基于DRG/DIP支付背景下病種分值付費(fèi)的研究

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摘要：本文結(jié)合現(xiàn)階段醫(yī)保支付改革進(jìn)程，梳理DRG和DIP的內(nèi)涵和區(qū)別與聯(lián)系，剖析按病種分值付費(fèi)的現(xiàn)狀問(wèn)題，并針對(duì)問(wèn)題提出建議對(duì)策，為創(chuàng)新醫(yī)保付費(fèi)方式改革提供可復(fù)制、可學(xué)習(xí)、可應(yīng)用的意見(jiàn)和建議，進(jìn)一步完善醫(yī)保付費(fèi)方式，實(shí)現(xiàn)醫(yī)療保險(xiǎn)制度可持續(xù)發(fā)展。

關(guān)鍵詞：按病種分值付費(fèi)；疾病診斷相關(guān)分組；醫(yī)保付費(fèi)方式

中圖分類(lèi)號(hào)：R197                                   文獻(xiàn)標(biāo)識(shí)碼：B                                 DOI：10.3969/j.issn.1006-1959.2023.15.019

文章編號(hào)：1006-1959（2023）15-0100-04

Research on Disease Score Payment Based on DRG/DIP Payment Mode

ZHAN Han-qiang1，WEI Xin-ran2

（Department of Medical Record Management1，Department of Information2，the First Affiliated Hospital of Zhengzhou University，Zhengzhou 450000，Henan，China）

Abstract：This 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.

Key words：Diagnosis-intervention packet;Diagnosis related groups;Medical insurance payment method

目前，我國(guó)醫(yī)改中公立醫(yī)院已全面取消藥品加成，全面取消衛(wèi)生材料收入加成，藥品、耗材逐步推行集中帶量采購(gòu)，降低大型設(shè)備檢查費(fèi)用[1]。（剩余5975字）