[1]王运莎,唐金凤,王寓凡,等.DRG与DIP付费下心血管疾病患者住院费用控制研究[J].卫生经济研究,2025,42(03):67-70.
 WANG Yunsha,TANG Jinfeng,WANG Yufan,et al.Comparative Study on the Control of Hospitalization Costs of Cardiovascular Disease Patients under DRG and DIP Payment[J].Journal Press of Health Economics Research,2025,42(03):67-70.
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DRG与DIP付费下心血管疾病患者住院费用控制研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年03期
页码:
67-70
栏目:
成本与费用
出版日期:
2025-03-04

文章信息/Info

Title:
Comparative Study on the Control of Hospitalization Costs of Cardiovascular Disease Patients under DRG and DIP Payment
作者:
王运莎1唐金凤1王寓凡1张 昭1周晓媛1
1.四川大学华西公共卫生学院/华西第四医院,四川 成都 610041
Author(s):
WANG Yunsha TANG Jinfeng WANG Yufan ZHANG Zhao ZHOU Xiaoyuan
West China School of Public Health, Sichuan University / West China Fourth Hospital, Chengdu Sichuan 610041, China
关键词:
DRGDIP倾向性评分匹配法住院费用心血管疾病
Keywords:
DRG DIP propensity score matching method hospitalization cost cardiovascular diseases
分类号:
F840.684
文献标志码:
A
摘要:
目的:对比心血管疾病患者在DRG与DIP付费下的住院费用控制效果,为制定和调整医保支付政策提供依据。方法:收集成都市某三级医院2020—2023年DRG和DIP付费下心血管疾病患者费用信息,利用倾向性评分匹配法平衡两种付费方式的个体差异,采用新灰色关联分析法和结构变动分析法分析心血管疾病患者的住院费用变化情况。结果:倾向性评分匹配后,DRG付费下心血管疾病患者住院费用中位数(9 057.17元)低于DIP付费下的住院费用中位数(9 223.37元),差异具有统计学意义;两种付费方式下,诊断费与住院费用的关联度最大,治疗费是住院费用变动的主要影响项目。结论:DRG付费比DIP付费的控费效果显著,两种付费方式对心血管疾病患者的住院费用结构均有一定的调节作用,但患者的住院费用结构仍有优化空间。
Abstract:
Objective To compare the effect of hospitalization cost control of cardiovascular disease patients under DRG and DIP payment. Methods From 2020 to 2023, the information on the costs of cardiovascular disease patients under the DRG and DIP payment in a tertiary hospital in Chengdu was collected. The individual differences between the two payment methods were balanced using the propensity score matching method. The changes in hospitalization costs of patients with cardiovascular disease were analyzed using the new grey relational analysis method and the structural change analysis method. Results After propensity score matching, the median hospitalization cost of cardiovascular disease patients under DRG payment(9 057.17 yuan) was lower than that under DIP payment(9 223.37yuan), with a statistically significant difference. Under the two payment methods, the correlation between diagnostic costs and hospitalization costs was the highest, and treatment costs were the main influencing item of changes in hospitalization costs. Conclusion DRG payment has a significant effect on cost control than DIP payment. Both payment methods have a certain moderating effect on the hospitalization cost structure of patients with cardiovascular diseases, but there is still room for optimization of the hospitalization cost structure of patients.

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更新日期/Last Update: 2025-03-04