DIP与成本控制管理对中医院患者治疗费用的影响  

The Influence of DIP and Cost Control Management on the Treatment Cost of Patients in Traditional Chinese Medicine Hospital

作　　者：刘晓铭[1] 郝琳慧[1] 邝盈妍 康琳琳 黄雪飞 LIU Xiaoming;HAO Linhui;KUANG Yingyan;KANG Linlin;HUANG Xuefei(Department of Rehabilitation,Shenzhen Bao'an District Hospital of Traditional Chinese Medicine,Shenzhen Guangdong 518020,China)

机构地区：[1]深圳市宝安区中医院康复科,广东深圳518020

出　　处：《中国卫生标准管理》2025年第4期101-104,共4页China Health Standard Management

基　　金：广东省卫生经济学会科研项目(2024-WJMZ-36)。

摘　　要：目的 研究区域点数法总额预算和按病种分值付费(diagnosis-intervention packet,DIP)与成本控制管理对中医院患者治疗费用的影响。方法 深圳市宝安区中医院于2020年1月开始实施DIP与成本控制管理,本研究选取2018年1月—2019年12月深圳市宝安区中医院康复科以传统付费管理的264例缺血性中风住院患者作为对照组;2020年1月—2021年12月深圳市宝安区中医院康复科以DIP与成本控制管理的265例缺血性中风住院患者作为观察组。对比2组医疗费用、住院时间、患者对医院治疗费用管理满意度评分。结果 观察组住院费用、手术费、药品费、检查费、治疗费、自付费用分别为(7 053.52±53.45)元、(995.56±23.14)元、(923.45±10.01)元、(699.05±15.45)元、(598.05±14.05)元、(1 324.52±10.01)元,低于对照组的(7 315.88±43.15)元、(1 001.05±20.14)元、(925.58±10.45)元、(702.45±14.01)元、(601.75±15.42)元、(2 128.05±11.45)元,差异有统计学意义(P <0.05)。观察组住院时间为(7.95±1.23)d,短于对照组的(8.25±1.02)d,差异有统计学意义(P <0.05)。观察组患者对药品费用合理性、医保控费准确、检查费用合理性、手术费用合理性满意度评分分别为(90.05±3.42)分、(90.46±3.01)分、(90.15±3.45)分、(90.01±2.01)分,高于对照组的(89.14±3.14)分、(89.67±2.84)分、(80.35±2.14)分、(89.40±2.14)分,差异有统计学意义(P <0.05)。结论 DIP与成本控制管理能够减少医疗费用、缩短住院时间、提高患者对医院治疗费用管理满意度评分。Objective To study the influence of DIP and cost control management on the treatment cost of patients in traditional Chinese medicine hospital.Methods Shenzhen Bao'an District Hospital of Traditional Chinese Medicine began to implement DIP and cost control management in January 2020. In this study, 264 ischemic stroke inpatients in the department of rehabilitation, Shenzhen Bao'an District Hospital of Traditional Chinese Medicine who were managed with traditional payment were selected as the control group with traditional payment management from January 2018 to December 2019, and 265 ischemic stroke inpatients in the department of rehabilitation, Shenzhen Bao'an District Hospital of Traditional Chinese Medicine who were managed with DIP and cost control management from January 2020 to December 2021 were selected as the observation group. The medical expenses, length of stay and satisfaction scores of patients with hospital treatment expenses management were compared between the two groups. Results The hospitalization cost, operation cost, drug cost, inspection cost, treatment cost and out-of-pocket cost of the observation group were (7 053.52±53.45) yuan, (995.56±23.14) yuan, (923.45±10.01) yuan, (699.05±15.45) yuan, (598.05±14.05) yuan, (1 324.52±10.01) yuan, which were lower than (7 315.88±43.15) yuan, (1 001.05±20.14) yuan, (925.58±10.45) yuan, (702.45±14.01) yuan, (601.75±15.42) yuan, (2 128.05±11.45) yuan of the control group, the differences were statistically significant (P < 0.05). The length of hospitalization in the observation group was (7.95±1.23) days, which was shorter than (8.25±1.02) days in the control group, and the difference was statistically significant (P < 0.05). The satisfaction scores of patients in the observation group were (90.05±3.42) points, (90.46±3.01) points, (90.15±3.45) points and (90.01±2.01) points on the rationality of drug cost, the accuracy of medical insurance control cost, the rationality of examination cost and the rationality of operation cost, respect

关 键 词：区域点数法总额预算和按病种分值付费 成本控制管理 中医院 治疗费用 住院时间 管理满意度 

分 类 号：R197[医药卫生—卫生事业管理]