[1]詹汉强,魏鑫然.基于DRG/DIP支付背景下病种分值付费的研究[J].医学信息,2023,36(15):100-103.[doi:10.3969/j.issn.1006-1959.2023.15.019]
　ZHAN Han-qiang,WEI Xin-ran.Research on Disease Score Payment Based on DRG/DIP Payment Mode[J].Journal of Medical Information,2023,36(15):100-103.[doi:10.3969/j.issn.1006-1959.2023.15.019]
点击复制

基于DRG/DIP支付背景下病种分值付费的研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年15期
页码:
100-103
栏目:
卫生管理信息学
出版日期:
2023-08-01

文章信息/Info

Title:
Research on Disease Score Payment Based on DRG/DIP Payment Mode
文章编号:
1006-1959（2023）15-0100-04
作者:
詹汉强; 魏鑫然
（郑州大学第一附属医院病案管理科1，信息处2，河南 郑州 450000）
Author(s):
ZHAN Han-qiang; WEI Xin-ran
(Department of Medical Record Management1,Department of Information2,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
关键词:
按病种分值付费; 疾病诊断相关分组; 医保付费方式
Keywords:
Diagnosis-intervention packet; Diagnosis related groups; Medical insurance payment method
分类号:
R197
DOI:
10.3969/j.issn.1006-1959.2023.15.019
文献标志码:
B
摘要:
本文结合现阶段医保支付改革进程，梳理DRG和DIP的内涵和区别与联系，剖析按病种分值付费的现状问题，并针对问题提出建议对策，为创新医保付费方式改革提供可复制、可学习、可应用的意见和建议，进一步完善医保付费方式，实现医疗保险制度可持续发展。
Abstract:
his paper combines the current process of medical insurance payment reform, combs the connotation, difference and connection of DRG and DIP, analyzes the current situation of payment by disease score, and puts forward suggestions and countermeasures for the problem, in order to provide reproducible, learnable and applicable opinions and suggestions for the reform of innovative medical insurance payment methods, further improve the medical insurance payment methods, and realize the sustainable development of the medical insurance system.

参考文献/References:

[1]刘磊,符晓,胡月异,等.重庆市医联体医保支付改革研究[J].中国全科医学,2020,23(7):795-798.[2]吴烨,周典,田帝，等.DRG与DIP医保支付方式的融合发展模式探究[J].中国医院管理,2022,42(10):9-12.[3]方金鸣.DRG付费下利益相关者的博弈分析及实证研究[D].武汉:华中科技大学,2021.[4]吴玉书.DRG/DIP支付方式下医院成本管理的探讨[J].中国总会计师,2022,233(12):150-153.[5]傅卫,江芹,于丽华,等.DRG与DIP比较及对医疗机构的影响分析[J].中国卫生经济,2020,39(12):13-16.[6]李乐乐,李怡璇.我国医保支付方式改革的治理路径分析——基于DRG与DIP的机制比较[J].卫生经济研究,2022,39(9):43-48.[7]郑州医疗保障局.关于公开征求《关于按病种分值付费（DIP）补充事项的通知（征求意见稿）》意见建议的公告[EB/OL].(2022-06-14)[2023-05-15].https://chs.zhengzhou.gov.cn/comment.jspx?contentId=6493783.[8]廖藏宜,张艺艺.DRG/DIP付费下异化行为表现及监管建议[J].中国医疗保险,2023(2):27-34.[9]李秋莎,杨春晓,赵兹旋,等.我国按病种分值付费(DIP)政策研究——基于国家、省、市三级的比较分析[J].中国卫生政策研究,2022,15(7):8-15.[10]李伟,陈红斗,林爱华,等.DRG与DIP两种医保支付模式对药品费用结算影响的比较分析[J].中国医院药学杂志,2022,42(7):762-764.[11]谢桦,崔欣,应晓华,等.医保支付方式的改革与发展——基于大数据的按病种分值付费[J].中国医疗保险,2022(11):123-128.[12]张霄艳,陈欣.基于创新扩散理论视角的DRG和DIP支付方式探讨[J].中国医疗管理科学,2022,12(3):37-41.[13]李浩,戴遥,陶红兵.我国DRG政策的文本量化分析——基于政策目标、政策工具和政策力度的三维框架[J].中国卫生政策研究,2021,14(12):16-25.[14]刘苑婷,方家尉,何丽萍,等.基于关系数据库构建DIP结合DRG体系在医院儿科学科建设中的应用[J].中国医院统计,2023,30(1):19-25.[15]谭玲,田伟,刘晓忆.医疗保险疾病诊断相关分组/病种分值付费支付方式改革对医院的影响及改进策略[J].华西医学,2022,37(12):1878-1881.[16]田帝,周典,周苑,等.临床路径管理与DRG支付方式改革协同关系研究[J].中国医院管理,2022,42(10):13-17.[17]林夏.DRG支付制度下三级公立医院主诊医师绩效评价及提升策略研究[D].武汉:华中科技大学,2020.[18]滕璐.县级公立医院实施按病种分值付费(DIP)的现状研究[D].济南:山东大学,2022.[19]潘卫宇,谢煜,李佳佳,等.基于病种分值付费的高龄股骨颈骨折患者临床护理路径的构建研究[J].中华护理杂志,2022,57(20):2437-2444.[20]束嘉俊,黄晖,陈怡,等.基于医保患三方视角的按病种分值付费SWOT分析[J].卫生经济研究,2022,39(1):36-39.[21]曹庄,曹人元,孙焕征,等.医保DRG/DIP付费视角下医院信息化建设现状与实践[J].中国数字医学,2023,18(2):7-11.

