DIP付费视角下公立医院降本增效策略研究&#x02014;&#x02014;基于成本管理及效益分析

李芊; 樊毅婷

doi:10.19546/j.issn.1674-3830.2025.10.011

中国医疗保险 ›› 2025, Vol. 0 ›› Issue (10) : 97-103. DOI: 10.19546/j.issn.1674-3830.2025.10.011

医疗视点

DIP付费视角下公立医院降本增效策略研究——基于成本管理及效益分析

李芊, 樊毅婷

作者信息 +

Research on Cost Reduction and Efficiency Enhancement Strategies of Public Hospitals from the Perspective of DIP Payment——Based on Cost Management and Benefit Analysis

Author information +

文章历史 +

摘要

目的: 探讨DIP付费背景下,公立医院如何通过精准的成本管理和效益分析实现降本增效。方法: 以平顶山市某三级医院2022—2024年DIP清算数据、2024年全年和2025年1-6月DIP病例为研究样本,采用比较分析法和Mann-Whitney秩和检验法,对DIP病例的成本和盈余情况进行统计分析。结果: 次均费用、病种分值、平均住院日对病种的盈亏影响显著（P<0.05）;成本管理和效益分析在一定程度上可以降低次均费用、提高病种盈余率,使得医疗服务能力及效率有所提升。结论: 公立医院的运营模式需从“规模扩张”向“价值医疗”转型,以DIP病种为抓手提质增效,业财融合,实现公立医院高质量发展。

Abstract

Objective: The paper explores how public hospitals can achieve cost reduction and efficiency enhancement through precise cost management and benefit analysis in the context of DIP payment. Methods: Using DIP settlement data from a Grade A hospital in Pingdingshan City from 2022 to 2024, and DIP cases from 2024 and January to June 2025 as research samples, comparative analysis and Mann-Whitney rank sum test were used to statistically analyze the cost and surplus of DIP cases. Results: The average cost per visit, disease score, and average length of hospital stay had a significant impact on the profit and loss of diseases (P<0.05). Cost management and benefit analysis can to some extent reduce average cost, improve disease surplus rate, and enhance medical service capabilities and efficiency. Conclusion: The operation mode of public hospitals needs to transform from "scale expansion" to "value-based healthcare", focusing on DIP diseases to improve quality and efficiency, integrating business and finance, and achieving high-quality development of public hospitals.

导出引用

李芊, 樊毅婷. DIP付费视角下公立医院降本增效策略研究——基于成本管理及效益分析[J]. 中国医疗保险. 2025, 0(10): 97-103 https://doi.org/10.19546/j.issn.1674-3830.2025.10.011

Research on Cost Reduction and Efficiency Enhancement Strategies of Public Hospitals from the Perspective of DIP Payment——Based on Cost Management and Benefit Analysis[J]. China Health Insurance. 2025, 0(10): 97-103 https://doi.org/10.19546/j.issn.1674-3830.2025.10.011

中图分类号： F840.684 C913.7

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