Catania H F, Ibrahim O M, Guasco S L, Catania P N
Am J Hosp Pharm. 1984 May;41(5):920-3.
Pharmacy charges at a 316-bed community hospital were analyzed using diagnosis-related groups (DRGs). All patients admitted to the hospital between January 1, 1983, and August 31, 1983, were retrospectively categorized by DRG. For the 20 most expensive DRGs for the pharmacy department in terms of pharmacy charges, the following data were compiled: number of patients, total pharmacy charges, mean hospital and pharmacy charges per patient, mean length of stay, pharmacy charges as a percentage of hospital charges, and DRG distribution and total pharmacy charges by major diagnostic category ( MDC ). A total of 10,550 patients were assigned to 390 DRGs. For the 20 most expensive DRGs, the mean total pharmacy charges and number of patients per DRG were $83,457 and 140, respectively. DRG 107 (coronary bypass) and MDC 5 (diseases and disorders of the circulatory system) had the highest pharmacy charges in the respective DRG and MDC categories. Pharmacy charges as a percentage of hospital charges ranged from 4.1% to 32% for the 20 most expensive DRGs. While there appeared to be a direct relationship between high hospital charges and length of stay for the most expensive DRGs, there did not appear to be a direct relationship between these two measures and high pharmacy charges. Until hospitals have data on actual cost per case and on cost per DRG for each department, analysis of pharmacy charge data by DRG for establishing pharmacy priorities may be a reasonable approach.
利用诊断相关组（DRG）对一家拥有316张床位的社区医院的药房收费情况进行了分析。对1983年1月1日至1983年8月31日期间入院的所有患者，按DRG进行了回顾性分类。就药房收费而言，针对药房部门最昂贵的20个DRG，收集了以下数据：患者数量、药房总收费、每位患者的平均住院和药房收费、平均住院天数、药房收费占医院收费的百分比，以及按主要诊断类别（MDC）划分的DRG分布和药房总收费。总共10550名患者被分配到390个DRG。对于最昂贵的20个DRG，每个DRG的平均药房总收费和患者数量分别为83457美元和140人。DRG 107（冠状动脉搭桥术）和MDC 5（循环系统疾病和病症）在各自的DRG和MDC类别中药房收费最高。最昂贵的20个DRG的药房收费占医院收费的百分比在4.1%至32%之间。虽然对于最昂贵的DRG，高医院收费与住院天数之间似乎存在直接关系，但这两项指标与高药房收费之间似乎不存在直接关系。在医院获得每个科室每个病例的实际成本和每个DRG的成本数据之前，按DRG分析药房收费数据以确定药房工作重点可能是一种合理的方法。
