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- W2390607087 abstract "Objective To compare the influences on the hospital cost for patients with acute simple appendicitis between two medical insurance payment methods: fee- for- service( FFS) and single disease paying. Methods In February2013,20 hospitals in Changsha were included by stratified sampling method,and 208 patients with acute simple appendicitis were selected from these 20 hospitals according to the inclusion and exclusion standards of the study. According to the payment methods of medical insurance,the subjects were divided into two groups: FFS group( n = 133) and single disease paying group( n = 75). The clinical data and the hospital cost of various items were collected and compared,including age,gender,hospital level,treatment outcome, average length of hospital stay, examination cost, anesthesia cost, surgery cost and medication cost. Results The two groups were not signigicantly different( P 0. 05) in gender; the two groups were significantly different( P 0. 05) in average age,average length of hospital stay and hospital level; the treatment outcomes were measured by postoperative complications which were not found in the two groups. The two groups were significantly different( P 0. 05) in hospital cost,examination cost,surgery cost,anesthesia cost,medication cost and the cost of antibacterial drugs. Multivariate linear regression analyses showed the payment methods of medical insurance,gender,age,length of hospital stay had significant influence( P 0. 05) on the cost of antibacterial drugs for patients with acute simple appendicitis. Conclusion With the same treatment outcome,single disease paying group was lower than FFS group in medical cost,examination cost,anesthesia cost,surgery cost,medication cost and antibacterial drug cost. To some extent,the single disease paying method may control the costs of inpatients with acute simple appendicitis." @default.
- W2390607087 created "2016-06-24" @default.
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- W2390607087 date "2015-01-01" @default.
- W2390607087 modified "2023-09-23" @default.
- W2390607087 title "Influence of Different Payment Methods of Medical Insurance on the Hospital Cost for Patients With Acute Simple Appendicitis" @default.
- W2390607087 hasPublicationYear "2015" @default.
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