[1]刘家宇,张 媚,袁小丽,等.整体性治理视域下医改监测病种（组）筛选方法及建议[J].卫生经济研究,2024,41(04):10-13.
　LIU Jiayu,ZHANG Mei,YUAN Xiaoli,et al.Screening Methods and Suggestions for Monitoring Disease Groups of Healthcare Reform under the Perspective of Holistic Governance[J].Journal Press of Health Economics Research,2024,41(04):10-13.
点击复制

整体性治理视域下医改监测病种（组）筛选方法及建议
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年04期
页码:
10-13
栏目:
改革探索
出版日期:
2024-03-29

文章信息/Info

Title:
Screening Methods and Suggestions for Monitoring Disease Groups of Healthcare Reform under the Perspective of Holistic Governance
作者:
刘家宇1; 张 媚1; 袁小丽1; 吴柜坊1
1.成都中医药大学，四川 成都 611100
Author(s):
LIU Jiayu;  ZHANG Mei;  YUAN Xiaoli;  WU Guifang
Chengdu University of Traditional Chinese Medicine, Chengdu Sichuan 611100, China
关键词:
监测病种（组）; 整体性治理; 综合评价
Keywords:
monitoring disease groups;  holistic governance;  comprehensive evaluation
分类号:
F840.684
文献标志码:
A
摘要:
目的：论证医改监测病种（组）筛选的功能价值、技术方法，为各地构建科学合理的医改政策监测工具提供参考建议。方法：采用熵权（TOPSIS）、非整秩次RSR、二者模糊联合法，实证分析监测病种（组）的政策效应。结果：熵权法结果显示，病例总数指标权重最大（0.178）；TOPSIS法结果显示，颈腰背疾患的Ci值最大（0.879）；非整秩次RSR法和二者模糊联合法结果显示，排序前21位的病种（组）进入重点关注档，为医改监测病种（组）。结论：监测病种（组）有助于评估医改政策效力和医疗服务水平，优化医疗资源配置。
Abstract:
Objective To demonstrate the functional value and technical methodology of the screening methods for monitoring diseases groups of healthcare reform, and to provide reference suggestions for the construction of scientific and reasonable monitoring tools for healthcare reform policies in different regions. Methods Entropy-weighted TOPSIS method, non-integer rank RSR method, and fuzzy combination of Topsis and RSR method were used to empirically analyze the policy effect of monitoring disease groups. Results The results of entropy-weighted method showed that the total number of cases indicator had the largest weight(0.178). The results of TOPSIS method showed that the Ci value of cervical, lumbar, and back disorders was the largest(0.879). The results of non-integer rank RSR and fuzzy combination of Topsis and RSR method showed that the top 21 ranked disease groups entered the key focus category as the monitoring disease groups of healthcare reform. Conclusion Monitoring disease groups helps to assess the effectiveness of healthcare reform policies and the level of medical services, and optimize the allocation of medical resources.

参考文献/References:

[1] 张媚，肖蕾.全面实施预算绩效管理下卫生健康高质量发展面临的挑战与展望[J].中国卫生经济，2022，41（07）：1-4.
[2] 李诗晴，褚福灵.总额预付制医疗保险支付方式改革对医疗费用的影响：基于断点回归设计[J].社会保障评论，2020，4（03）：47-61.
[3] 陈烨，丁锦希.药品集中带量采购中的专利问题探讨[J].知识产权，2021（09）：79-96.
[4] 郑功成.全面深化医保改革：进展、挑战与纵深推进[J].行政管理改革，2021（10）：12-25.
[5] 王绪，吴婧文，肖丽，等.医保基金战略性购买实践中价格联动及动态调整机制研究[J].中国医疗保险，2023（06）:93-98.
[6] 殷人易，彭朗，张瑶,等.武汉市某三甲医院针灸科DRG入组情况分析及探讨[J].医学与社会，2020，33（03）：80-82,87.
[7] 方金鸣，刘玲，彭义香，等.DRG支付下监测病组的低码高编和医疗资源消耗分析[J].卫生经济研究，2022，39（04）：33-36.
[8] 王川，陈琳，宋振，等.DRGs模式和决策树组合模型在血液病患者住院费用研究中的应用[J].中国卫生统计，2020，37（01）：70-72.
[9] 黄正正，杨思睿，沈绍武，等.基于中医医院双重诊断的病例相关分组模型研究[J].中国医院，2022，26（12）：53-56.
[10] 张媛.全民医保背景下参保群体医疗费用影响因素及控制策略研究[D].济南：山东财经大学，2022.
[11] 曾理.总额预算下病组（DRGs）点数法实施效果及路径优化研究[D].武汉：华中科技大学，2021.
[12] 杨思睿.基于病案首页的中医病证诊断相关分组模型研究[D].武汉：湖北中医药大学，2022.
[13]范炤.TOPSIS和秩和比法模糊联合对卫生事业管理质量的综合评价[J].中国医院统计，2000，7（04）：214-216.

相似文献/References:

[1]孙弋涵,沈 晓,徐一明.基于整体性治理理论的县域医共体建设研究——以湖北省为例[J].卫生经济研究,2020,(10):24.
　SUN Yi-han,SHEN Xiao,XU Yi-ming.Study on the County-level Medical Alliance Construction Based on Integration Governance Theory——Take Hubei Province as an example[J].Journal Press of Health Economics Research,2020,(04):24.
[2]王淑敏,徐 赞,崔文虎,等.整体性治理视域下完善医保基金管理的思考[J].卫生经济研究,2022,39(11):16.
　WANG Shumin,XU Zan,CUI Wenhu,et al.Reflections on Improving the Management of Health Insurance Fund from the Perspective of Holistic Governance[J].Journal Press of Health Economics Research,2022,39(04):16.
[3]袁 笛.我国长期护理保险的整体性治理研究——基于成都市试点经验[J].卫生经济研究,2024,41(02):31.
　YUAN Di.Study on Holistic Governance of Long-term Care Insurance ——Based on the Pilot Experience of Chengdu City[J].Journal Press of Health Economics Research,2024,41(04):31.
[4]吴亭瑶,柏 雪.整体性治理视域下异地就医结算管理路径优化研究[J].卫生经济研究,2024,41(08):61.
　WU Tingyao,BAI Xue.Study on Path Optimization of Off-site Medical Settlement Management from the Perspective of Holistic Governance[J].Journal Press of Health Economics Research,2024,41(04):61.
[5]姬雄华,邓 慧.农村医养结合整体性治理及其实现路径[J].卫生经济研究,2025,42(03):6.
　JI Xionghua,DENG Hui.Holistic Governance of Rural Integrated Elderly Care and Medical Services and its Implementation Path[J].Journal Press of Health Economics Research,2025,42(04):6.

更新日期/Last Update: 2024-03-29