Analysis of the effects of specialized disease management policy based on difference-in-differences model
10.3969/j.issn.1671-332X.2024.06.022
- VernacularTitle:基于双重差分模型的专病管理政策效果分析
- Author:
Shaoying ZENG
1
;
Ye TIAN
;
Bo LIU
;
Lei QI
;
Yang LOU
;
Yanhong LI
;
Jinghui NAN
Author Information
1. 华中科技大学同济医学院附属协和医院 湖北武汉 430022
- Keywords:
Specialized disease management;
Difference-in-differences model;
DRG payment reform;
Operations man-agement
- From:
Modern Hospital
2024;24(6):897-900
- CountryChina
- Language:Chinese
-
Abstract:
Objective Analyze the implementation effects of the specialized disease management policy(hereinafter re-ferred to as the policy)to provide reference for strengthening operational management and enhancing the integration of business and finance in public hospitals.Methods Patient information of inpatients from a large comprehensive tertiary hospital from Jan-uary 2022 to June 2023 was collected.Four out of ten single diseases focused on by the national tertiary public hospital perform-ance assessment were included in the study group for specialized disease management,while the remaining six were used as the control group.A difference-in-differences model was adopted to analyze the changes in relevant indicators such as per capita inpa-tient expenses,average length of stay,per capita drug expenses,per capita consumable expenses,and per capita examination and treatment expenses before and after the policy implementation.Additionally,the effects of policy implementation were further analyzed based on different medical insurance types.Results A total of 22 457 patients were included,with 5 879 patients in the study group(3 164 cases before policy implementation and 2 715 cases after policy implementation),and 19 741 patients in the control group.The difference-in-differences model analysis showed that after the policy implementation,per capita inpatient expenses for specialized disease management patients decreased by 32.7％,average length of stay decreased by 31.4％,drug ex-penses decreased by 49.5％,consumable expenses decreased by 24.2％,and examination and treatment expenses decreased by 29.2％.Moreover,compared to patients under non-Wuhan medical insurance,patients under Wuhan medical insurance experi-enced a greater reduction in related indicators.Conclusion The implementation of the policy effectively reduces the burden on patients seeking medical care,improves medical treatment efficiency,contributes to hospital refined management methods,deep-ens the integration of business and finance,and facilitates the transition towards leaner operations.
