[1]刘 玥,赵 凯,魏明丽.DRG支付下公立医院精细化成本管控的实证研究[J].卫生经济研究,2022,39(3):83-87.
　LIU Yue,ZHAO Kai,WEI Ming-li.An Empirical Study on Refined Cost Control of Public Hospitals Under DRG Payment[J].Journal Press of Health Economics Research,2022,39(3):83-87.
点击复制

DRG支付下公立医院精细化成本管控的实证研究
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年3期
页码:
83-87
栏目:
财务与审计
出版日期:
2022-03-01

文章信息/Info

Title:
An Empirical Study on Refined Cost Control of Public Hospitals Under DRG Payment
作者:
刘 玥1; 赵 凯2; 魏明丽1
1.江汉大学，湖北 武汉 430056
2.武汉市中心医院，湖北 武汉 430014
Author(s):
LIU Yue;  ZHAO Kai;  WEI Ming-li
Jianghan University, Wuhan Hubei 430056, China
关键词:
DRG; 成本控制; 精细化管理; 病组分析
Keywords:
DRG;  cost control;  refined management;  disease group analysis
分类号:
R197.32
文献标志码:
B
摘要:
DRG支付下，公立医院的发展方式从规模扩张转向提质增效，要求科室进一步加强精细化成本管控。本文以A医院为例，通过DRG相关指标对全院科室绩效数据进行分析，利用波士顿矩阵对病组进行分类细化研究，分析DRG支付下科室成本控制的缺陷，提出一个宗旨、两个抓手、三个支撑、四个提高、五个融合、六个优化的对策建议。
Abstract:
Under the DRG payment, the development mode of public hospitals has shifted from scale expansion to quality and efficiency improvement, which requires departments to further strengthen refined cost control. Taking Hospital A as an example, this paper analyzed the performance data of the departments in the hospital through DRG-related indicators. Boston matrix was used to classify and refine the disease groups, and analyzed the defects of department cost control under DRG payment. Finally, this study proposed suggestions from the perspective of a purpose, two starting points, three supports, four improvements, five integration, and six optimization.

参考文献/References:

[1] Renee S Leary，Mary E Johantgen，Dean Farley，et al.All - Payer Severity-Adjusted Diagnosis- Related Groups:A Uniform Method To Severity-Adjust Discharge Data[J].Top Health Inform Manage，1997，17(3)：60- 71.
[2] U.S.Health care financing Administ Ration Medicare 2000:35 Years of Improving Americans' Health and Security[R].2000.
[3] Diagnosis Related Groups (DRGs) and the Medic are Program: Implications for Medical Technology[EB/OL].https:/ldigital.library.unt.edu/ark:/67531/metadc39505.
[4] 顾昕.走向公共契约模式——中国新医改中的医保付费改革[J].经济社会体制比较，2012（4）：21-31.
[5] 张瑞迪.公立医院实施病例组合指数绩效评价的应用探讨[J].中国医院管理，2016，36（3）：43-45.
[6] 董乾，陈金彪，陈虎，等.DRGs国内发展现状及政策建议[J].中国卫生质量管理，2018，25（2）：1-4.

相似文献/References:

[1]王建,王子鸣,何平,等.目标成本法在公立医院基建成本控制中的应用与思考[J].卫生经济研究,2016,(02):61.
[2]罗婷婷,许 军,储雪琴,等.不计价手术医用耗材的成本控制方法探讨[J].卫生经济研究,2017,(08):48.
[3]戴文娟,储沛瑶.医院供应链信息化改革的实践及思考[J].卫生经济研究,2018,(10):67.
　DAI Wen-juan,CHU Pei-yao.Practice and Thoughts on Hospitalization Supply Chain Information Reform[J].Journal Press of Health Economics Research,2018,(3):67.
[4]徐向天.基于价值链理论的医院耗材管理探析[J].卫生经济研究,2019,(03):56.
　XU Xiang-tian.Analysis of Hospital Consumables Management Based on Value Chain Theory[J].Journal Press of Health Economics Research,2019,(3):56.
[5]丛鹂萱,王海银,金春林.美国创新医疗技术支付经验及启示[J].卫生经济研究,2019,(07):10.
　CONG Li-xuan,WANG Hai-yin,JIN Chun-lin.American Innovative Medical Technology Payment Experience and Enlightenment[J].Journal Press of Health Economics Research,2019,(3):10.
[6]潘春燕.DRG支付方式的实践探讨——以JH市试点情况为例[J].卫生经济研究,2019,(08):38.
　PAN Chun-yan.Discussion on the Practice of DRG Payment Method——Taking the Pilot of JH City as an example[J].Journal Press of Health Economics Research,2019,(3):38.
[7]高 菁,崔 斌,朱兆芳,等.收付费双轨制改革对医院财务管理的影响[J].卫生经济研究,2019,(09):68.
　GAO Jing,CUI Bin,ZHU Zhao-fang,et al.The Impact of the Dual-track Reform of Payment on Hospital Financial Management[J].Journal Press of Health Economics Research,2019,(3):68.
[8]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,(03):46.
　CHEN Jia-ying,WU Dan-feng.Research and Application of Hospital Disease Cost Accounting Method[J].Journal Press of Health Economics Research,2020,(3):46.
[9]刘荣飞,薛 梅,李紫灵.DRG的国内外研究进展[J].卫生经济研究,2020,(10):42.
　LIU Rong-fei,XUE Mei,LI Zi-ling.Research Progress of DRG at Home and Abroad[J].Journal Press of Health Economics Research,2020,(3):42.
[10]杨 棋,庚 硕,刘 瑾,等.公立医院RBRVS与DRG管理工具结合应用的思考——基于绩效管理视角[J].卫生经济研究,2021,38(3):57.
　YANG Qi,GENG Shuo,LIU Jin,et al.Thoughts on the Combined Application of RBRVS and DRG Management Tools in Public Hospitals——From the Perspective of Performance Management[J].Journal Press of Health Economics Research,2021,38(3):57.

更新日期/Last Update: 2022-03-01