The Exploration of Medical Resources Utilization amoung Total Knee Replacement in DRGs-An example of a regional teaching hospital

[[abstract]]Background and goal: Based on the health insurance bureau announcement in 2009, the medical expenses pay the amount 443.6billion , increased 67.4% compared with 2008 . Simultaneously population structure's aging is also continuing, therefore it might anticipate that people who accept the Total knee replacement will increase in the future. So the government have to control the related medical resources and to distribute suitably. Therefore, this study analyzes a central regional hospital during the implementation of DRG in total knee replacement surgery after the cost of medical resources, with a view to increasing the understanding of medical expenses and quality control. Research technique: The use of a regional teaching hospital in central Republican National Health Insurance 1998 and 1999 cost report files to SPSS17.0 software, descriptive statistics, single factor analysis of variance, and regression analysis of factors affecting consumption of medical resources. The results: The total medical costs, medical fees, the actual length of stay and gender, and men than in women; treatment and disposal fees, anesthesia fees are age-related; other ward fees, medicines are and whether postoperative infection. Conclusions and recommendations: In recent years, the quality of care of the medical institutions are due to changes in payment systems vary in the hospital under the pressure of business, how to avoid homes with severe and mild patients admitted to the scenarios, in addition to adjusting health care payment system, also need to strengthen the education of clinical staff, so as not to damage the interests of patients and health care disputes event