文献类型：期刊文献

英文题名：Impact of DRG Reform Policies on Hospitalization Costs of Stroke Patients in Western China: Wisdom from Traditional Chinese Medicine

作者：Wang, Jiayi[1];Chen, Mengen[2];Yang, Jingyu[1,3]

第一作者：王嘉颖;王军元;王娟英;王君义;王军燕;王晋阳

通信作者：Yang, JY[1]

机构：[1]Gansu Univ Chinese Med, Sch Hlth Management, 35 Dingxi East Rd, Lanzhou 730000, Gansu, Peoples R China;[2]Beijing Univ Chinese Med, Sch Tradit Chinese Med, Beijing, Peoples R China;[3]Lanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Sch Hlth Management, 35 Dingxi East Rd, Lanzhou 730000, Gansu, Peoples R China.|[10735]甘肃中医药大学;

年份：2025

卷号：18

起止页码：2401

外文期刊名：RISK MANAGEMENT AND HEALTHCARE POLICY

收录：;Scopus(收录号：2-s2.0-105011301767);WOS:【SSCI(收录号:WOS:001531013800001)，SCI-EXPANDED(收录号:WOS:001531013800001)】；

基金：This study was supported by the General project of the Education Department of Gansu Province, China (Grant No. 2025CXZX-951) .

语种：英文

外文关键词：DRG; stroke; Chinese medicine cost; acupuncture and massage treatment cost; ITS

摘要：Background: Stroke presents a significant economic burden worldwide, with the impact being especially pronounced in developing countries. China is currently implementing Diagnosis-Related Group (DRG) reforms, attempting to use more traditional Chinese medicine (TCM) modalities to alleviate the economic burden on stroke patients. Methods: This retrospective study extracted the medical records of stroke inpatients at Qingyang City Hospital of TCM from 2017 to 2022 from China's Gansu National Health Big Data Platform. A single-group interrupted time series (ITS) design was employed to assess the impact of DRG reform on patients' hospitalization costs and length of stay (LOS). Additionally, a two-group ITS was utilized to evaluate treatment costs and medicine costs. Results: The single-group ITS analysis indicated that the average LOS decreased by 0.06 days per month following the reform (P < 0.05), while the average hospitalization cost declined by 48.92 yuan per month (P < 0.05). The two-group ITS results revealed a significant reduction in the average monthly cost of Western medicine by 22.67 yuan post-reform (P < 0.05), whereas the average monthly cost of Chinese medicine increased by 2.93 yuan, though this change was not statistically significant (P > 0.05). Additionally, the average monthly cost of Western medical treatment decreased by 11.24 yuan (P < 0.05). Acupuncture and massage treatment costs exhibited an initial sharp increase followed by a downward trend, with an average monthly decrease of 9.53 yuan (P < 0.05). Conclusion: DRG reduced hospitalization costs and shortened the LOS of stroke patients, which may be related to the increased use of TCM in stroke treatment.