[1]许剑红,汪迦声,田 佳,等.基于DRG和RBRVS的公立医院绩效分配制度改革研究[J].卫生经济研究,2023,40(2):76-80.
　XU Jianhong,WANG Jiasheng,TIAN Jia,et al.Research on the Reform of Performance Distribution System based on DRG and RBRVS in Public Hospitals[J].Journal Press of Health Economics Research,2023,40(2):76-80.
点击复制

基于DRG和RBRVS的公立医院绩效分配制度改革研究
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
40
期数:
2023年2期
页码:
76-80
栏目:
医院管理
出版日期:
2023-02-01

文章信息/Info

Title:
Research on the Reform of Performance Distribution System based on DRG and RBRVS in Public Hospitals
作者:
许剑红1; 汪迦声1; 田 佳1; 葛宁妍1; 刘 媛1
1.浙江大学医学院附属邵逸夫医院，浙江 杭州310016
Author(s):
XU Jianhong;  WANG Jiasheng;  TIAN Jia;  GE Ningyan;  LIU Yuan
The Affiliated Sir Run Run Shaw Hospital Zhejiang University School of Medicine, Hangzhou Zhejiang 310016, China
关键词:
DRG; RBRVS; 绩效分配; 公立医院
Keywords:
DRG;  RBRVS;  performance distribution;  public hospital
分类号:
R197
文献标志码:
B
摘要:
本文剖析了RBRVS与DRG在公立医院绩效分配应用中的难点与问题，在此基础上，以某三甲综合医院为例，设计实施了一套以工作量核算为基础的绩效分配体系，在优化难度系数的同时，还有合理应用DRG激励、重视质量指标、鼓励创新等特点。这一体系在提升医务人员工作积极性的基础上，体现了公立医院的公益性，有利于促进公立医院高质量发展。
Abstract:
With the gradual deepening of the application of DRGs in medical insurance payment, public hospitals are moving towards the direction of improving quality and efficiency. However, the performance distribution system of public hospitals has generally not effectively echoed and integrated with the guidance of DRGs. In the case of system design only relying on RBRVS and other performance tools, the leading spirit of DRGs cannot be transmitted to each medical work unit from top to bottom. By analyzing the difficulties and problems in the application of the performance distribution system of DRGs and RBRVS, which are widely used in public hospitals at present, and based on scientific distribution principles and the basic reality of public hospitals, this paper designed an effective and typical performance distribution system, which strives to reflect the public welfare and efficiency of public hospitals on the basis of improving the enthusiasm of medical personnel. At the same time, the distribution system encouraged public hospitals to carry out technological innovation and tap potential to promote long-term high-quality development.

参考文献/References:

[1] 吴剑，叶金松，高峰，等.RBRVS评估系统在医师绩效管理中的实践和体会[J].中国医院，2013，17（2）：49-51.
[2] 李磊，夏景林，罗力.RBRVS在公立医院薪酬分配改革中的应用分析[J].中国医院管理，2014，34（11）：42-45.
[3] 周瑞，陈仲强，金昌晓.DRGs 相关指标值在医院绩效考核分配体系中的应用[J].中国医院管理，2011，2:10-11.
[4] 齐静.DRGS支付模式下的医院绩效分配研究[J].会计师，2020（15）： 75-76.
[5] 李舒丹，陈阳，江婷，等.DRGs应用于医院内部绩效管理的述评与思考[J].卫生经济研究，2017，34（5）：69-71.
[6] 牛巍，赵晨，师强，等.基于RBRVS和DRGs的绩效分配模式研究[J].中国医院，2015，19（12）：7-9.
[7] 许盈盈.基于RBRVS和DRGs的公立医院绩效评价体系研究[D].杭州：杭州电子科技大学，2019.

相似文献/References:

[1]黄 山,夏 聪,谭 剑,等.基于量化的绩效考核模式在美国的应用及其启示[J].卫生经济研究,2017,(07):21.
[2]韩金秀,马仕帅,王新生.RBRVS在公立医院手术绩效薪酬分配中的应用研究[J].卫生经济研究,2017,(10):65.
[3]颜维华,谭华伟,张培林,等.我国公立医院内部绩效管理的RBRVS实践[J].卫生经济研究,2018,(12):47.
　YAN Wei-hua,TAN Hua-wei,ZHANG Pei-lin,et al.RBRVS Practice of Internal Performance Management of Public Hospitals in China[J].Journal Press of Health Economics Research,2018,(2):47.
[4]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,(2):10.
[5]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,(2):38.
[6]孙 文.新医疗模式下公立医院精细化绩效管理改革实践[J].卫生经济研究,2019,(08):66.
　SUN Wen.Practice of Refined Performance Management Reform in Public Hospitals under the New Medical Model[J].Journal Press of Health Economics Research,2019,(2):66.
[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,(2):68.
[8]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,(12):14.
　ZHANG Pei-lin,YAN Wei-hua,GAO Xiao-ling,et al.Research of Internal Performance Management Index System of Public Hospital Based on RBRVS[J].Journal Press of Health Economics Research,2019,(2):14.
[9]张培林,颜维华,高小玲,等.我国台湾地区RBRVS实践路径及其政策启示[J].卫生经济研究,2020,(01):28.
　ZHANG Pei-lin,YAN Wei-hua,GAO Xiao-ling,et al.The Practice Path of RBRVS in Taiwan and Its Policy Implications[J].Journal Press of Health Economics Research,2020,(2):28.
[10]朱 先,向 前.基于RBRVS与DRGs视角的按病种付费模式探讨[J].卫生经济研究,2020,(01):32.
　ZHU Xian,XIANG Qian.Discussion on the Disease-based Payment Model based on the Perspective of RBRVS and DRGs[J].Journal Press of Health Economics Research,2020,(2):32.
[11]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(2):57.
[12]朱 倩,李天舒,李小莹,等.业财融合下公立医院医护人员绩效分配模式探索[J].卫生经济研究,2022,39(11):82.
　ZHU Qian,LI Tianshu,LI Xiaoying,et al.Exploring the Performance Allocation Model of Medical and Nursing Staff in Public Hospitals under the Integration of Business and Finance[J].Journal Press of Health Economics Research,2022,39(2):82.
[13]何沁彧,文 进.基于DRG与RBRVS的公立医院绩效薪酬模式研究[J].卫生经济研究,2024,41(08):75.
　HE Qinyu,WEN Jin.Study on the Performance Salary Model in Public Hospitals based under on DRG and RBRVS[J].Journal Press of Health Economics Research,2024,41(2):75.

更新日期/Last Update: 2023-02-01