期刊论文

中文

卫生经济研究

1004-7778

2024

41

03

62-64

A2022003:湖南省中医药研发重大项目 2022B10:湖南省卫生经济与信息学会项目 2009-2021;2022CX21:湖南中医药大学研究生创新课题项目

本校为第一机构

目的:分析按病种付费对中医优势病种住院费用的影响,为中医按病种付费改革提供参考.方法:采用某中医医院实施按病种付费的高位肛瘘患者住院费用数据,经倾向得分匹配法(PSM)匹配后,进行双重差分(DID)回归分析,探讨按病种付费对中医优势病种住院费用的影响.结果:实施按病种付费后,高位肛瘘患者住院总费用下降了 1 067.63元、自付费用下降了656.66元、住院天数缩短了5.54天、西药费增长了406.55元、中成药费下降了 126.80元.结论:在中医优势病种按病种付费过程中,应加强医保监督,持续完善、更新中医信息系统,扩大按病种付费的中医优势病种范围,突出中医临床路径优势,促进中医药传承创新发展.

Objective To analyze the impact of DRG on the hospitalization expenses of the dominant diseases of traditional Chinese medicine,and to provide reference for the reform of DRG in traditional Chinese medicine.Methods The hospitalization expenses data of high anal fistula patients in a pilot traditional Chinese medicine hospital that implemented DRG were collected.After propensity score matching(PSM),double difference(DID)regression analysis was used to explore the impact of DRG on the hospitalization expenses of the dominant diseases of traditional Chinese medicine.Results After the implementati...