Discussion on the sustainable operation mode of unaccompanied ward in secondary hospitals under the background of medical insurance payment reform
医保支付改革背景下二级医院无陪护病房的可持续运行模式探讨

摘要

目的 分析医保支付改革背景下二级医院无陪护病房的可持续运行模式的效果。方法 本次研究对象为本院2024 年1月-2024 年 6 月收治的 80 例患者，以随机数字表法分为观察组（40 例）与对照组（40 例）。对照组采用传统陪护模式，观察组采用无陪护病房模式，对两组护理质量评分、医疗费用构成及患者满意度。结果 与对照组比较，观察组基础护理合格率、专科护理合格率显高（P<0.05）；患者人均医保报销比例显高（P<0.05），自付费用显低（P<0.05）；且观察组满意度高于对照组（P<0.05）。结论 医保支付改革背景下二级医院无陪护病房能够提升护理质量及患者满意度，且降低患者经济负担。

Abstract

Objective To analyze the effectiveness of the sustainable operation mode of unaccompanied ward in secondary hospitals under the background of medical insurance payment reform.
Methods The subjects of this study were 80 patients admitted to our hospital from January 2024 to June 2024. They were randomly divided into an observation group (40 cases) and a control group (40 cases) using a random number table method. The control group adopted the traditional care mode, while the observation group adopted the unaccompanied ward mode. The nursing quality score, medical cost composition, and patient satisfaction were evaluated for both groups.
Results Compared with the control group, the observation group had significantly higher qualification rates for basic nursing and specialized nursing (P<0.05); The per capita reimbursement ratio of medical insurance for patients was significantly higher (P<0.05), and the out of pocket expenses were significantly lower (P<0.05); And the satisfaction of the observation group was higher than that of the control group (P<0.05).
Conclusion   Under the background of medical insurance payment reform, the absence of accompanying wards in secondary hospitals can improve nursing quality and patient satisfaction, and reduce the economic burden on patients.