Research on the Effectiveness of Multi-Disciplinary Treatment Green Channel Policy for Geriatric Hip Fracture Based on Difference-in-Differences Model
Xia Ping
Yang Haixia
Abstract：Objective To evaluate the comprehensive effectiveness of implementing a Multi-Disciplinary Treatment(MDT)green channel policy for geriatric hip fracture patients in a public tertiary grade A hospital,and to explore the practical challenges and corresponding solutions during its implementation.Methods A difference-in-differences model was employed to analyze multidimensional changes in key indicators between the intervention and control groups before and after policy implementation.Results The average preoperative preparation time in the intervention group was shortened by 3.49 days(β=-3.49),and the incidence of complications decreased by 1 1%(β=-0.1 1),contributing to better clinical outcomes.Economically,total medical costs,patients'out-of-pocket expenses,and pooled medical insurance expenditures decreased,while the proportion of medical service revenue increased,conclusively demonstrating the policy's substantial benefits.Conclusion This policy achieved a triple-win scenario for hospitals,insurers,and patients,demonstrating comprehensive benefits across social,medical,and economic dimensions.As an evolving and optimizable model,it holds strong potential for widespread application in orthopedic clinical practice.
Keywords：geriatric hip fractureMulti-Disciplinary Treatmentgreen channeldifference-in-differences model
Publication Date：2026-01-05
Online Publishing Date：2026-01-17(First online date of this platform, not the publication date of the document)
Pages：5( 59-63 )