Change in coronary heart disease hospitalization after chronic disease management: a programme policy in China.
Chronic disease management
coronary heart disease
direct medical cost
hospitalization
length of stay
Journal
Health policy and planning
ISSN: 1460-2237
Titre abrégé: Health Policy Plan
Pays: England
ID NLM: 8610614
Informations de publication
Date de publication:
13 Feb 2023
13 Feb 2023
Historique:
received:
31
03
2022
revised:
04
11
2022
accepted:
23
11
2022
pubmed:
25
11
2022
medline:
15
2
2023
entrez:
24
11
2022
Statut:
ppublish
Résumé
This study aims at examining changes in coronary heart disease (CHD) hospitalization associated with a novel county-scale chronic disease management (CDM) programme policy implemented in March 2019 in China during the 13th Five-Year period (2016-2020). The CDM programme was designed to improve the health of populations with chronic diseases by means of an integrated way involving both county-level public hospitals and primary care institutes. Data originated from the medical files of CHD inpatients discharged from a secondary hospital from January 2017 to December 2020. A total of 6111 CHD patient records were collected. Univariate and multivariate regression analyses were performed to assess changes in hospitalization direct medical costs and length of stay of CHD patients. The mean direct medical cost of CHD hospitalization was 8419.73 Yuan, and the mean length of stay was 7.57 days. Results suggested that the implementation of CDM reduced hospitalization direct medical cost and bed days by about 23% (1956.12 Yuan at means) and 11.5% (almost 1 day at means), respectively. In addition, a further decreasing trend in medical costs over time was associated with chronic disease management. It is implied that chronic disease management is an effective way of relieving the medical and financial burden of hospitalization.
Identifiants
pubmed: 36420873
pii: 6845428
doi: 10.1093/heapol/czac101
pmc: PMC9923378
doi:
Types de publication
Journal Article
Langues
eng
Pagination
161-169Subventions
Organisme : National Natural Science Foundation of China
ID : 72042002
Organisme : National Natural Science Foundation of China
ID : 72061160491
Organisme : Cultural Expert and Four First-Class Talent Project "Research on Healthcare Reform Evaluation"
Informations de copyright
© The Author(s) 2022. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.
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