ค่าบริการและการจ่ายเงินแบบกลุ่มวินิจฉัยโรคร่วมของผู้ป่วย หอผู้ป่วยเวชศาสตร์ฟื้นฟู โรงพยาบาลศิริราช

ค่าบริการและการจ่ายเงินแบบกลุ่มวินิจฉัยโรคร่วมของผู้ป่วย หอผู้ป่วยเวชศาสตร์ฟื้นฟู โรงพยาบาลศิริราช

Authors

  • กมลทิพย์ หาญผดุงกิจ
  • ชาภา ภู่ประเสริฐ

Keywords:

inpatient rehabilitation service, hospital charge, DRGs payment

Abstract

Objective: To study hospital charges and diagnosis related groups (DRGs) payment of inpatients admitted at rehabilitation ward, Siriraj Hospital

Study design: Descriptive study .

Setting: Rehabilitation ward, Siriraj Hospital

Subjects: All patients admitted to rehabilitation ward and discharged during February 22 to June 28, 2014

Methods: Data collected from medical records and financial division of Siriraj Hospital

Results: Sixty patients were studied: 50 (83.3%) were admitted from outpatient clinic and 10 (16.7%) were transferred from other wards. The most common principal diagnosis was spastic hemiplegia (31.7%). Mean length of stay (LOS) was 23.4 (SD 14) days. The average hospital charge of the total population, OPD group and transfer group were 74,102 (SD 64,110.4), 54,453.9 (SD 30,782.6) and 172,343.2 (SD 94,429.6) baht respectively while the average diagnosis related group (DRGs) payment of the total population, OPD group and transfer group were 44,777.8 (SD 65,323.7), 26,693.8 (SD 18,081.5) and 126,977.4 (SD 122,202.8) baht respectively. Spastic hemiplegia patients had highest mean hospital charge (60,497.4, SD 31,082 baht). Relative weight of transferred group (6.6) were significantly higher than those of OPD group (2.03) (P=0.002). Mean Barthel index (BI) increased significantly from 10.8 (SD 5.3) at admission to 13.3 (SD 5) at discharge (p<0.001).

Conclusion: Most patients were spastic hemiplegia. Mean LOS was about three weeks. Hospital charges were much more than the DRGs payments. And rehabilitation can improve patients’ function.

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Published

2016-12-30