Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (10): 98-106.doi: 10.6040/j.issn.1671-7554.0.2025.0509

• Public Health and Preventive Medicine • Previous Articles    

Analysis of hospitalization days and costs of patients in Qingdao pilot hospitals under China healthcare security diagnosis related groups payment

QI Baohua1, YUE Caibin2, YUE Yi3, TIAN Lei4, CHEN Kongde4, WANG Luying4, LIU Yutong4, ZOU Qiao4   

  1. 1. Department of Medical Office, Shandong Second Provincial General Hospital, Jinan 250022, Shandong, China;
    2. Medical Affairs Department, The Second Hospital of Shandong University, Jinan 250031, Shandong, China;
    3. Finance Department, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), Jinan 250014, Shandong, China;
    4. School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing 211198, Jiangsu, China
  • Published:2025-10-17

PDF (PC)

14

Key words: China healthcare security diagnosis related groups payment, Length of hospital stay, Hospitalization costs, Qingdao

CLC Number: 

  • R197.3
[1] Annear PL, Kwon S, Lorenzoni L, et al. Pathways to DRG-based hospital payment systems in Japan, Korea, and Thailand[J]. Health Policy, 2018, 122(7): 707-713
[2] 王芳旭,陶立波.DRG/DIP体系下新医药技术的医保支付机制研究[J].中国医疗保险, 2023(2): 40-44. WANG Fangxu, TAO Libo. Research on medical insurance payment method of new medical technology under DRG/DIP payment system[J]. China Health Insurance, 2023(2): 40-44.
[3] 舒琴, 胡豫, 夏家红, 等. CHS-DRG支付方式下诊断规范化对医院成本控制的效果探讨[J]. 中国卫生经济, 2022, 41(8): 61-66. SHU Qin, HU Yu, XIA Jiahong, et al. Analysis on the effect of standardized diagnosis on hospital cost control under CHS-DRG payment method[J]. Chinese Health Economics, 2022, 41(8): 61-66.
[4] 何瑜璇. 北京CHS-DRG支付方式改革实际运行状况分析:以东城区5家医院为例[J]. 中国医疗保险, 2022(11): 71-76. HE Yuxuan. Analysis on the actual operation of CHS-DRG payment reform in Beijing:a case study of 5 hospitals in Dongcheng district[J]. China Health Insurance, 2022(11): 71-76.
[5] 吴妮, 周晓媛, 王寓凡, 等. DRG付费下四川省心脑血管疾病患者住院费用及天数的影响因素研究[J]. 医学与社会, 2024, 37(10): 77-84. WU Ni, ZHOU Xiaoyuan, WANG Yufan, et al. Study on influencing factors of hospitalization costs and days for patients with cardiovascular and cerebrovascular diseases in Sichuan Province under DRG Payment[J]. Medicine and Society, 2024, 37(10): 77-84.
[6] 李雪, 李韶霞, 降凌燕, 等. DRG实施前后山西省某三甲医院脑梗死患者住院费用分析[J]. 医学与社会, 2024, 37(6): 116-122. LI Xue, LI Shaoxia, JIANG Lingyan, et al. Analysis of hospitalisation costs of patients with cerebral infarction in a grade-a tertiary hospital in Shanxi Province before and after DRG implementation[J]. Medicine and Society, 2024, 37(6): 116-122.
[7] 于淼, 李泽耀, 妥宏武, 等. 医保支付方式改革对医疗服务及费用的影响分析:以金华市为例[J]. 中国卫生政策研究, 2025(1): 43-50. YU Miao, LI Zeyao, TUO Hongwu, et al. The impact of medical insurance payment reform on medical services and costs: a case study of Jinhua[J]. Chinese Journal of Health Policy, 2025(1): 43-50.
