Literature review on influence of case-based payment on hospitalization costs
10.3760/cma.j.issn.1000-6672.2018.12.013
- VernacularTitle:按病种付费对患者住院费用影响的文献研究
- Author:
Chunyan SONG
1
;
Wenqiang YIN
;
Yan HAN
;
Cheng CHENG
;
Anqi WANG
;
Lingyu LI
;
Jingwei LIN
;
Qianqian WU
;
He MA
;
Lili ZHU
;
Zhongming CHEN
;
Rizhen WANG
Author Information
1. 261053,潍坊医学院公共卫生与管理学院 "健康山东"重大社会风险预测与治理协同创新中心 健康相关重大社会风险预警协同创新中心
- Keywords:
Cost savings;
Case-based payment;
Inpatient costs;
Meta-analysis
- From:
Chinese Journal of Hospital Administration
2018;34(12):1026-1030
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematic review the influence of case-based payment on inpatient costs since China′s new medical reform. Methods Studies about inpatient costs before and after the implementation of case-based payment were collected. The literature collected underwent a meta-analysis by RevMan 5. 0. Results A total of 11 articles in compliance were included in the study. The meta-analysis of random effect model showed the overall effect size (SMD) was -1. 54 with 95% CI being -1. 79, -1. 29, showing a significant difference (P<0. 05). The subgroup analysis showed that the overall effect size (MD) in the low-cost disease group was -585. 57 yuan with 95% CI being -750. 34, -420. 80, showing a significant difference (P < 0. 05). The overall effect size (MD) in the high-cost disease group was-4 172.65 yuan with 95% CI being -5 368. 21, -2 977. 10, showing a significant difference ( P <0.05). The funnel plot was approximately symmetrical, suggesting a publication bias as less likely in the study. Conclusions The implementation of case-based payment has reduced the inpatient costs to some extent thanks to China′s new healthcare reform. And the effect in the high-cost disease group was more obvious than that in the low-cost disease group.
