[1]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):32-34.
　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,(01):32-34.
点击复制

基于RBRVS与DRGs视角的按病种付费模式探讨
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年01期
页码:
32-34
栏目:
医保天地
出版日期:
2020-01-06

文章信息/Info

Title:
Discussion on the Disease-based Payment Model based on the Perspective of RBRVS and DRGs
作者:
朱 先1; 向 前1
1.南方医科大学南方医院，广东 广州 510515
Author(s):
ZHU Xian; XIANG Qian
Nanfang Hospital，Southern Medical University，Guangzhou Guangdong 510515，China
关键词:
RBRVS; DRGs; 按病种付费
Keywords:
RBRVS; DRGs; disease-based payment
分类号:
R19
文献标志码:
A
摘要:
对RBRVS、DRGs和按病种付费三者之间的关系进行探讨，对按病种付费模式给出建议。方法：采用文献研究法对RBRVS和DRGs的关键构成和计算方式进行梳理。结果：我国的按病种付费存在以成本代替费用、各类成本统一处理、较难区分病种难度和风险的缺陷。结论：RBRVS和DRGs系统中人力成本与非人力成本分类处理、设置难度系数和风险系数等，对我国按病种付费模式具有借鉴意义。
Abstract:
This paper discussed the relationship among RBRVS，DRGs and disease-based payment，and gave advice on disease-based payment. Methods: The key components and calculation methods of RBRVS and DRGs were sorted by literature research method. Results: China's disease-based payment has problems including replacing fees with costs，unified treatment of different kinds of costs，and difficulties in distinguishing diseases and risks. Conclusion: The classification of labor costs and non-labor costs and setting difficulty coefficient and risk coefficients in RBRVS and DRGs system are useful for China's disease-based payment model.

参考文献/References:

[1] American Medical Association. The Physicians’ Guide Medicare RBRVS 2016[R].USA AMA 2016：26-64.
[2] 朱先,储雪琴,许军,等.RBRVS在大型综合型医院中的本土化框架设计与实施[J].卫生软科学,2018,32(6):29-31，34.
[3] 李慧博,郭彬,苏勇,等.基于RBRVS和DRGs的公立医院绩点制绩效改革公平性探讨[J].现代医院,2018,18(5):649-652.
[4] Kern Lisa M,Rajan Mangala,Pincus Harold A,Casalino Lawrence P,Stuard Susan S. Health Care Fragmentation in Medicaid Managed Care vs. Fee-for-Service[J]. Population health management,2019.
[5] 黎东生.中国式DRGs的控费机理及其控费效果的环境变量分析[J].中国医院管理,2018,38(3):43-45.
[6] FETTERB，SHINY，FREEMAN JL．Case mix definition bydiagnosis-related groups．Medical care，1980，18(2)：5-6.
[7] WYNN B O，SCOTt M．Evaluation of altemative methods to establish DRG relative weights[R]．Santa Monica：Rand Corporation，2008.
[8] 易颜新,陆稼天,黄莉媛,等.基于ABC-DRGs的公立医院病种成本研究[J].卫生经济研究,2018(3):44-47.

相似文献/References:

[1]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,(05):69.
[2]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.
[3]吴伟旋,向 前.三种病例组合系统的比较研究[J].卫生经济研究,2017,(09):21.
[4]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.
[5]于保荣.按病例支付及医疗服务支付方式改革的实现条件——从DRGs、按病种付费、点数法付费及临床路径谈起[J].卫生经济研究,2018,(09):16.
　YU Bao-rong.Conditions for the Implementation of Reforms by Case Payment and Payment for Medical Services ——From DRGs，Case-based payments，Point payments，and Clinical pathways[J].Journal Press of Health Economics Research,2018,(01):16.
[6]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,(01):47.
[7]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,(01):66.
[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,(01):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,(01):28.
[10]夏培勇,童 杨.以RBRVS为基础的分项点数成本法在手术项目成本核算中的应用[J].卫生经济研究,2020,(03):42.
　XIA Pei-yong,TONG Yang.Application of Itemized Point Cost Method based on RBRVS in Costing of Surgical Items[J].Journal Press of Health Economics Research,2020,(01):42.

更新日期/Last Update: 2020-01-06