The Impact of DRG on the Medical Expenses of Inpatients and the Utilization of Traditional Chinese Medicine Services——Taking a Tertiary Traditional Chinese Medicine Hospital as an Example
Objective:The paper evaluates the effect of DRG payment method reform on the medical expenses of inpatients in traditional Chinese medicine(TCM)hospitals and the utilization of TCM services.Methods:A pre-post study design was conducted and the data of 508 discharged patients was collected from the first page of medical records in Z Hospital in N City 12 months before and after the reform.Propensity score matching method was used to analyzed the effect of DRG reform on hospitalization cost and TCM service utilization.Results:After the implementation of DRG reform,the total inpatient cost of the three diseases decreased,the cost of western medicine and consumables showed a downward trend,the cost of TCM increased significantly,and the utilization rate of TCM equipment increased by 23.38%.Multivariate regression showed that the average hospitalization cost decreased by 35%after the implementation of DRG reform,and the DRG reform policy and length of stay are important factors affecting the average hospitalization cost.Conclusion:DRG reform decreased inpatient costs and increased the use of TCM services.Clinical pathways for TCM treatment should be strengthened to promote rational use of TCM services.
DRGpropensity score matching methodaverage hospitalization costthe utilization of TCM services
NETL
NSTL
万方数据
