Analysis of Influencing Factors of Overspending of Patients Under Single Disease Payment Model——Taking Removing Internal Fixation Device for Fracture as an Example
Analysis of Influencing Factors of Overspending of Patients Under Single Disease Payment Model——Taking Removing Internal Fixation Device for Fracture as an Example
Objective:Taking the surgery of removing internal fixation device for fracture as an example,the paper explores the influencing factors of overspending under the single disease payment model to provide management strategies for hospitals.Methods:The data were collected from a tertiary hospital in Guangzhou,and the influencing factors of overspending were analyzed by Logistic model.Results:From 2019 to 2023,the average cost per patient decreased from 8891.38 yuan to 8080.00 yuan,but the overspending rate per year was high(26.56％-50.88％).The length of stay,surgical site,type of anesthesia and operation type increased the risk of overspending.Conclusion:Hospitals should shorten the number of days in hospital and make the surgical anesthesia list to improve fine management,and the healthcare security department are supposed to differentiate the payment standards based on the type of surgery.
关键词
单病种支付/取除骨折内固定装置/费用超标/影响因素
Key words
single disease payment model/removing internal fixation device for fracture/overspending/influencing factor
万方数据