[1]孟朝琳蔡源益吴华章.DRGs实施效果评价研究与思考[J].中国卫生质量管理,2021,28(02):035-38.[doi:10.13912/j.cnki.chqm.2021.28.2.12 ]
　MENG Zhaolin,CAI Yuanyi,WU Huazhang..Research and Thinking on Implementation Effect Evaluation of DRGs[J].Chinese Health Quality Management,2021,28(02):035-38.[doi:10.13912/j.cnki.chqm.2021.28.2.12 ]
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DRGs实施效果评价研究与思考
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年02期
页码:
035-38
栏目:
关注DRG
出版日期:
2021-02-28

文章信息/Info

Title:
Research and Thinking on Implementation Effect Evaluation of DRGs
作者:
孟朝琳蔡源益吴华章
首都医科大学护理学院
Author(s):
MENG Zhaolin; CAI Yuanyi; WU Huazhang.
School of Nursing, Capital Medical University
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
Keywords:
Diagnosis Related Groups (DRGs);  Implementation Effect;  Evaluation Index;  Evaluation Method;  Review
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2021.28.2.12
文献标志码:
A
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。
Abstract:
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.

参考文献/References:

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更新日期/Last Update: 2021-02-28