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Publications

The analysis of the effect of global budget on hospitalization costs of patients with medical insurance/总量控制对医保患者住院费用影响的探讨

Future Health Systems

Liu Chunyu. et al. (2014) The analysis of the effect of global budget on hospitalization costs of patients with medical insurance. Chinese Health Economics,Volume 33, 7: 27-29. 刘春雨,张群,江芹,张振忠(2014)总量控制对医保患者住院费用影响的探讨. 2014年7月7期目 次: 27-29.

Abstract:

Objectives: To evaluate the impact of the global budget on health care costs of one pilot hospital by comparatively analyzing the data before and after the policy implementation, and then put forward proposals and suggestion for the improvement of the policy.

Methods: To collect the insured patient data before and after the implementation of the global budget policy in the pilot hospital, using SPSS software to do the rank test and the chi-square test, analyzing the changes in relevant indicators before and after implementation. Results: After the implementation of global budget policy, the volume, average length of stay and the percentage of the drug expenditure have been significantly changed, but cost per time didn’t change significantly in the pilot hospital.

Conclusion: It has been shown that the pilot hospital actively cooperated with the policy adjustments. But the case is that the hospital should adjust the way of management, explore ways of DRGs, and standardize medical service processes, control and supervision the health care indicators of global budget reasonably.

摘要

目的:通过对试点医院总量控制政策实施前后的数据进行对比分析,探讨该政策对医保患者住院 费用产生的影响,为完善医保总量控制政策提出合理化建议。方法:运用SPSS软件进行秩和检验和卡方检验,比较试点医院总量控制政策实施前后医保患者住院相关指标的变化情况。结果:试点医院总量控制政策实施后,医保服务量、平均住院天数及药占比均有显著变化,次均费用变化情况不明显。结论:试点医院积极配合总量控制政策进行调整,初步效果已经显现,但在工作中要注重医院管理模式的调整,探索按病种付费方式,规范医疗服务流程,合理控制和监督医保总量指标。