Full
Outline
To explore the effect of the DRG payment reform on the quality of healthcare services in a Grade A Tertiary Public Hospital in Xinjiang.
Data were extracted from the inpatient records front pages of basic medical insurance patients admitted to a tertiary Grade A public hospital in Xinjiang between 2020 and 2024. An Interrupted Time Series (ITS) analysis was employed to examine trends in key indicators pre- and post-DRG policy implementation. Indicators spanned three dimensions: in-hospital death (total in-hospital mortality, in-hospital mortality rate of surgical patients, and in-hospital mortality rate of patients with low-risk ICD diseases), patient return (30-day readmission rate), and patient safety (complication rate of surgical patients). The average hospitalization cost and average length of stay were also analyzed to comprehensively evaluate the impact of the DRG policy on the quality of medical services.
No significant trend changes occurred in overall inpatient mortality (β1+β3=-0.000 94, P>0.05), surgical patient mortality (β1+β3=-0.000 07, P > 0.05), 30-day readmission rate (β1+β3=-0.000 13, P>0.05), and surgical complication rates (β1+β3=0.000 07, P>0.05) post-DRG policy implementation. The mortality rate of low-risk ICD diseases (β1+β3=-0.000 03, P<0.05) decreased significantly. After the implementation of the DRG policy, the average length of stay continued to decrease by 0.05 days per month, and the average hospitalization cost continued to decrease by 84.38 yuan per month.
DRG reform has no significant impact on the overall medical quality of the sample hospitals but has a positive effect on reducing the mortality rate of low-risk patients. The DRG policy also has a significant effect on cost control.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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