[医院感染作为质量指标。基于疾病诊断相关分组的融资，它改变了治疗质量吗？]

[Hospital infections as quality indicators. DRG-based financing, did it change therapeutic quality?].

作者信息

Pettersen K I

机构信息

Avdeling for samfunnsmedisin, Statens institutt for folkehelse, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1995 Sep 30;115(23):2923-7.

PMID:7570520

Abstract

In 1991, four Norwegian hospitals switched from 100% global budgeting to a combination of 40% DRG-based per case payment and 60% fixed grant financing. In order to monitor quality of care, the prevalences of infections acquired in hospital were registered in medical and surgical departments during the two first years after changing the system of financing. The total cumulative prevalence of hospital acquired infections was 6.3%. There was no change in the occurrence of hospital acquired infections during the observation period. The prevalence of nosocomial infection was significantly higher among patients receiving long-term care than among other patients (18.9% vc. 4.2%, p < 0.0001).

摘要

1991年，挪威的四家医院从100%的整体预算制转变为40%基于诊断相关分组（DRG）的按病例付费与60%固定拨款融资相结合的方式。为监测医疗质量，在改变融资体系后的头两年里，对内科和外科病房中发生的医院感染患病率进行了登记。医院获得性感染的总累积患病率为6.3%。在观察期内，医院获得性感染的发生率没有变化。接受长期护理的患者中，医院感染的患病率显著高于其他患者（18.9%对4.2%，p<0.0001）。