Analysis of the Impact of the Implementation of DRGs Payment on Hospitalization Costs for Patients Undergoing Artificial Hip Replacement in a Hospital in Guangxi
Objectives This study aims to explore the changes in hospitalization expenses of patients undergoing artificial hip replacement before and after the implementation of DRGs in a hospital in Guangxi,so as to provide a data reference for refined control of hospitalization expenses.Methods 490 cases of artificial hip replacement in a hospital in Guangxi from January 1,2020 to December 31,2020 before the implementation of the DRGs payment policy and from January 1,2021 to December 31,2021 after the implementation of the DRGs payment policy were selected.Relevant data such as gender,age,length of stay,and hospitalization expenses of inpatients were extracted.Statistical analysis was performed using Ttest,x2 test,and non-parametric Z test.Results After the implementation of the DRGs payment policy,the most obvious decrease in hospitalization expenses was the cost of medicine,which dropped from 7612.53 yuan before implementation to 5329.64 yuan,followed by the cost of materials,which dropped from 38 187.15 yuan before implementation to 31 895.43 yuan.The proportion of treatment fees and nursing fees increased by 1.88％and 0.07％respectively compared with before implementation.The difference in blood transfusion costs before and after implementation was not statistically significant.The differences in total cost,bed fee,examination fee,treatment fee,nursing fee,surgery fee,examination fee,material fee,medicine fee,and other fees were statistically significant.The average hospitalization days were 12.11(10.01,16.69)days before implementation and 10.49(8.60,13.73)days after implementation,and the difference was statistically significant.Conclusions The implementation of DRGs payment policy had a significant impact on the hospitalization expenses of artificial hip replacement surgery.After the implementation,the proportion of drug expenses and material expenses decreased,while the proportion of treatment expenses and nursing expenses increased.This can improve the value of the technical labor of medical staff,effectively control the growth of hospitalization expenses,and lay a solid foundation for the implementation of the DRGs payment policy.
NETL
NSTL
万方数据
