[1]罗 亮,王子云,翁丽娟.DRG付费下的公立医院成本核算实践探究[J].卫生经济研究,2021,38(2):51-54.
 LUO Liang,WANG Zi-yun,WENG Li-juan.Practical Exploration on Cost Accounting of Public Hospitals Under the Payment of DRG[J].Journal Press of Health Economics Research,2021,38(2):51-54.
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DRG付费下的公立医院成本核算实践探究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年2期
页码:
51-54
栏目:
方法学应用
出版日期:
2021-01-20

文章信息/Info

Title:
Practical Exploration on Cost Accounting of Public Hospitals Under the Payment of DRG
作者:
罗 亮1王子云2翁丽娟2
1.华中科技大学同济医学院附属梨园医院,湖北 武汉 430077
2.华中科技大学同济医学院附属协和医院,湖北 武汉 430022
Author(s):
LUO LiangWANG Zi-yunWENG Li-juan
Liyuan Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430077, China
关键词:
DRG成本项目叠加法作业成本法
Keywords:
DRG costproject superposition methodactivity-based costing
分类号:
R197.322
文献标志码:
B
摘要:
DRG支付方式改革对公立医院运营产生了重要影响,XH医院在科室全成本核算的基础上,采用作业成本法核算全院全年的医疗服务项目成本,运用项目叠加法核算全年开展的805个DRG病组成本,对RU14等部分病种的病组成本与例均费用进行对比分析,挖掘DRG成本管理的重点,为医院优化绩效考核和病组结构,助力专科发展提供参考。
Abstract:
The reform of DRG payment has an important impact on the operation of public hospitals,on the basis of total department cost accounting,XH Hospital adopts the activity-based costing method to calculate the medical treatment project costs of whole hospital for all year around.Then the project superposition method was used to calculate the cost of 805 DRG disease groups carried out in the whole year, and compare and analyze the cost and charges per case of some diseases such as RU14.We are explore the key points of DRG cost management, to provide a reference for the hospital to optimize performance appraisal and diseases group structure,and promote the specialty development.

参考文献/References:

[1] 廖藏宜,闫俊.我国医保支付方式的改革历程及发展趋势[J].中国人力资源社会保障,2019(6):13-15.
[2] 陈佳颖,吴丹枫.医院病种成本核算方法研究及应用[J].卫生经济研究,2020,37(3):46-49.
[3] 谭华伟,张培林,姚旭,等.公立医院医疗项目作业成本核算方法实践研究[J].卫生经济研究,2018,35(10):41-45.
[4] 张培林,颜维华,高小玲,等.基于RBRVS的公立医院内部绩效管理指标体系研究[J].卫生经济研究,2019,36(12):14-17.

更新日期/Last Update: 2021-01-27