现代医院2024,Vol.24Issue(10) :1584-1586,1590.DOI:10.3969/j.issn.1671-332X.2024.10.029

DIP付费下县级公立医院成本管控策略与实践

Cost control strategies and practices in county-level public hospitals under DIP payment system guided by quality control and operations

林巧艺 李晓明 卢琦
现代医院2024,Vol.24Issue(10) :1584-1586,1590.DOI:10.3969/j.issn.1671-332X.2024.10.029

DIP付费下县级公立医院成本管控策略与实践

Cost control strategies and practices in county-level public hospitals under DIP payment system guided by quality control and operations

林巧艺 1李晓明 1卢琦1
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作者信息

  • 1. 高州市人民医院//医院医保物价部 茂名高州 525200
  • 折叠

摘要

DIP付费改革影响着医院的综合运营管理和医疗服务质量.其目的在于促进医疗机构加强内部管理,控制不合理的医疗费用,减轻病人就医负担,保障医保基金安全.本文围绕当前医院面临的改革困境及亏损压力,医院DIP运营的总体情况展开论述,通过统计医院预估病种费用盈亏情况,结合实际案例对比分析,旨在找到一条应对DIP付费走出困境之路.积累推广县级公立医院以质控和运营为导向,以绩效激励为抓手,强化多部门MDT协作,坚持医疗质量与费用并重的实践经验,探索DIP付费下县级公立医院可持续健康发展模式.

Abstract

The DIP payment reform impacts the overall operational management and quality of medical services in hospi-tals.Its goal is to encourage healthcare institutions to strengthen internal management,control unreasonable medical expenses,alleviate patients'financial burdens,and ensure the safety of medical insurance funds.This article discusses the current challen-ges and financial pressures faced by hospitals amidst reform,detailing the overall situation of DIP operations.By analyzing the es-timated profitability of various medical cases and comparing actual case studies,the aim is to identify a pathway for overcoming the challenges associated with DIP payments.It advocates for the promotion of a quality control and operationally driven approach in county-level public hospitals,leveraging performance incentives,enhancing multi-department MDT collaboration,and balan-cing medical quality with costs.This exploration seeks to develop a sustainable and healthy growth model for county-level public hospitals under the DIP payment system.

关键词

医保支付方式改革/DIP付费/医院运营/成本管控/精细化管理/优劣势病种/绩效

Key words

Medical insurance payment reform/DIP payment/Hospital operations/Cost control/Refined management/Advantageous and disadvantageous medical cases/Performance

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出版年

2024
现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
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