Impact Analysis of Pricing Adjustment Policies on Hospitalization Expenses for Joint Arthroplasty from 2011 to 2023
- VernacularTitle:2011-2023年骨关节置换手术住院费用影响因素分析
- Author:
Junli WEI
1
;
Xin WANG
1
;
Xin LI
1
Author Information
1. 首都医科大学附属北京友谊医院 北京 100050
- Publication Type:Journal Article
- Keywords:
joint replacement;
average cost per visit;
influencing factor
- From:
Chinese Health Economics
2025;44(11):91-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the determinants of hospitalization costs for joint replacement surgeries in a tertiary public hospital in Beijing from 2011 to 2023.Methods:Structural variation degree,grey relational analysis,and multiple linear regression were applied to assess the impact of policy reforms and clinical factors.Results:Average hospitalization cost per visit decreased markedly in 2013,rose steadily to a peak in 2019,and then declined.Medical pricing policies significantly influenced both cost levels and structure.Material cost consistently showed the strongest association with total cost,while treatment cost became the second most influential factor after four rounds of price adjustments.Length of stay,number of secondary diagnoses,number of additional surgeries,number of procedures,and ICU admission had impact on the average hospitalization cost per visit,with statistical significance.Conclusion:Price adjustments for consumables and treatment services are the main drivers of average hospitalization costs for joint replacement surgeries.Further optimization of cost structures and medical service pricing is required to better reflect labor value,while the labor value is required to be promoted.The length of stay and operation amount have impact on the average hospitalization cost per visit.It is needed to focus on improving efficiency and care quality.
