双重差分模型下DRG付费对住院患者费用负担的影响  

The Impact of DRG Payment on the Cost Burden of Inpatients by DID

作　　者：魏唯 肖启强 蒋心梅[2] 

机构地区：[1]安徽医科大学第一附属医院医保办,合肥230022 [2]安徽医科大学第一附属医院,合肥230022

出　　处：《中国医疗保险》2023年第1期94-97,共4页China Health Insurance

基　　金：2021年度安徽高校人文社会科学研究项目“现行医保政策下医院管理创新研究”(SK2021A0170)。

摘　　要：目的:评估DRG付费政策对住院患者费用负担的影响,为医院精细化管理提供理论依据。方法:采用双重差分模型,评估DRG付费政策实施前后住院患者费用负担变化情况。结果:DRG付费政策实施后,患者住院费用、医保支付费用、药品/耗材/检查费用大幅下降,政策效果明显。结论:DRG付费政策推动医院主动降低医疗费用、优化费用结构,医院应进一步完善DRG改革配套措施,提高医院医保基金使用效率。Objective: The paper analyzes the impact of DRG policy on the cost of medical insurance inpatients. Methods: DID model was used to evaluate the change of inpatients cost before and after the implementation of DRG payment. Results: After the implementation of DRG payment, patients’ cost of hospitalization, medical insurance, drug, consumable, and inspection have decreased significantly, and the policy effect is obvious. Conclusion: DRG payment promotes hospitals to actively reduce medical expenses and optimize the cost structure. Hospitals should further improve DRG reform supporting measures to improve the efficiency of medical insurance funds.

关 键 词：按疾病诊断相关分组付费 住院费用 医疗负担 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]