Analysis of the Influence of DRG Payment Reform on the Average Hospitalization Expense of Patients with Hypertension Disease / 中国医院管理

ABSTRACT

Objective To analyse the impact of the reform of the payment method according to disease DRG on the level and structure of the average hospital inpatient costs of hypertensive patients,and to provide a reference for hospitals to fine-tune their management and improve their health insurance payment policies.Methods Data on the hospitalization expense of patients with hypertension was collected a Grade-III tertiary general hospital in Xinjiang Province during September 2020-August 2021 and September 2021-August 2022.The New gray correlation anglysis and Structural variation analysis were used to analyze the structural changes and mutual relationship of the average hos-pitalization expense.Results There is a significantly decrease on the average hospitalization expense of patients with hypertension.The structural variation degree of the average hospitalization expense in FV23 and FV25 were 25.42%and 6.20%respectively.The top two factors affecting the contribution rate of structural change were the inspection fee and clinical laboratory test fee.The cumulative contribution rate of the factors including inspection fee,materials fee,clinical laboratory fee and drugs fee was 95.94%in FV23.The cumulative contribution rate of clinical laboratory test fee and treatment fee was 69.03%in FV25.Conclusion The average hospitalization expense of patients with hy-pertension disease has been effectively controlled.The inspection fee and clinical laboratory test fee were still the main factors affecting the average hospitalization expense.The management mode of day care unit can improve the payment efficiency of medical insurance funds.It's necessary to pay attention to the cost that reflects the value of medical staff's technical labor service.