Objective To investigate the experience perception of medical personnel under the payment method re-form of Diagnosis Related Groups(DRG),and provide reference for promoting medical insurance reform.Methods A questionnaire survey was conducted to investigate the experience perception of medical staff in 23 DRG pilot medical institutions in Chongqing,and a single factor analysis and multiple linear regression analysis were carried out to stimu-late the enthusiasm of medical staff through DRG payment reform.SPSS 25.0 software was used for data analysis.Results"Hospital medical insurance management"scored the highest(4.27±0.77),and the score for"DRG payment reform"was the lowest(3.51±1.05).In terms of motivating medical staff enthusiasm,there were statistically significant differences among nine subgroups characterized by gender,age,hospital level,department,position,job title,education level,professional title,and work experience(P＜0.05).Among these,education level,age,job position and hospital lev-el were key influencing factors.The positive behaviors taken by doctors under DRG payment mainly included standardizing medical behaviors(74.88%),promoting clinical pathways(72.76%),optimizing diagnosis,treatment and service processes(65.56%),etc.The negative behaviors were mainly to select patients with high weight value(62.60%),pa-tients with possible overspending on bucking(60.69%),and decomposed hospitalization(45.59%).Conclusion Un-der the reform of DRG payment method,the overall perception of medical staff's experience was above the medium level.It should pay attention to the balance between patient safety and innovative technology development,timely adjust the per-formance allocation and incentive mechanism of medical staff,as well as the DRG core grouping scheme and medical insur-ance payment standard,and reduce the negative coping behavior of medical staff.
Diagnosis Related GroupsMedical InsuranceMedical StaffExperience PerceptionDiagnosis and Treatment Behavior
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