按病种分值付费对超长住院患者住院日和住院费用的影响OA

Objective To analyze the effect of diagnosis-intervention packet(DIP)on the length of stay and hospitalization costs of prolonged stay patients with five specific diseases to provide a basis for enhancing the quality of medical services at the hospital.Methods Case data were extracted from prolonged stay patients with major diseases ranking top five in terms of number of cases at Suqian First Hospital prior to the implementation of DIP(from January 1 to December 31,2020)and after the implementation of DIP(from January 1 to December 31,2021),with 77 patients and 49 patients identified,respectively.Length of stay and hospitalization costs for both groups were counted,analyzed and compared.Results Following the implementation of DIP,the average length of stay and hospitalization costs were decreased for prolonged stay patients with the five specific diseases at Suqian First Hospital,with statistically significant differences(P<0.05).Conclusion Given that no other policy measures were introduced in the sample hospital during the same period,it can be concluded that the implementation of the DIP policy can result in a reduction in the length of stay for patients with prolonged stay.It also can promote the optimization of hospitalization cost structures and motivate hospitals to enhance the quality of diagnostic and treatment services,ultimately improving the efficiency of medical insurance.