To study the control and structural change of hospitalization cost for malignant tumor and cardiovascular disease patients in a place in Anhui from 2020 to 2022, and to provide reference for reasonable control of medical cost and improvement of health insurance payment method reform.
Using the evaluation indexes of structural change value, structural change degree and structural change contribution rate, we analyzed the changes of hospitalization expenses and their influence degree on the total cost changes after DRG reform.
The average cost of hospitalization and the average number of days of hospitalization for both types of diseases decreased significantly after the DRG reform, with the highest contribution of structural changes in the cost of medicines (29.89%) and the cost of treatments (26.61%), respectively.
The effect of DRG on actual cost control and structural optimization is obvious; the cost component of the value of medical personnel’s technical labor still needs to be further improved; and the problem of "supporting doctors with tests" needs to be paid attention to.
| 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 |