摘要
DRGs付费方式逐渐成为住院患者主流医保支付方式。通过检索国内外文献发现,DRGs实施效果的评价指标,既有反映医疗费用和医疗质量的核心指标,又有反映诊断升级、成本转移等非预期影响指标;评价方法既有定量研究,又有定性研究;评价结果因采取的评价指标、评价方法不同而存在差异。因此,构建系统、科学的评价指标体系,采用定性、定量综合的评价方法,有利于客观、全面地评价DRGs实施效果。
Diagnosis related groups(DRGs)payment method has gradually become the mainstream medical insurance payment method for inpatients.By searching domestic and foreign literatures,the study concluded that the evaluation indexes of the implementation effect of DRGs reflected not only the core indexes of medical cost and medical quality,but also the unexpected influence indexes such as diagnosis upgrade and cost transfer.The evaluation methods included both quantitative and qualitative research.The evaluation results were different because of different evaluation indexes and methods.Therefore,the establishment of a systematic and scientific evaluation index system and the adoption of qualitative and quantitative comprehensive evaluation methods are conducive to the objective and comprehensive evaluation of the implementation effect of DRGs.
作者
孟朝琳
蔡源益
吴华章
MENG Zhaolin;CAI Yuanyi;WU Huazhang(School of Nursing, Capital Medical University, Beijing, 100069, China;不详)
出处
《中国卫生质量管理》
2021年第2期35-38,共4页
Chinese Health Quality Management
基金
辽宁省高等学校基本科研项目(人文社科类)(LZDR201701)。
关键词
疾病诊断相关分组
实施效果
评价指标
评价方法
综述
Diagnosis Related Groups(DRGs)
Implementation Effect
Evaluation Index
Evaluation Method
Review
