摘要
目的:评估县级医院临床路径及支付方式改革后小儿腹股沟疝病种的医疗费用变化,提供政策完善的依据。方法:调取2010年1月-2011年7月项目与对照医院在改革前后的小儿腹股沟疝全部病例,用倍差法来评价试点病种的医疗费用变化。结果:试点后小儿腹股沟疝的住院费用、自付费用、药费分别降低了60.72元、213.45元和60.56元,自付比例、药费比例分别下降了2.41%,2.56%。结论:临床路径及支付方式改革在一定程度上降低了医疗费用,减轻患者经济负担,路径修订和打包费用测算仍需进一步完善。
Objective： To assess effects for inpatients with inguinal hernia of less than 14 years old before and after introduction of clinical pathway and case-based payment. Methods： All cases of inguinal hernia of less than 14 years old before and after the pilot were selected from both pilot and control hospitals. The medical cost-=effecfiveness are analyzed with PSM and DID, Results： After the pilot, the hospitalization costs, out of pocket cost and drugs costs had declined for ~60.72, ~213.45 and ~60.56 respectively, and the proportion of the out of pocket cost and drugs had been declined for 2.41% and 2.56% respectively. Conclusion： The implementation of clinical pathway and payment method reform had reduced health care costs and the economic burden of patients. Key Words Clinical Pathway; Medical Cost; Inguinal Hernia; County Hospital
出处
《医学与社会》
2013年第1期8-10,共3页
Medicine and Society
基金
世界银行贷款/英国政府赠款中国农村卫生发展项目农村医疗机构临床诊疗技术优化和补偿机制改革试点工作中期评估项目
编号为XI-C2011
