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To analyze the impact of DIP payment reform on total hospitalization costs, drug costs, and treatment costs of hospitalized patients with chronic lung disease, and to provide a decision-making reference for the deepening reform of DIP.
Using the first national DIP pilot cities as a sample area, case data of 10 058 chronic lung patients hospitalized in provincial hospitals in the area were extracted for the study, and the causal effects of DIP on total patient costs, drug costs and treatment costs were estimated by the PSM-DID model.
After the DIP payment reform, the total cost for patients with chronic obstructive pulmonary disease decreased by 5.9% (P=0.001), were 1 162.92 yuan; the cost of medication decreased by 8.83% (P=0.003), were 477.21 yuan; and the cost of treatment decreased by 27.3% (P=0.001), were 152.54 yuan.
The DIP payment reform has achieved short-term reform effects on reducing total hospitalization costs, drug costs, and treatment costs for patients hospitalized with chronic obstructive pulmonary disease. In order to guarantee the continuous implementation of DIP, the medical insurance department should also continue to strengthen the supervision of the diagnosis and treatment process of medical institutions to maintain the long-term continuation of the effect of fee-control; medical institutions should further promote the refinement of management.
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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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