[8] 伍利香, 蔡佳洁, 周晓媛. DRG支付下住院费用变化及住院天数影响因素研究:以缺血性脑血管病为例[J]. 中国卫生事业管理, 2024, 41(12): 1370-1374. WU Lixiang, CAI Jiajie, ZHOU Xiaoyuan. Study on the changes of hospitalization expenses and the influencing factors of the length of stay under DRG payment sampled with ischemic cerebrovascular disease[J]. Chinese Health Service Management, 2024, 41(12): 1370-1374.
[9] 方金鸣, 刘玲, 彭义香, 等. CHS-DRG支付改革对医院运行的影响分析[J]. 卫生经济研究, 2022(5): 67-71. FANG Jinming, LIU Ling, PENG Yixiang, et al. Analysis of the impact of CHS-DRG payment reform on hospital operation[J]. Health Economics Research, 2022(5): 67-71.
[10] 吴洁琪, 杜芳, 尹述颖, 等. DRG付费方式改革对经腹腔镜阑尾切除术患者医疗资源使用的影响研究[J]. 中国医院管理, 2023, 43(4): 34-37. WU Jieqi, DU Fang, YIN Shuying, et al. A study of patients undergoing laparoscopic appendectomy to evaluate the impact of DRG payment method on medical resources utilization[J]. Chinese Hospital Management, 2023, 43(4): 34-37.
[11] 郭昱君, 关翎, 邱亨嘉, 等. 临床路径对医疗资源使用的效益:以腹腔镜胆囊切除手术患者为例[J]. 中国卫生政策研究, 2018, 11(8): 50-55. GUO Yujun, GUAN Ling, QIU Hengjia, et al. Effectiveness of clinical pathway on medical resources utilization: a case study of patients undergoing laparoscopic cholecystectomy[J]. Chinese Journal of Health Policy, 2018, 11(8): 50-55.
[12] Schober P, Mascha EJ, Vetter TR. Statistics from a(agreement)to z(z score): a guide to interpreting common measures of association, agreement, diagnostic accuracy, effect size, heterogeneity, and reliability in medical research[J]. Anesth Analg, 2021, 133(6): 1633-1641.
[13] Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects[J]. Biometrika, 1983, 70(1): 41-55.
[14] 彭琰, 严莉, 罗艳丰, 等. 云南省禄丰县公立医院疾病诊断相关组支付方式改革探讨[J]. 医学与社会, 2016, 29(3): 70-73. PENG Yan, YAN Li, LUO Yan-feng, et al. Diagnosis related groups payment reform of county-level public hospitals in lufeng county,Yunnan province[J]. Medicine and Society, 2016, 29(3): 70-73.
[15] 董乾, 王富敏, 刘厚福, 等. DRG对住院费用与服务的影响及建议[J]. 中国卫生质量管理, 2021, 28(12): 22-25. DONG Qian, WANG Fumin, LIU Houfu, et al. The impact of DRG on hospitalization costs and services and recommendations[J]. Chinese Health Quality Management, 2021, 28(12): 22-25.
[16] 吴学智, 李捷, 邓淑娟, 等. DRG付费改革对攀枝花市某三甲医院普外科医保患者费用的调控效果分析[J]. 医学与社会, 2022, 35(3): 76-79. WU Xuezhi, LI Jie, DENG Shujuan, et al. Analysis of the effect of DRG payment reform on the cost control of patients with medical insurance in general surgery department of a grade-a tertiary hospital in Panzhihua[J]. Medicine and Society, 2022, 35(3): 76-79.
[17] 李及第, 李敏, 宫春博. 基于间断时间序列分析的三明市公立医院DRG改革效果的综合评估[J]. 卫生软科学, 2024, 38(4): 1-5. LI Jidi, LI Min, GONG Chunbo. Comprehensive evaluation of the effect of DRG reform in Sanming public hospitals based on interrupted time series analysis[J]. Soft Science of Health, 2024, 38(4): 1-5.
[18] 邵颖颖, 刘建军, 李曰阳, 等. 基于DRG的省域儿科住院医疗服务绩效评价研究[J]. 医学与社会, 2021, 34(12): 45-48. SHAO Yingying, LIU Jianjun, LI Yue-yang, et al. Performance evaluation of provincial pediatric inpatient medical services based on DRG[J]. Medicine and Society, 2021, 34(12): 45-48.
