Analysis of DRG/DIP Payment Reform for Medical Treatment in Other Places Within the Province——Taking Shandong Province as an Example
This paper summarizes the effectiveness and governance experience of Shandong Province,and provides reference for other provinces and cities to promote the payment method reform for remote medical treatment.Methods:Based on the revised grouper CHS-DRG 1.1 Version of the National Health Security Administration,this paper uses descriptive statistical methods to analyze the fund payment,medical expenses and disease structure before and after the reform.Results:The reform of the payment method of non-local hospitalization expenses in Shandong Province has achieved positive results,and the homogenization effect of local and non-local patients in the same area has appeared,but the profound problems of the reform have not been completely solved,such as unreasonable disease structure and different prices for the same disease in cross-regional treatment.Conclusion:It is urgent to accelerate the promotion of hierarchical diagnosis and treatment,strengthen cost accounting,and improve budget settlement and liquidation measures,in order to solve the problem of unbalanced and insufficient medical treatment in different places.
cross-regional medical treatmentDRGDIPefficiency of medical insurance fund
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