Table 2.
Trends in the operational indicators of medical institution before and after the reform of DRG
| Indicators | Trend before implementation | Instantaneous trend after implementation | Trend after implementation | |||
|---|---|---|---|---|---|---|
| β1 (95% CI) | P | β2 (95% CI) | P | β3 (95% CI) | P | |
| ALOS (day) | −0.049 (−0.079 to −0.020) | < 0.01 | −0.442 (−2.467 to 1.584) | 0.661 | 0.020 (−0.058 to 0.098) | 0.605 |
| Number of discharges | 133.790 (105.278–162.295) | < 0.001 | − 5150.940 (−7411.431 to − 2890.459) | < 0.001 | 112.800 (31.125–194.484) | 0.008 |
| Outpatient visits | 1660.560 (643.523–2677.595) | 0.002 | −18 421.560 (−88 070.570–51 227.440) | 0.595 | −85.63 (−2766.918–2595.661) | 0.948 |
| Percentage of discharged patients undergoing level III or IV surgery (%) | 0.127 (0.097–0.158) | < 0.001 | 0.956 (−1.448 to 3.360) | 0.425 | −0.098 (−0.181 to −0.015) | 0.022 |
| Bed turnover rate (%) | 0.354 (0.296–0.411) | < 0.001 | −47.730 (−58.680 to −36.780) | < 0.001 | 1.403 (1.028–1.778) | 0.022 |
| Inpatient essential drug utilization rate (%) | −0.209 (−0.360 to −0.058) | 0.008 | −1.568 (−7.299 to 4.163) | 0.579 | 0.068 (−0.186 to 0.322) | 0.590 |
| Low-risk group mortality (%) | 0.002 (−0.002 to 0.006) | 0.277 | 0.408 (0.120–0.695) | 0.007 | −0.016 (−0.027 to −0.005) | 0.007 |
| Outpatient subaverage cost(CNY) | 0.603 (−1.184 to 2.390) | 0.498 | 32.926 (−89.457 to 155.308) | 0.588 | 0.117 (−4.595 to 4.828) | 0.960 |
| Inpatient subaverage cost (CNY) | −49.945 (−63.375 to −36.514) | < 0.001 | 1457.794 (326.989–2588.599) | 0.013 | −81.514 (−121.782 to −41.245) | < 0.001 |