Evaluation of the effect of DIP payment method reform on cost control of a third-class hospital in Henan Province
Objective To explore the effect of Diagnosis-Intervention Packet(DIP)on the hospitalization expenses of patients in public hospitals,evaluate the effectiveness of cost control of DIP,and provide references for optimizing medical expense structure and promoting refined management in public hospitals.Methods A total of 2,078,923 information of front page of medical records of discharged patients from a third-class hospital in Henan Province from 2021 to 2023 were collected.By screening the top ten diseases of discharges,69,934 valid data were obtained.Non-parametric test,grey relational analysis and structural variation were employed to analyze changes of hospitalization expenses.Results After the reform of DIP payment method,the total cost of inpatients and average cost per hospitalization have decreased significantly,and the inspection and laboratory examination fees were the most related to the total cost per hospitalization.The structural variation degree of medical cost of the top ten diseases was 14.32%from 2021 to 2023.The contribution rates of structural variation in descending order were material fees(29.36%),inspection and laboratory examination fees(25.64%),western medicine fees(20.64%),medical service fees(17.49%),traditional Chinese medicine fees(6.81%),and other fees(0.06%).Conclusions The DIP payment method effectively controls hospitalization expenses of patients and plays a guiding role in optimizing the cost structure of public hospitals.Material fees,with a relatively high structural contribution rate,are the main factor affecting the variation of average expenses per hospitalization.
DIPhospitalization expensestop ten diseasesstructural variation degreegrey relational analysis
万方数据
维普
