Comparative Study on Service Efficiency of Medical Institutions in Guangdong under DRG Payment Method Reform
- VernacularTitle:DRG支付方式改革下广东省医疗机构服务效率研究
- Author:
Nanchuan LIANG
1
;
Zhixiang HUANG
1
;
Zhongjin YAO
1
Author Information
1. 广州中医药大学公共卫生与管理学院 广东 广州 510006
- Publication Type:Journal Article
- Keywords:
DRG;
payment method reform;
medical instituion;
service efficiency;
consumption index;
Guangdong
- From:
Chinese Hospital Management
2025;45(11):50-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the service efficiency and its differences among different types of medical institutions in Guangdong under the background of DRG payment reform,and to provide reference for optimizing regional medical insurance payment policies.Methods Using data from the Comprehensive Evaluation and Analysis Report on DRG Inpatient Medical Services in Guangdong Province in 2023,it compared the service efficiency differences among different types of medical institutions in Guangdong under the background of DRG payment reform,employing the length of stay consumption index,cost consumption index,and drug and consumable cost consumption index as research indicators.The Kruskal-Wallis H test was used to compare the service efficiency differences among different types of medical institutions in Guangdong,and linear regression analysis was applied to explore the relationship between the cost consumption index and the drug and consumable cost consumption index.Results There were statistically significant differences in the length of stay consumption index,cost consumption index,and drug and consumable cost consumption index among different types of medical institutions in Guangdong(P＜0.05).For the same disease group,the average length of hospital stay in Traditional Chinese Medicine hospitals is longer;the average hospitalization costs and drug expenditure per visit in tertiary public general hospitals are higher;while the average length of hospital stay and average hospitalization costs per visit in secondary public general hospitals,maternal and child health care hospitals,and county people's hospitals are relatively lower.Conclusion It needs to establish a quantitative management mechanism based on the DRG indicator system,improve dynamic adjustment and incentive policies for medical insurance payments,and optimize TCM-specific DRG grouping and payment standards,in order to systematically promote the reform of medical insurance payment methods.
