Study on the impact of DRG and consumables zero-margin reform on hospitalization costs - -Take a grade A ophthalmology hospital in Zhejiang Province as an example
Abstract
the disease types of patients and reasonably determining the cost of medical services. At the same time, the zero-margin reform of consumables aims to eliminate the price difference in the procurement and use process of medical consumables, and further reduce the economic burden of patients. In this study, taking a grade A ophthalmic hospital in Zhejiang Province as an example, the hospitalization expenses before
and after the implementation of DRG and consumables zero margin policy were analyzed, and found that after the implementation of the reform, the hospitalization cost was significantly reduced, the economic burden of patients was reduced, and the resource allocation efficiency
of the hospital was improved. Finally, this paper suggests that when promoting DRG and consumables zero-margin reform, hospitals should
strengthen the management and monitoring of medical services to ensure that the quality of medical services is not affected, while achieving
reasonable control of costs.
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[1]Mathauer I, Wttenbecher F Hospital payment system based on diagnosis-related groups:experiences in low-and middle-in come
countries [J].Bull World Health Organ.2013.91(10):746-756.
[2] Quentin W,Scheller-Kreinsen D,Blumel M,et all.Hospital payment t basedon diagnosis-relatedgroups differsin Europe and holdslessons fortheUnitedStates [J].HealthAf(f Millwood),2013.32(4);713-723.
[3]Hakkinen U, Chiarello P,Cots F,et al Patient classification and hospital costs of care for acute myocardial infarction in nine European countries[J].Health Econ,2012,21 Suppl 2:19-29.
[4]Geissler A,Scheller-Kreinsen D,Quentin W Do diagnosis-related groups appropriately explain variations in costs and length of stay
of hipreplacement ? A comparative assessment of DRG systems across 10 European countries [J].Health Econ,2012,21 Suppl 2:103-115.
[5]OrZ, Renaud T,Thuilliez J,et al Diagnosis relatedgroups and varia-lionsinresource use for child delivery across 10European countries[J].Health Econ,2012,21 Suppl 2:55-65.
[6] Mihrshahi S,Brand C, Ibrahim J E,et al.Validity of the indicator’death in low-mortality diagnosis-related groups’ for measuring patient safety and healthcare quality in hospitals [J].Intern Med J, 2010,40(4):250-257.
[7]Choi J W,Kim S J,park H K,et al Effects of a mandotory DRG pay-ment system in South Korea:Analysis of mulli-year nationwide
hospital claims in South Korea:Analysis of multi-year nationwide hospital claims data [J].BMC Health Serv Res,2019,19(1):776.
[8]Jeon M J,Choo S P,Kwak Y H,et al.The effect of diagnosis-related group payment system on the quality of medical care for pelvic
organ prolapse in Korean tertiary hospitals[J].PLoS One,2019,14(8):e220895.
DOI: http://dx.doi.org/10.18686/fm.v10i2.13948
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