Volume 24 Issue 2
Feb.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(2): 318-320
GU Xiaomin, CHEN Yinan. Analysis of the improvement effect of defective medical record homepage from the perspective of diagnosis related groups[J]. Chinese Journal of General Practice, 2026, 24(2): 318-320. doi: 10.16766/j.cnki.issn.1674-4152.004388
Citation: GU Xiaomin, CHEN Yinan. Analysis of the improvement effect of defective medical record homepage from the perspective of diagnosis related groups[J]. Chinese Journal of General Practice, 2026, 24(2): 318-320. doi: 10.16766/j.cnki.issn.1674-4152.004388
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Analysis of the improvement effect of defective medical record homepage from the perspective of diagnosis related groups

doi: 10.16766/j.cnki.issn.1674-4152.004388

  • Medical Record Management Center of Huzhou Central Hospital, Huzhou, Zhejiang 313000, China

Funds:

 YLZLXZ23G111

 2023KY1173

  • Received Date: 2025-02-16
    Available Online: 2026-04-11
    Abstract
  •   Objective  To analyze the impact of the quality of filling in the medical record homepage on the grouping of diagnosis related groups (DRGs) and the settlement of medical insurance expenses, and to explore the effect of quality control measures on improving defective medical record homepages, thereby enhancing hospital DRG management.  Methods  We conducted a retrospective analysis of 8 776 inpatient discharge records with defects in the medical record homepage from Huzhou Central Hospital in 2022. Using data before and after the quality-control (QC) intervention. We compared differences in key indicators, including case inclusion rate, number of DRG groups, cost consumption index, time consumption index, and reimbursement balance.  Results  After QC, the case inclusion rate increased from 91.12% (8 014 cases) to 99.78% (8 776 cases). Cases in the normal-multiplier group rose to 7 650 (87.17%), while those in the high-multiplier group decreased to 524 (5.97%). The number of DRG groups increased by 19, and the case-mix index decreased by 0.22. The cost and time consumption indices declined from 1.14 and 1.21 to 1.01 and 1.02, respectively. The reimbursement balance also improved, most notably in digestive system diseases, where it shifted from CNY -2.216 9 million to CNY -0.169 2 million. All pre- vs. post-QC comparisons were statistically significant (P < 0.05).  Conclusion  The introduction of quality control measures significantly improves the quality of filling in the medical record homepages, optimizes case classification and resource allocation, reduces medical expenses and time consumption, and improves DRG management and medical service efficiency. These measures effectively enhance the hospi-tal's overall management and medical quality of practice, providing valuable references. Future work should continue to deepen quality control measures and explore more innovative management strategies to further improve the medical service quality and efficiency.

     

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