Abstract：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 performance.Results After DIP payment reform, the total hospitalization expense and the out-of-pocket expense for patients were significantly reduced, and the difference was statistically significant (P<0.05). The ratio of medical expenses was significantly increased, 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 medical services performance.
戴石元，聂钊，沈权平，闵定玉，陈英，余奇迪，敖爽. DIP付费改革实施前后住院费用分析及医疗服务绩效综合评价[J]. 中国医院统计, 2024, 31(4): 278-280.
Dai Shiyuan，Nie Zhao，Shen Quanping，Min Dingyu，Chen Ying，Yu Qidi，Ao Shuang. Hospitalization expense analysis and comprehensive evaluation of medical service performance before and after the implementation of DIP payment reform. journal1, 2024, 31(4): 278-280.
