Objective To evaluate the effects of DRG payment method on the hospitalization cost and medical service quality of hysteroscopic surgery.
Methods The data of 697 patients treated with hysteroscopic surgery in a tertiary grade A general hospital in Anhui province from 2021 to 2022 were collected, and the patients were divided into the DRG group(n=385) and non-DRG group(n=312) according to payment method.After balancing confounding factors among cases, the descriptive statistical analysis, propensity scoring and rank sum test were used to examine the hospitalization cost and medical service quality of DRG group and non-DRG group.
Results After propensity matching, there was no statistical significance in the age, marriage, length of stay, number of hospitalizations, level of surgery, grade of incision, and mode of anesthesia between two groups(P>0.05).The differences of the average daily cost, out-of-pocket amount, general medical services and nursing costs between two groups were statistically significant(P < 0.01);while there was no statistical significance in the total cost(diagnostic cost, surgical treatment cost, western medicines and other costs), duration of preoperative hospitalization, and whether there was a plan for rehospitalization within 31 d of discharge between two groups(P>0.05).
Conclusions The effects of DRG on the cost control of hysteroscopic surgery and quality of medical service in sample hospital are not significant.Medical institutions still have room for optimizing management in terms of cost structure and service quality, and the relevant indicators should be monitored and evaluated in real time according to their own operational characteristics, so as to achieve "double control" of hospital cost control and quality improvement.
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