首页|我国DRG/DIP支付方式改革政策的发展特征研究——基于231份政策文本的量化分析

我国DRG/DIP支付方式改革政策的发展特征研究——基于231份政策文本的量化分析

扫码查看
政策是促进改革纵深发展的重要推动力,为探究DRG/DIP支付方式改革相关政策的发展特征,本文采用政策文献计量法、内容分析法和社会网络分析法,构建"发布数量—发布形式—发布主体—政策力度—作用对象—政策工具"六维分析框架,对我国DRG/DIP支付方式改革相关政策进行量化分析.结果发现:我国DRG/DIP支付方式改革相关政策的数量随时间呈现出"增加—减少"的趋势,反映了从试点探索到确定推广,再到优化调整的过程;发布形式层次较低,缺乏权威性;整体效力呈现出"上升—骤减"的趋势,平均效力较低,与初期国家鼓励地方广泛探索尝试的特点相符;作用对象多样化,以改革实施方案为主;政策工具使用综合性强但不均衡.基于上述分析,本文提出以下政策建议:为加强DRG/DIP支付方式改革,从顶层设计入手提升政策效力与执行力,优化作用对象结构以激发协同效应,调整并增加需求型政策工具的使用,进而促进多元主体间的合作与政策协同性的增强.
Research on the Development Characteristics of DRG/DIP Payment Method Reform Policies in China——A Quantitative Analysis Based on 231 Policy Texts
Policies serve as a vital driving force in advancing reforms in depth.To explore the development characteristics of policies related to the reform of DRG/DIP payment methods,this paper adopts the methods of bibliometrics,content analysis,and social network analysis to construct a six-dimensional analytical framework of"number of publications,publication forms,publication authority,policy intensity,targets,and policy tools."Through this framework,a quantitative analysis of relevant policies concerning the reform of DRG/DIP payment methods in China is conducted.The findings reveal that the number of policies follows a trend of"increase-decrease"over time,which reflects the process from pilot,promotion,to optimization and adjustment.The publication forms are relatively low-level and lack authority.The overall effectiveness demonstrates a trend of"increase-sudden decrease,"with a relatively low average effectiveness,which is consistent with the encouragement of extensive exploration at the local level in the initial stage.The targets are diverse,with a focus on reform implementation plans,and the use of policy tools is comprehensive but imbalanced.Based on the analysis above,it is proposed to enhance policy effectiveness and execution from top-level design,optimize the structure of the targets to stimulate synergies effect,adjust and increase the use of demand-oriented policy tools,thereby promoting cooperation among multiple stakeholders and strengthening policy synergy to strengthen the reform of DRG/DIP payment methods.

DRGDIPpolicy systemsquantitative analysiscontent analysis

杨华磊、胡慧娟、李双双、唐丽丽、曹顺子

展开 >

中南财经政法大学 武汉 430073

DRG DIP 政策体系 量化分析 内容分析

中央高校基本科研业务费项目

2722022BY017

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
年,卷(期):2024.(9)