The Impact of CHS-DRG Payment on the Inpatient Costs and Efficiency of Cancer Hospitals

doi:10.19546/j.issn.1674-3830.2024.4.014

China Health Insurance ›› 2024, Vol. 0 ›› Issue (4) : 98-102. DOI: 10.19546/j.issn.1674-3830.2024.4.014

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The Impact of CHS-DRG Payment on the Inpatient Costs and Efficiency of Cancer Hospitals

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Abstract

Objective: The paper explores the impact of China Healthcare Security Diagnosis Related Groups (CHS-DRG) payment reform on the service efficiency and inpatient costs in cancer hospital. Methods: The medical data of a certain cancer hospital in Jiangsu Province from June 2020 to September 2023 was organized. The monthly service efficiency and inpatient costs were analyzed statistically by interrupted time series analysis (ITSA). Results: Compared with before the reform, the average length of stay did not change significantly but the number of surgical patients maintained an increasing trend. The number of discharged patients decreased instantaneously (P<0.01), and remained stable after the reform. The inpatient cost decreased both at the moment of reform (P<0.01) and after the reform (P<0.05), while the out-of-pocket cost changed from an increase to a significant decrease trend (P<0.01). In terms of the composition of inpatient costs, western medicine cost continued to maintain a significant downward trend (P<0.01), the costs of consumables, operation and treatment turned from a downward trend to an upward trend (P<0.05). The examination cost increased significantly at the moment of reform (P<0.01), but the treatment cost decreased significantly in the instant of reform (P<0.01), and both maintained an upward trend after the reform. Conclusion: The implementation of CHS-DRG payment reform has improved the service efficiency of cancer hospital. The control effect of inpatient cost is remarkable, and the inpatient cost and out-of-pocket cost decrease obviously. The inpatient cost structure has been optimizing, but there still are shortcomings that need further improvement.

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CHS-DRG / interrupted time series analysis / service efficiency / inpatient cost

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The Impact of CHS-DRG Payment on the Inpatient Costs and Efficiency of Cancer Hospitals[J]. China Health Insurance. 2024, 0(4): 98-102 https://doi.org/10.19546/j.issn.1674-3830.2024.4.014

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