[19] 李锦渊, 彭美华, 郑丹, 等. 广安市DRG点数法改革成效与策略研究[J]. 卫生经济研究, 2023(10): 70-73. LI Jinyuan, PENG Meihua, ZHENG Dan, et al. Research on the effectiveness and strategies of DRG point system reform in Guangan city[J]. Health Economics Research, 2023(10): 70-73.
[20] 吴妮, 周晓媛, 王寓凡. DRG付费下康复患者住院费用和住院天数的影响因素研究:基于双反应变量多水平模型[J]. 卫生经济研究, 2024, 41(6): 72-77. WU Ni, ZHOU Xiaoyuan, WANG Yufan. Study on the influencing factors of hospitalization osts and hospitalization days of rehabilitation patients under DRG payment:based on two-response variable multilevel model[J]. Health Economics Research, 2024, 41(6): 72-77.
[21] 伍利香, 蔡佳洁, 周晓媛. DRG支付下住院费用变化及住院天数影响因素研究:以缺血性脑血管病为例[J]. 中国卫生事业管理, 2024, 41(12): 1370-1374. WU Lixiang, CAI Jiajie, ZHOU Xiaoyuan. Study on the changes of hospitalization expenses and the influencing factors of the length of stay under DRG payment sampled with ischemic cerebrovascular disease[J]. Chinese Health Service Management, 2024, 41(12): 1370-1374.
[22] 石可凡, 徐欣, 刘俊刚, 等. 集采和DRG支付方式改革政策协同下南京市某三甲医院I25.1病种控费效果分析[J]. 卫生软科学, 2023, 37(9): 10-14. SHI Kefan, XU Xin, LIU Jungang, et al. Analysis of cost control effect of I25.1 disease type in a tertiary hospital in Nanjing under policy synergy of centralized procurement and DRG payment reform[J]. Soft Science of Health, 2023, 37(9): 10-14.
[23] 杨怡, 周旭, 陈依依, 等. DRG支付下武汉市某三甲医院药物涂层球囊介入治疗病组的控费效果分析[J]. 医学与社会, 2023, 36(3): 138-144. YANG Yi, ZHOU Xu, CHEN Yiyi, et al. Analysis of cost control effect of drug-coated balloon interventional treatment group in a grade III level a hospital in Wuhan under DRG payment[J]. Medicine and Society, 2023, 36(3): 138-144.
[24] 程子瑄, 阮娴静. C-DRG收付费政策实施对三明市公立医院住院费用及效率的影响研究[J]. 中国医院管理, 2023, 43(4): 29-33. CHENG Zixuan, RUAN Xianjing. Study on the impact of the implementation of C-DRG charging and payment policy on the inpatient cost and efficiency of Sanming public hospitals[J]. Chinese Hospital Management, 2023, 43(4): 29-33.
[25] 卫安乐, 冯文. 脑缺血性疾病患者住院费用影响因素分析[J]. 卫生经济研究, 2023, 40(12): 14-19. WEI Anle, FENG Wen. Study on influencing factors of hospitalization expenses of patients with cerebral ischemic diseases[J]. Health Economics Research, 2023, 40(12): 14-19.
[26] 杨柳, 王东云, 于丽华, 等. 实施DRG收付费改革对住院费用的影响[J]. 中国卫生经济, 2020, 39(8): 68-70. YANG Liu, WANG Dongyun, YU Lihua, et al. Research on the effect of DRG on the inpatient expenses[J]. Chinese Health Economics, 2020, 39(8): 68-70.
[27] 李忠锦. 医疗保险支付方式改革对医疗费用和医疗负担影响的研究——基于双重差分模型[J]. 中国卫生产业, 2019, 16(29): 107-109. LI Zhongjin. Research on the impact of medical insurance payment method reform on medical expenses and medical burden: based on a difference-in-differences model[J]. China Health Industry, 2019, 16(29): 107-109.
[1] LIU Xueyan, WANG Guangpeng, YAO Xue, LU Ranran, WANG Shuhui. Analysis of economic burden and length of hospital stay of nosocomial infection in neurosurgery patients [J]. Journal of Shandong University (Health Sciences), 2021, 59(10): 89-95.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd