Taiwan, continued aging of the population, can be expected to total knee arthroplasty people will increase. In this study, the diagnosis related group as the main import , investigate hospitalization before and after it is implemented, and examine whether effective use of resources and control costs and enhance quality of care.
The data from the National Health Insurance Research Database , collected 2009 to 2010 and 2011 to 2012. Apply Health Behavioral Model, analysis length of hospital stay and medical costs of TKR , and according to ICD9CM_CODE of postoperative complications.
Tw-DRGs after implementation , length of hospital stay significantly reduced ; medical costs are partly to reduce spending. On the performance of complications , anemia, venous thrombosis and peptic ulcer was growing trend.
The intervention Tw-DRGs , urge the government to make health-care system and the promotion of patient instructions should have a clear direction , so that patients get the care and quality more perfect.