Evaluation of the implementation effects of DRG-based payment for a single disease in a tertiary tradi-tional Chinese medicine hospital
10.3969/j.issn.1671-332X.2024.10.005
- VernacularTitle:某三甲中医医院DRG付费实施效果评价
- Author:
Keyu CHEN
1
;
Miaojie QI
;
Zhongxun LIU
Author Information
1. 首都医科大学附属北京中医医院 北京 100010
- Keywords:
Tertiary traditional chinese medicine hospital;
Disease diagnosis related groups;
Payment effects
- From:
Modern Hospital
2024;24(10):1490-1494
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the impact of DRG-based payment on inpatient costs for a single disease in a tertiary traditional Chinese medicine hospital.Methods This study focused on the inpatient information of patients with the DRG group FM19(percutaneous coronary artery stenting)in the cardiology department of a tertiary traditional Chinese medicine hospital from January 2020 to December 2021.We utilized Stata 15 statistical software and applied interrupted time series models and differ-ence-in-differences methods to evaluate the cost changes before and after DRG-based payment.Results After the implementa-tion of DRG-based payment,the annual average total cost for the FM19 group decreased by 26 503.62 yuan(P＜0.001),and the annual average cost of consumables decreased by 23 937.32 yuan(P＜0.001).The overall costs of traditional Chinese medi-cine and herbal treatments in the FM19 group significantly decreased(P＜0.05).For patients with angina,total costs,consum-able costs,and medication costs showed an overall decreasing trend;however,for patients with myocardial infarction,the reduc-tion in medication costs was not significant,while total costs and consumable costs decreased significantly.Conclusion The im-plementation of DRG-based payment for this disease type has shown significant cost control effects,with a notable decrease in the costs of traditional Chinese medicine treatments.Tertiary traditional Chinese medicine hospitals should proactively prepare to re-spond to and adapt to payment reforms.
