[1]王 涛,杨心怡,张 燕,等.DRG/DIP付费下儿童专科医院的挑战及应对之策[J].卫生经济研究,2025,42(03):87-90.
　WANG Tao,YANG Xinyi,ZHANG Yan,et al.Challenges and Countermeasures of Children's Specialty Hospitals under DRG/DIP Payment[J].Journal Press of Health Economics Research,2025,42(03):87-90.
点击复制

DRG/DIP付费下儿童专科医院的挑战及应对之策
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年03期
页码:
87-90
栏目:
医院管理
出版日期:
2025-03-04

文章信息/Info

Title:
Challenges and Countermeasures of Children's Specialty Hospitals under DRG/DIP Payment
作者:
王 涛1; 杨心怡1; 张 燕1; 张雯婷1
1.南通大学附属常州儿童医院，江苏 常州 213000
Author(s):
WANG Tao;  YANG Xinyi;  ZHANG Yan;  ZHANG Wenting
Changzhou Children's Hospital, Nantong University, Changzhou Jiangsu 213000, China
关键词:
DRG; DIP; 儿童专科医院; 运行管理
Keywords:
DRG;  DIP;  children's specialty hospital;  operational management
分类号:
R197
文献标志码:
A
摘要:
目的：探讨DRG/DIP付费下儿童专科医院的挑战及应对之策。方法：以常州市某儿童医院为样本医院，分析DRG/DIP 付费下医院经济运行情况，并与当地某综合医院进行对比。结果：DRG/DIP付费下儿童专科医院面临新的挑战：传统医疗行为模式“颠覆”、成本核算复杂性增加、病案管理与信息化要求提升、绩效管理与激励机制亟需更新、市场竞争加剧。结论：儿童专科医院亟需健全DRG/DIP成本管控体系及责任督查机制、加强DRG/DIP专题培训学习、加快信息平台建设、完善绩效评价体系，积极应对DRG/DIP付费下医院运行管理的挑战。
Abstract:
Objective To explore the challenges and countermeasures of children's specialized hospitals under DRG/DIP payment. Methods Taking a children's hospital in Changzhou City as a sample hospital, the economic operation of the hospital under DRG/DIP payment was analyzed and compared with a local general hospital. Results Under DRG/DIP payment, children's specialized hospitals were facing new challenges, such as "overturned" of the traditional medical behavior model, increased complexity of cost accounting, increased requirements for case management and information technology, urgent updating of performance management and incentive mechanisms, and intensified market competition. Conclusion In children's specialized hospitals, it is necessary to improve the DRG/DIP cost control system and responsibility supervision mechanism, strengthen the DRG/DIP training and learning, accelerate the construction of information platform, and improve the performance evaluation system, in order to actively respond to the challenges of the operational management of hospitals under the DRG/DIP payment.

参考文献/References:

[1] 张昕男，殷荣.DRG对儿童类专科医院运行管理的影响研究[J].卫生经济研究，2021，38（10）：40-42.
[2] 于婷，严波.DRG付费方式下公立医院结余分析与运营[J].中国医院，2022，26（10）：64-66.
[3] 周鹏飞，李运明，杨孝光，等.国内外DRG研究应用概述和医院开展DRG付费方式改革的作用及存在问题探讨[J].卫生软科学，2023， 37（02）：6-10.
[4] 陈吟.基于CN-DRG的儿童外科类年龄分组优化研究[D].北京：北京协和医学院中国医学科学院，2018.
[5] 刘冬生，欧阳菊香.DRGs付费前后住院病案首页数据质量对比分析[J].现代医院，2019，19（09）：1261-1263.
[6] 陈阳，陈俐，杨心玫.公立医院高质量发展下我国DRG绩效管理困境的文献分析[J].医学与社会，2023，36（10）：90-96.
[7] 宋伟玲.信息化下公立医院运营管理体系建设研究[J].财经界，2024（11）：84-86.
[8] 滕晓燕，朱立峰，赵艳.高质量发展背景下医院运营管理信息化研究热点、演化与趋势[J].中国数字医学，2024，19（06）：1-10.
[9] 王苗苗，韩倩，钟海涛.基于大数据的公立医院多元绩效管理模式构建与实践[J].现代医院，2024，24（07）：1104-1107.

