Discussion on the implementation effect of the integrated traditional Chinese and western medicine DRG payment model in traditional Chinese medicine hospitals
10.3969/j.issn.1671-332X.2025.06.023
- VernacularTitle:中西医DRG结合付费模式在中医医院的实施效果探讨
- Author:
Xiuling GAO
1
;
Zhitao LIU
;
Xiaomin JIANG
;
Shantao ZHANG
;
Jihu ZHONG
;
Ruwei ZHANG
;
Jiyuan SHI
;
Peng QI
;
Yanzheng QU
Author Information
1. 烟台市牟平区中医医院 山东烟台 264100
- Publication Type:Journal Article
- Keywords:
DRG payment model;
Integration of traditional Chinese medicine DRG with western medicine DRG;
Devel-opment of traditional Chinese medicine characteristics
- From:
Modern Hospital
2025;25(6):910-912,916
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and analyze the implementation effect of the combined traditional Chinese medicine(TCM)and Western medicine DRG payment model in TCM hospitals,aiming to provide a reference for the reform of medical in-surance payment methods in such hospitals.Methods R language was utilized to statistically analyze the costs and other indica-tors of the sample hospitals before and after the implementation of the combined TCM and Western medicine DRG payment within 1-2 years.Results Following the implementation of the combined TCM and Western medicine DRG payment,there was a de-crease in average hospitalization costs and average length of stay,accompanied by an increase in CMI(average weight).The cost structure underwent changes:the proportions of western medicine fees and auxiliary examination fees decreased,whereas the pro-portion of TCM treatment fees increased.Significant statistical differences were observed in each group of data(p＜2.2e-16).Conclusion The combined TCM and Western medicine DRG payment reform model can facilitate TCM hospitals in reducing medical costs,controlling medical expenses,optimizing the cost structure,and promoting the development of TCM diagnosis and treatment characteristics.
