenses and 0.41 days of hospitalization. The numbers of diagnosis have make pronounced differences in utilization of medical resources and days of hospitalization. There will be increases of $5,451 NTD medical expenses and 0.81 days. According to the research, it suggests that it will be helpful for stages of implementation of Tw-DRGs if we control the utilization of medical resources about head strokes appropriately. DRGs are classified as parcel payment, and it has complementary effect. Overall, the four sets of tentative payment of medical resources in DRG we got were in the properly scope. It will make the Tw-DRGs payment system more perfect if we subdivide the MRS into smaller degrees and give same disease different repayment.