相似文献/References:

[1]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,(03):10.
[2]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,(03):38.
[3]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,(03):68.
[4]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,(03):42.
[5]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(03):57.
[6]朱碧帆,徐嘉婕,桑培敏,等.DRG支付对医疗服务体系的影响分析——基于OECD实证数据[J].卫生经济研究,2021,38(5):49.
　ZHU Bi-fan,XU Jia-jie,SANG Pei-min,et al.Analysis on the Impact of DRG Implementation on Medical Service System——Based on the Empirical Data of OECD[J].Journal Press of Health Economics Research,2021,38(03):49.
[7]李文瑾,续晓方,田立启,等.基于DRG的乳腺癌手术患者住院费用及影响因素分析[J].卫生经济研究,2021,38(6):76.
　LI Wen-jin,XU Xiao-fang,TIAN Li-qi,et al.Analysis on Hospitalization Expenses and Its Influencing Factors of Breast Cancer Patients Based on DRG[J].Journal Press of Health Economics Research,2021,38(03):76.
[8]赵 迪,王孝勇,郭 磊,等.基于DRG的病组成本核算方法研究[J].卫生经济研究,2021,38(9):65.
　ZHAO Di,WANG Xiao-yong,GUO Lei,et al.Research on DRG-based Cost Accounting Method of Disease Group[J].Journal Press of Health Economics Research,2021,38(03):65.
[9]于 磊,吴佳勉,熊小兰,等.基于DRG的急性心肌梗死患者分组效果评价与费用分析[J].卫生经济研究,2021,38(10):35.
　YU Lei,WU Jia-mian,XIONG Xiao-lan,et al.Evaluation of Grouping Effect and Cost Analysis of Patients with Acute Myocardial Infarction Based on DRG[J].Journal Press of Health Economics Research,2021,38(03):35.
[10]石连忠,梅 彦,余 震,等.杭州市DRG中医支付政策的实践探索[J].卫生经济研究,2021,38(12):16.
　SHI Lian-zhong,MEI Yan,YU Zhen,et al.Practical Exploration of DRG Payment Policy for Traditional Chinese Medicine in Hangzhou[J].Journal Press of Health Economics Research,2021,38(03):16.
[11]李乐乐,李怡璇.我国医保支付方式改革的治理路径分析——基于DRG与DIP的机制比较[J].卫生经济研究,2022,39(9):43.
　LI Lele,LI Yixuan.Analysis on the Governance Path of Medical Insurance Payment Mode Reform in China——Comparison of Mechanism Based on DRG and DIP[J].Journal Press of Health Economics Research,2022,39(03):43.
[12]谢岱仪,朱秋月,许学军,等.DRG/DIP融合管理推动公立医院高质量发展的实践探讨[J].卫生经济研究,2024,41(05):66.
　XIE Daiyi,ZHU Qiuyue,XU Xuejun,et al.Study on the Practice of DRG/DIP Fusion Management to Promote the High-Quality Development of Public Hospitals[J].Journal Press of Health Economics Research,2024,41(03):66.
[13]王运莎,唐金凤,王寓凡,等.DRG与DIP付费下心血管疾病患者住院费用控制研究[J].卫生经济研究,2025,42(03):67.
　WANG Yunsha,TANG Jinfeng,WANG Yufan,et al.Comparative Study on the Control of Hospitalization Costs of Cardiovascular Disease Patients under DRG and DIP Payment[J].Journal Press of Health Economics Research,2025,42(03):67.

更新日期/Last Update: 2025-03-04