Hospitalization expense analysis and comprehensive evaluation of medical service performance before and after the im-plementation of DIP payment reform
Hospitalization expense analysis and comprehensive evaluation of medical service performance before and after the im-plementation of DIP payment reform
Objective To compare the changes in hospitalization expenses before and after the implementation of DIP payment reform measures in hospitals,and further analyze and evaluate the performance of medical services.Methods The data of the first quarter of 2023 before DIP payment reform and the data of the first quarter of 2024 after DIP payment implementation in a hospital were collected in this research to analyze the the changes in hospitalization expenses and medical service perform-ance.Results After DIP payment reform,the total hospitalization expense and the out-of-pocket expense for patients were signif-icantly reduced,and the difference was statistically significant(P＜0.05).The ratio of medical expenses was significantly in-creased,and medical service performance indicators such as CMI,total DRG,time consumption index,cost consumption index,and low-risk mortality rate were improved.Conclusion DIP payment reform is effective in controlling hospitalization expenses,reducing patients'out-of-pocket expenses,building acceptable hospitalization expense structure,and significantly improving med-ical services performance.
关键词
DIP付费改革/住院费用/分析/综合指数法
Key words
DIP payment reform/hospitalization expense/analysis/comprehensive index method
维普
万方数据