Analysis of Influencing Factors of Overspending of Patients Under Single Disease Payment Model&#x02014;&#x02014;Taking Removing Internal Fixation Device for Fracture as an Example

doi:10.19546/j.issn.1674-3830.2024.4.017

China Health Insurance ›› 2024, Vol. 0 ›› Issue (4) : 113-117. DOI: 10.19546/j.issn.1674-3830.2024.4.017

Analysis of Influencing Factors of Overspending of Patients Under Single Disease Payment Model——Taking Removing Internal Fixation Device for Fracture as an Example

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Abstract

Objective: Taking the surgery of removing internal ﬁxation device for fracture as an example, the paper explores the inﬂuencing factors of overspending under the single disease payment model to provide management strategies for hospitals. Methods: The data were collected from a tertiary hospital in Guangzhou, and the inﬂuencing factors of overspending were analyzed by Logistic model. Results: From 2019 to 2023, the average cost per patient decreased from 8891.38 yuan to 8080.00 yuan, but the overspending rate per year was high (26.56%-50.88%). The length of stay, surgical site, type of anesthesia and operation type increased the risk of overspending. Conclusion: Hospitals should shorten the number of days in hospital and make the surgical anesthesia list to improve fine management, and the healthcare security department are supposed to differentiate the payment standards based on the type of surgery.

Key words

single disease payment model / removing internal fixation device for fracture / overspending / influencing factor

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Analysis of Influencing Factors of Overspending of Patients Under Single Disease Payment Model——Taking Removing Internal Fixation Device for Fracture as an Example[J]. China Health Insurance. 2024, 0(4): 113-117 https://doi.org/10.19546/j.issn.1674-3830.2024.4.017

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