Benefit Analysis and Discussion of the Same Disease in Different Departments of Public Hospitals under the DIP Payment Method
Abstract
Objective: This study aims to explore the benefit analysis of the same disease in different departments of public hospitals under the DIP payment method. Methods: This study is a retrospective analysis that selected clinical data from patients who received treatment in the Department of Orthopedics and the Department of Acupuncture and Moxibustion at our hospital from January 1, 2023, to December 31, 2023. The study compared the costs of medications, examinations, treatments, laboratory tests, nursing and other expenses, and total treatment costs between the two departments. It analyzed the cost structure of the two departments and proposed further improvement suggestions. Results: The study results indicated that the total costs in the Department of Acupuncture and Moxibustion were significantly higher than those in the Department of Orthopedics. Among medication costs, the total medication costs in the Department of Orthopedics were higher than those in the Department of Acupuncture and Moxibustion, with costs for Western medicine, proprietary Chinese medicine, and herbal medicine all being higher (p < 0.05). Regarding examination costs, consultation fees in the Department of Orthopedics were lower than those in the Department of Acupuncture and Moxibustion, while examination costs were higher (p < 0.05). In terms of treatment costs, orthopedic treatment and surgical fees were higher than those in the Department of Acupuncture and Moxibustion (p < 0.05). For laboratory test costs, orthopedic laboratory fees were significantly higher than those in the Department of Acupuncture and Moxibustion (p < 0.05). Among nursing and other expenses, orthopedic blood transfusion, bed fees, and other expenses were higher than those in the Department of Acupuncture and Moxibustion, while nursing fees were lower (p < 0.05). Conclusion: Treatment fees in the Department of Acupuncture and Moxibustion are the core and account for a relatively high proportion of the total costs. The benefits generated by the Department of Orthopedics are primarily derived from medication, examination, and laboratory fees, aligning with the characteristics of combining diagnosis, medication, and surgical intervention in orthopedic treatment. Consultation fees, nursing fees, and bed fees in the Department of Acupuncture and Moxibustion are higher than those in the Department of Orthopedics, indicating a longer treatment cycle in acupuncture, which warrants clinical attention.
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