首页|基于DIP支付体系的医保支付方式标准化改革

基于DIP支付体系的医保支付方式标准化改革

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DIP/DRG支付体系作为新型医保支付方式在国内得到广泛应用,能提高医保基金使用效率,合理配置医疗资源与控制医疗费用的不合理增长.但是,DIP支付体系在实际运行中仍存在不足,影响医院的持续发展.鉴于此,本研究对基于DIP支付体系的医保支付方式标准化改革进行探讨,提出行之有效的举措,包括提高主体认识、赢得广泛认可、统一支付标准、管控医疗价格、注重医保和医疗的协同、推动信息化建设、实现数据共享等,旨在控制医疗费用不合理增长,提升医院运营效能与核心竞争力,满足国民的健康需求.
Standardization Reform of Medical Insurance Payment Method Based on DIP Payment System
DIP/DRG payment system is widely used in China as a new medical insurance payment method,which can improve the efficiency of medical insurance fund,allocate medical resources reasonably and control the unreasonable growth of medical expenses.However,DIP payment system is still insufficient in the actual operation,affecting the sustainable development of the hospital.In view of this,this study discusses the standardization reform of DIP payment system,and puts forward some effective measures,including improving the awareness of the main body,winning wide recognition,unifying payment standards,controlling medical price,paying attention to the coordination between medical insurance and medical treatment,promoting information construction,realizing data sharing and so on,in order to control the unreasonable growth of medical expenses,improve the operation efficiency and core competitiveness of hospitals,and meet the health needs of the nation.

DIP payment systemmedical insurance payment methodstandardization reform

梁翠平、谭少嫣、张臣、李健平、李基

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广东省工伤康复医院

DIP支付体系 医保支付方式 标准化改革

2025

中国标准化
中国标准化协会 中国标准化研究院

中国标准化

影响因子:0.241
ISSN:1002-5944
年,卷(期):2025.(2)