Key result
Implementation of a chronic disease management programme reduced hospitalization direct medical costs by about 23% and length of stay by 11.5% among coronary heart disease inpatients.
Why the study?
To examine changes in coronary heart disease hospitalization associated with a novel county-scale chronic disease management programme policy implemented in China.
Does a county-scale chronic disease management programme reduce hospitalization direct medical costs and length of stay in CHD inpatients?
Observational (n=6,111)
No
Does a county-scale chronic disease management programme reduce hospitalization direct medical costs and length of stay in CHD inpatients?
Implementation of a county-scale chronic disease management program in China significantly reduced direct medical costs and length of stay for CHD hospitalizations.
County CDM may alter CHD hospitalizations in China; hypothesis-generating for integrated care models elsewhere.
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.
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Zhu et al. (2022) conducted an observational in Coronary heart disease (n=6,111). Chronic disease management (CDM) programme policy vs. Pre-implementation period was evaluated on Hospitalization direct medical costs and length of stay (23% reduction in cost and 11.5% reduction in length of stay). Implementation of a chronic disease management programme reduced hospitalization direct medical costs by about 23% and length of stay by 11.5% among coronary heart disease inpatients.
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