首页|基于间断时间序列模型的DIP对口腔医院运营绩效影响的研究

基于间断时间序列模型的DIP对口腔医院运营绩效影响的研究

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目的 旨在探讨医保按病种分值付费(Diagnosis-Intervention Packet,DIP)精细化管理对口腔专科医院运营绩效的影响,为进一步优化医院管理提供实证依据。方法 收集深圳市某口腔专科医院2022年1月—2024年6月的运营绩效数据,采用间断时间序列分析方法评估DIP精细化管理对医院运营绩效的影响。结果 实施DIP精细化管理后,口腔专科医院人均产出(4058。64元)显著增加(P<0。001),且每月持续增加1292。44元(P<0。001)。耗材占比在实施后呈现轻微下降趋势,每月持续减少0。78个百分点(P=0。04)。复诊率显著下降1。13个百分点(P=0。03),且每月持续下降0。15个百分点(P=0。04)。患者满意度在实施后呈现轻微上升趋势,每月持续增加0。61个百分点(P=0。04)。此外,成本效益比、资产回报率、药品占比、平均住院日、病床使用率、治愈率、医保违规条目数的变化均无统计学意义(P>0。05)。结论 DIP精细化管理在口腔专科医院中展现出显著的经济效益和服务质量提升作用,但对服务效率的影响有限。未来应进一步强化数据驱动的管理决策、优化个性化治疗路径及建立患者反馈机制,以推动运营绩效的稳步提升。
The Impact of DIP on the Operational Performance of a Dental Hospital Based on The Interrupted Time Series Model
Objective It aims to explore the impact of Diagnosis-Intervention Packet (DIP)refinement management on the operational performance of a dental specialty hospital,providing empirical evidence for further optimization of hospital management.Methods Operational performance data from a dental specialty hospital in Shenzhen,Guangdong Province,were collected from January 2022 to June 2024.An interrupted time series analysis was employed to assess the impact of DIP refinement management on hospital operational performance. Results Following the implementation of DIP refined management,the hospital's per capital output significantly increased by 4058.64 yuan(P<0.001)and continued to rise by 1292.44 yuan monthly(P<0.001).The proportion of consumables exhibited a slight decline,with a monthly decrease of 0.78 percentage point (P=0.04).The readmission rate significantly decreased by 1.13 percentage point (P=0.03),with a continuous monthly reduction of 0.15 percentage point (P=0.04).Patient satisfaction showed a slight upward trend,with a monthly increase of 0.61 percentage point (P=0.04).Additionally,changes in the cost-effectiveness ratio,return on assets,drug ratio,average length of stay,bed occupancy rate,cure rate,and the number of medical insurance violations were not statistically significant (P>0.05).Conclusion DIP refined management demonstrated significant economic benefits and improvements in service quality within the specialized dental hospital,though its impact on service efficiency was limited.Future efforts should focus on enhancing data-driven management decisions,optimizing personalized treatment pathways,and establishing patient feedback mechanisms to steadily improve operational performance.

diagnosis-intervention packetrefinement managementdental hospitaloperational performanceInterrupted Time Series Model

杨蓉、罗奕如、郭靖

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深圳市口腔医院 广东 深圳 518022

深圳市龙岗区卫生健康局 广东 深圳 518172

按病种分值付费 精细化管理 口腔医院 运营绩效

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(12)