相似文献/References:

[1]万映利,宋 萍.基于CiteSpace的国内外DRG热点分析及其发展建议[J].医学信息,2020,33(05):9.[doi:10.3969/j.issn.1006-1959.2020.05.003]
　WAN Ying-li,SONG Ping.Hot Spot Analysis of DRG at Home and Abroad Based on CiteSpace and Its Development Suggestions[J].Journal of Medical Information,2020,33(15):9.[doi:10.3969/j.issn.1006-1959.2020.05.003]
[2]顾梦佳,蔡 斌,余 靓.运用DRGs指标综合评估医院质量及临床绩效的研究[J].医学信息,2021,34(14):22.[doi:10.3969/j.issn.1006-1959.2021.14.006]
　GU Meng-jia,CAI Bin,YU Liang.Research on Comprehensive Evaluation of Hospital Quality and Clinical Performance Using DRGs Index[J].Journal of Medical Information,2021,34(15):22.[doi:10.3969/j.issn.1006-1959.2021.14.006]
[3]肖 婷.基于DIP付费模式下对ICD编码质量的思考[J].医学信息,2022,35(01):35.[doi:10.3969/j.issn.1006-1959.2022.01.008]
　XIAO Ting.Thoughts on ICD Coding Quality Based on DIP Payment Mode[J].Journal of Medical Information,2022,35(15):35.[doi:10.3969/j.issn.1006-1959.2022.01.008]
[4]李 杰,单思哲,杨 波,等.基于“军字一号”工程的DRG医院支付管理系统的设计与应用[J].医学信息,2022,35(03):17.[doi:10.3969/j.issn.1006-1959.2022.03.004]
　LI Jie,Shan Si-zhe,YANG Bo,et al.Design and Application of DRG Hospital Payment Management SystemBased on "No.1 Military Project"[J].Journal of Medical Information,2022,35(15):17.[doi:10.3969/j.issn.1006-1959.2022.03.004]
[5]高 峰,刘 颜.DRG实施的难点及解决对策[J].医学信息,2022,35(11):1.[doi:10.3969/j.issn.1006-1959.2022.11.001]
　GAO Feng,LIU Yan.Difficulties and Solutions of DRG Implementation[J].Journal of Medical Information,2022,35(15):1.[doi:10.3969/j.issn.1006-1959.2022.11.001]
[6]陶 洋,王芳芳,朱晨晨,等.DRG付费法下晶体手术组盈亏的影响因素分析[J].医学信息,2022,35(11):5.[doi:10.3969/j.issn.1006-1959.2022.11.002]
　TAO Yang,WANG Fang-fang,ZHU Chen-chen,et al.Analysis of Influencing Factors of Surplus for Crystal Surgery Group Under DRG Payment Method[J].Journal of Medical Information,2022,35(15):5.[doi:10.3969/j.issn.1006-1959.2022.11.002]
[7]陶 洋,王芳芳,朱晨晨,等.基于TOPSIS法与RSR法对外科绩效评价的对比分析[J].医学信息,2023,36(14):48.[doi:10.3969/j.issn.1006-1959.2023.14.009]
　TAO Yang,WANG Fang-fang,ZHU Chen-chen,et al.Comparative Analysis of Surgical Performance Evaluation Based on TOPSIS and RSR[J].Journal of Medical Information,2023,36(15):48.[doi:10.3969/j.issn.1006-1959.2023.14.009]
[8]张鸿雁,汤振华,张新彪,等.医保按病种分值付费对医院管理的影响及对策分析[J].医学信息,2023,36(19):10.[doi:10.3969/j.issn.1006-1959.2023.19.003]
　ZHANG Hong-yan,TANG Zhen-hua,ZHANG Xin-biao,et al.Analysis of the Influence and Countermeasures of Medical Insurance by Diagnosis-Intervention Packet on Hospital Management[J].Journal of Medical Information,2023,36(15):10.[doi:10.3969/j.issn.1006-1959.2023.19.003]
[9]汤 鑫,刘 颜.国内外DRG实践发展及其对我国的启示[J].医学信息,2023,36(21):27.[doi:10.3969/j.issn.1006-1959.2023.21.006]
　TANG Xin,LIU Yan.Development of DRG Practice at Home and Abroad and its Enlightenment to China[J].Journal of Medical Information,2023,36(15):27.[doi:10.3969/j.issn.1006-1959.2023.21.006]

更新日期/Last Update: 1900-01-01