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| Hospitalization expense analysis and comprehensive evaluation of medical service performance before and after the implementation of DIP payment reform |
| Dai Shiyuan，Nie Zhao，Shen Quanping，Min Dingyu，Chen Ying，Yu Qidi，Ao Shuang |
| Medical Record Statistics Department, Guizhou Provincial People′s Hospital, Guiyang 520002, China |
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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.
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Received: 03 June 2024
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| ［1］韩芳，徐玉良，于佳雪，等．病种分值付费改革对患者住院费用影响的阶段性研究［J］．中华医院管理杂志，2021，37(8)：647-652．DOI: 10.3760/cma.j.cn111325-20201120-02125.
［2］唐晓璇．按病种收费改革对住院费用的影响研究［D］．青岛：青岛大学，2019．DOI: 10.27262/d.cnki.gqdau.2019.000341.
［3］王泺，张彩林，伍利香，等．DIP改革对骨质疏松症患者住院费用影响研究［J］．中国医院管理，2023，43(10)：37-41．
［4］朱鹏程，陈容，莫冬玉，等．医院深化DIP付费改革的实践探索：以邵阳市某三甲医院为例［J］．中国医疗保险，2023(10)：112-115．DOI: 10.19546/j.issn.1674-3830.2023.10.017.
［5］刘志红，田睿智，汪勋，等．医保付费方式改革对神经外科住院患者平均费用和满意度的影响分析［J］．中国医疗保险，2022(12)：95-97．DOI: 10.19546/j.issn.1674-3830.2022.12.018.
［6］王颖，何瑞星，柏红．宿迁市某医院实施DIP付费方式的效果评价［J］．江苏卫生事业管理，2022，33(12)：1664-1666．
［7］王欢．DIP付费改革对医院运营管理的影响及思路分析［J］．中文科技期刊数据库(引文版)医药卫生，2022(6)：246-249．
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