| 引用本文: |
宣天惠,刘黎明,徐海玉,等.中医类医院与综合医院中医优势病种住院费用研究*[J].中国卫生经济,2023,42(11):50-53.[点击复制] |
Xuan Tianhui,Liu Liming,Xu Haiyu,et al.A Study on the Advantages of Hospitalization Cost of TCM Dominant Diseases in TCM Hospitals and General Hospi⁃ tals[J].CHINESE HEALTH ECONOMICS,2023,42(11):50-53.[点击复制] |
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| 摘要: |
| 目的：旨在比较中医优势病种在中医类医院和综合医院治疗的次均住院总费用的差异，探讨不同类型医疗机构住院治疗中医优势病种的费用特点。方法：数据选自北京市58家医院中出院时间在2016-01-01—2019-12-31的优势病种住院患者信息，采用倾向性得分匹配法对提取的住院患者基本数据进行混杂消除。结果：共收集 605 688例优势病种住院患者数据，结果发现中医优势病种整体上在综合医院的次均住院总费用高于中医类医院，中医优势病种在中医类医院的费用结构体现了中医诊疗的特点。结论：未来要积极推动中医优势病种按病种付费，充分考虑各病种特点，将费用结构调整重点放在医疗行为的调整和中医药优势的发挥上。 |
| 关键词: 中医优势病种 住院费用 中医类医院 综合医院 |
| DOI： |
| 投稿时间：2023-08-21 |
| 基金项目:北京市卫生健康委员会委托项目(BUCM-2023-KJ-GL-004) |
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| A Study on the Advantages of Hospitalization Cost of TCM Dominant Diseases in TCM Hospitals and General Hospi⁃ tals |
| Xuan Tianhui,Liu Liming,Xu Haiyu,Dai Zixuan,Man Xiaowei,Jiang Yan,Zhao Liying,Cheng Wei |
| (School of Management, Beijing University of Chinese Medicine, Beijing, 100029 , China) |
| Abstract: |
| Objective: To compare the differences in the total per-average inpatient costs of traditional Chinese Medicine (TCM) dominant diseases treated in TCM hospitals and general hospitals, and to explore the cost characteristics of 213 inpatient dominant diseases treated in different types of medical institutions. Methods: The data of this study were selected from the information on TCM dominant diseases inpatients discharged from 58 hospitals in Beijing from January 1, 2016, to December 31, 2019, and the propensity score matching method was used to eliminate confounding from the extracted basic data of inpatients. Results: Data were collected from 605 688 inpatients with TCM dominant diseases, and the results showed that the overall average total cost of secondary hospitalization for dominant diseases in TCM was higher in general hospitals than in TCM hospitals, and the cost structure of dominant diseases in TCM hospitals reflected the characteristics of TCM treatment. Conclusion: It is needed to actively promote the payment by disease for the advantageous diseases of TCM, fully consider the characteristics of each disease, and focus the cost structure adjustment on the adjustment of medical behavior and the advantage of TCM. |
| Key words: TCM dominant diseases hospitalization expense TCM hospital general hospital |
