Refined operational management practices in public hospitals based on disease analysis under the back-ground of disease type-based payment
10.3969/j.issn.1671-332X.2024.10.028
- VernacularTitle:按病种分值付费背景下基于病种分析的公立医院精细化运营管理实践
- Author:
Xinwei WANG
1
;
Ning ZHU
;
Shunqin CHEN
;
Qingchen YANG
Author Information
1. 长江大学附属第一人民医院//荆州市第一人民医院 湖北荆州 434000
- Keywords:
DIP;
Disease analysis;
Refinement;
Multidisciplinary operation
- From:
Modern Hospital
2024;24(10):1579-1583
- CountryChina
- Language:Chinese
-
Abstract:
Objective In response to the new landscape of the DIP payment reform,this study uses a public tertiary comprehensive hospital in Jingzhou as a case study.By focusing on disease analysis,it explores refined operational management strategies to promote the hospital's transformation,upgrade,and operational efficiency.Methods Starting from July 2022,a problem-oriented approach was employed to analyze the characteristics of disease structure using methods such as the Boston Ma-trix,Pareto Analysis,and the Onion Method.A multidisciplinary operational management model was adopted to provide targeted supervision to departments for improving diagnosis and treatment processes,optimizing disease types and cost structures,and im-plementing refined management.Results The sample departments showed continuous growth in medical service capabilities,with the number of disease types increasing by 5.76％year-on-year and the number of discharges rising by 20.9％.The CMI val-ue for DIP-related drug consumption increased by 0.22.The economic structure improved significantly,with average drug costs per inpatient decreasing by 14.19％and average material costs dropping by 30.62％.Medical insurance settlements saw substan-tial improvement,with losses reduced by over 80％.Operational efficiency was notably enhanced,with the average length of stay decreasing by 1.0 days year-on-year.Patient experience improved,with satisfaction rates exceeding 97％.Conclusion The re-fined operational management model based on disease analysis under the DIP framework can facilitate efficient hospital operations,promote rational use of medical insurance funds,and effectively reduce patient burdens,leading to a win-win situation for all stakeholders.
