Effectiveness of payment method reform for traditional Chinese medicine advantageous diseases:An empirical study from city S based on interrupted time series analysis
10.3969/j.issn.1674-2982.2024.10.005
- VernacularTitle:基于间断时间序列分析的中医优势病种支付方式改革效果研究
- Author:
Xiao-Yu ZHANG
1
;
Li-Li WANG
;
Shi-Wen ZHANG
;
Hui-Wen ZHANG
;
Sheng JI
;
Li-Mei JING
Author Information
1. 上海中医药大学公共健康学院 上海 201203
- Keywords:
Traditional Chinese medicine advantageous diseases;
Payment method;
Reform effectiveness;
Interrupted time series
- From:
Chinese Journal of Health Policy
2024;17(10):17-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To empirically assess the effectiveness of the payment reform for traditional Chinese medicine(TCM)advantageous diseases and provide a scientific foundation for optimizing the payment method in TCM.Methods:Data on TCM cases of patients discharged from January 2022 to August 2023 were collected from all TCM hospitals piloting the payment reform for TCM advantageous diseases in city S.Cases were screened according to the TCM disease codes of the 22 pilot diseases.An interrupted time series model was constructed based on the time point of reform implementation to analyze the effect of the reform in the pilot hospitals vertically.Additionally,the model compared the differences in effect between second-and third-tier TCM hospitals horizontally.Results:In secondary hospitals,the bed day cost increased by 219.05 yuan during the reform period,and both the average hospitalization cost per admission and average TCM cost per admission showed an upward trend after the reform.In tertiary hospitals,the average out-of-pocket cost per admission and bed day cost decreased following the reform,while the average length of hospital stay and average TCM cost per admission increased.These trends were more pronounced in comparison to secondary hospitals.Conclusion:The reform effects varied across different hospital levels.It is recommended to dynamically adjust the payment standards for disease categories,establish differentiated evaluation metrics,and continuously monitor the long-term outcomes of the reform to further optimize the payment methods for TCM advantageous diseases.
