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基于DIP支付方式改革下的医院运营管理分析

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目的 探讨基于按病种分值付费(DIP)支付方式的改革模式对医院运营管理的影响.方法 选择2022年至2023年医院收治病例资料进行研究分析,于2022年12月启用DIP支付方式进行改革,回顾分析运营效率和质量评定指标.结果 2023年,医院医疗服务收入占比较2022年提升1.43%,住院患者每次平均费用较2022年提升0.58%,平均住院天数较2022年下降0.03%,住院每次药物平均费用较2022年提高0.32%.针对多种病例进行单病种管理,其中,次均费用降低疾病种类为10种,降低幅度最大疾病为房颤,降幅达到12.58%.结论 基于DIP支付方式下通过完善组织架构、提高医疗内涵、提高成本管理和优化绩效考核,可有效提高医院运营效率,促进医院医疗质量水平的提升.
Analysis ofHospital Operation Management Based on Dip Payment Reform
Objective:To explore the influence of the reform mode based on DIP payment on hospital operation and management.Methods:The data of cases admitted to the hospital from 2022 to 2023 were selected for research and analysis.In December 2022,the DIP payment method was used for reform,and the operational efficiency and quali-ty evaluation index were retrospectively analyzed.Results:In 2023,the proportion of hospital medical service income increased by 1.43%compared with that in 2022,the average cost of inpatients increased by 0.58%,the average length of stay decreased by 0.03%,and the average cost of drugs per hospitalization increased by 0.32%compared with that in 2022.Single-disease management was carried out for a variety of cases,among which,the average cost was reduced by 10 diseases,and the biggest reduction was atrial fibrillation,with a decrease of 12.58%.Con-clusion:Based on the DIP payment method,improving the organizational structure,improving the medical connota-tion,improving the cost management and optimizing the performance appraisal can effectively improve the hospital operation efficiency and promote the improvement of the hospital medical quality.

Hospital operation managementDip finger belly modeMedical insurance management

韩晓聪、葛文娟、范补云、王静、唐嘉彤

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上海市第一人民医院酒泉医院(酒泉市人民医院),甘肃酒泉 735000

医院运营管理 DIP支付模式 住院费用

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(2)
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