Impact of DRG Payment Method Reform on Hospitalization Costs and Structures of Traditional Chinese Medicine Hospitals
- VernacularTitle:DRG支付方式改革对中医医院住院费用及结构的影响
- Author:
Meng'en CHEN
1
;
Youshu YUAN
;
Yan WANG
;
Haojia HOU
;
Jingyu YANG
;
Zhiwei WANG
Author Information
1. 北京中医药大学中医学院 北京 102400;北京中医药大学管理学院 北京 102400
- Publication Type:Journal Article
- Keywords:
DRG;
traditional Chinese medicine hospital;
hospitalization costs;
two groups interrupted time-series model
- From:
Chinese Health Economics
2025;44(3):18-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the impact of DRG payment method reform on hospitalization costs and structure in traditional Chinese medicine hospitals.Methods:Using the cost data of hospitalized patients from 2017 to 2022 for public traditional Chinese medicine hospitals in Qingyang and Tianshui,descriptive statistics and two groups interrupted time-series models were implemented to compare the changes before and after DRG payment method reform.Results:DRG payment method reform had no effective impact on the secondary traditional Chinese medicine hospital's average hospitalization costs,average Chinese medicine costs,and average western medicine costs(P＞0.05),but the average proportion of western medicine costs showed an obvious downward trend after the reform(β9=-0.19,P＜0.01).DRG payment method reform resulted in tertiary traditional Chinese medicine hospitals turning to obvious decreasing trends in average hospitalization costs,average Chinese medicine costs,and average western medicine costs(P＜0.05),while the pre-reform decreasing trends in the average proportion Chinese medicine costs share of both secondary and tertiary traditional Chinese medicine hospitals were curbed in the post-reform period.Conclusion:DRG payment method reform had effectively controlled hospitalization costs,Chinese medicine costs,and western medicine costs of tertiary traditional Chinese medicine hospitals,while the cost control of secondary traditional Chinese medicine hospitals has been ineffective,probably contributing to the enhancement of the use of Chinese medicine and the average proportion of Chinese medicine costs.DRG payment method reform for Chinese medicine should strengthen the supervision of costs,actively utilize the advantages of the characteristics of Chinese medicine,and promote the differentiated reform of traditional Chinese medicine hospitals.
