Influence of the Reform of Public Hospital Department Performance Scheme on the Hospitalization Expenses of DIP Patients:Analysis Based on Interruption Time Series
Influence of the Reform of Public Hospital Department Performance Scheme on the Hospitalization Expenses of DIP Patients:Analysis Based on Interruption Time Series
Objective To explore the influence of the reform of public hospital department performance scheme on the hospitalization expenses of patients with medical insurance Diagnosis-Intervention Packet(DIP),and to provide evidences for optimizing the public hospital performance management system and reducing the hospitalization expenses of DIP patients.Methods The data of hospitalization expenses of DIP patients from July 2020 to July 2023 in a county-level people's hospital in Guangdong Province were collected,and the changing trend of hospitalization expenses was described by means of interrupted time series analysis,and the influence of performance plan reform on hospitalization expenses of DIP patients was analyzed.Results After the performance reform,the total expenses of DIP patients immediately decreased by 1 071.93 yuan,and continued to decrease by 116.39 yuan per month.At the same time,the performance reform mainly plays a role in residents'medical insurance DIP patients,but has no significant effect on employees'medical insurance DIP patients.Conclusion The performance reform has significantly reduced the total expenses of DIP patients and their sub-expenses,but it has different effects on patients with different types of insurance.It should further improve the performance management mechanism of public hospitals,establish a multi-dimensional performance evaluation index system related to medical efficiency and medical quality,promote the performance reform according to local conditions,and promote the high-quality development of public hospitals and so on.
关键词
公立医院/科室绩效方案改革/按病种分值付费/住院费用/中断时间序列分析
Key words
public hospital/reform of department performance scheme/Diagnosis-Intervention Packet/hospitalization expenses/interruption time series analysis
万方数据