Abstract：Objective To explore the effect of implementing the policy of payment by disease score to control the patients′ hospitalization costs and hospitalization days. Methods By using the key information in the medical record homepage and medical insurance settlement fee, this paper makes a comparative analysis on the indicators of hospitalization costs,hospitalization days, the cost structure, and medical insurance costs of urban or rural patients before and after the implementation of payment by disease score. Results The average hospitalization costs and average hospitalization days were lower than those before the implementation of payment by disease score, and the differences were statistically significant (P<0.05). In the patient cost structure, drug cost, consumable cost and other costs all decreased, while technical labor cost increased, and the difference was statistically significant (P<0.05). Conclusion The payment by disease score can effectively reduce the average hospitalization costs and average hospitalization days, and promote the optimization of the structure cost, but it still needs to be strengthened in the aspect of controlling the cost of urban medical insurance patients.
詹林城,苏华冠,卢智略,江育辉,陈洽彬. 按病种分值付费控制住院费用及住院日的效果分析[J]. 中国医院统计, 2020, 27(1): 88-90.
Zhan Lincheng, Su Huaguan, Lu Zhilue, Jiang Yuhui, Chen Qiabin.. Effectiveness analysis on control in the patients′ hospitalization costs and hospitalization days under the system of payment by disease score. journal1, 2020, 27(1): 88-90.