中国医疗保险2024,Issue(3) :74-77.DOI:10.19546/j.issn.1674-3830.2024.3.011

广西DRG付费实施效果研究

Study on the Implementation Effect of DRG Payment in Guangxi Zhuang Autonomous Region

罗文宇 石志刚 覃双凌
中国医疗保险2024,Issue(3) :74-77.DOI:10.19546/j.issn.1674-3830.2024.3.011

广西DRG付费实施效果研究

Study on the Implementation Effect of DRG Payment in Guangxi Zhuang Autonomous Region

罗文宇 1石志刚 1覃双凌2
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作者信息

  • 1. 桂林医学院公共卫生学院 桂林 541004
  • 2. 桂林医学院人文与管理学院 桂林 541004
  • 折叠

摘要

目的:评价广西DRG付费实施效果和存在问题,并提出完善建议.方法:对2016-2022年广西政府相关部门公布的医疗卫生数据进行描述性分析.结果:广西DRG付费提高了医保基金使用绩效,但引导分级诊疗的效果欠佳.结论:建议加强DRG付费对分级诊疗的引导作用,完善DRG付费监管考核机制,规范临床路径,加强医疗服务质量监管.

Abstract

s]Objective:The paper evaluates the implementation effect and problems of DRG payment in Guangxi and puts forward suggestions.Methods:Descriptive analysis is applied for medical and healthcare data published by relevant government departments in Guangxi from 2016 to 2022.Results:Guangxi's DRG payment has been effective in improving the performance of healthcare security fund utilization,but not obvious in guiding hierarchical diagnosis and treatment.Conclusion:It is proposed to strengthen the guiding role of DRG payment in hierarchical diagnosis and treatment,improve the regulation and assessment mechanism of DRG payment,standardize clinical pathways,and regulate the quality of medical services.

关键词

广西/医保DRG付费/实施效果

Key words

Guangxi/health insurance DRG payments/implementation effect

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基金项目

广西壮族自治区哲学社会科学规划研究项目(2020)(20FGL040)

出版年

2024
中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
参考文献量8
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