TY  - JOUR
AU  - Lv, Chen
AU  - Gong, Yi-Hong
AU  - Wang, Xiu-Hua
AU  - An, Jun
AU  - Wang, Qian
AU  - Han, Jing
AU  - Chen, Xiao-Feng
PY  - 2025
DA  - 2025/3/4
TI  - Correlation Between Diagnosis-Related Group Weights and Nursing Time in the Cardiology Department: Cross-Sectional Study
JO  - JMIR Med Inform
SP  - e65549
VL  - 13
KW  - diagnosis-related groups
KW  - nursing time
KW  - workload
KW  - human resources
KW  - nursing
AB  - Background: Diagnosis-related group (DRG) payment has become the main form of medical expense settlements, and its application is becoming increasingly extensive. Objective: This study aimed to explore the correlation between DRG weights and nursing time and to develop a predictive model for nursing time in the cardiology department based on DRG weights and other factors. Methods: A convenience sampling method was used to select patients who were hospitalized in the cardiology ward of Beijing Chest Hospital between April 2023 and April 2024. Nursing time was measured by direct and indirect nursing time. To determine the distributions of nursing time based on different demographics, a Pearson correlation was used to analyze the relationship between DRG weight and nursing time, and a multiple linear regression was used to determine the influencing factors of total nursing time. Results: A total of 103 subjects were included in this study. The DRG weights were positively correlated with direct nursing time (r=0.480; P<.001), indirect nursing time (r=0.394; P<.001), and total nursing time (r=0.448; P<.001). Moreover, age was positively correlated with the 3 nursing times (direct: r=0.235; indirect: r=0.192; total: r=0.235; all P<.001). The activities of daily living (ADL) score on admission was negatively correlated with the 3 nursing times (direct: r=−0.316; indirect: r=−0.252; total: r=−0.301; all P<.001). In addition, the nursing level on the first day of admission was positively correlated with the 3 nursing times (direct: r=0.333; indirect: r=0.332; total: r=0.352; all P<.001). Furthermore, the multivariate analysis found that the nursing level on the first day of admission, complications or comorbidities, DRG weight, and ADL score on admission were the influencing factors of nursing time (R2=0.328; F5,97=69.58; P<.001). Conclusions: DRG weight showed a strong correlation with nursing time and could be used to predict nursing time, which may assist in nursing resource allocation in cardiology departments. 
SN  - 2291-9694
UR  - https://medinform.jmir.org/2025/1/e65549
UR  - https://doi.org/10.2196/65549
DO  - 10.2196/65549
ID  - info:doi/10.2196/65549
ER  -