[1]陈其根,周晗彬,李伟峰,等.DRG点数法推进医保精细化管理的实证研究——以浙江省嘉兴市为例[J].卫生经济研究,2021,38(12):29-32.
 CHEN Qi-gen,ZHOU Han-bin,LI Wei-feng,et al.An Empirical Study on Promoting Fine Management of Medical Insurance by DRG Point Method——Taking Jiaxing City, Zhejiang Province as an Example[J].Journal Press of Health Economics Research,2021,38(12):29-32.
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DRG点数法推进医保精细化管理的实证研究
——以浙江省嘉兴市为例
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年12期
页码:
29-32
栏目:
地市经验
出版日期:
2021-12-02

文章信息/Info

Title:
An Empirical Study on Promoting Fine Management of Medical Insurance by DRG Point Method
——Taking Jiaxing City, Zhejiang Province as an Example
作者:
陈其根1周晗彬2李伟峰1徐小琴2熊唯婧2
1.浙江省嘉兴市医疗保障局,浙江 嘉兴314000
2.国新健康保障服务(浙江)有限公司,浙江 杭州310061
Author(s):
CHEN Qi-gen ZHOU Han-bin LI Wei-feng XU Xiao-qin XIONG Wei-jing
Medical Security Bureau of Zhejiang Jiaxing, Jiaxing Zhejiang 314000, China
关键词:
医保支付方式改革DRG住院均次费用医保精细化管理
Keywords:
medical insurance payment method reform DRG hospitalization expensesfine management of medical insurance
分类号:
R197
文献标志码:
B
摘要:
以嘉兴市实施DRG点数法付费改革为例,运用面板数据模型,比较改革前后住院均次费用的差异,验证DRG点数法付费改革的控费成效。同时,对嘉兴市解决DRG工具性缺陷、推进医保精细化管理所采取的补充性政策进行实证研究,提出本地化政策调整的建议。
Abstract:
Taking the implementation of the DRG point method payment reform in Jiaxing as an example, the panel data model was used to compare the difference of the average hospitalization expenses before and after the reform to verify the cost control effect of the DRG point method payment reform. At the same time, this paper makes an empirical study on the supplementary policies adopted by Jiaxing to solve the instrumental defects of DRG and promote the fine management of medical insurance, and puts forward suggestions for localization policy adjustment.

参考文献/References:

[1] 国务院.国务院办公厅关于进一步深化基本医疗保险支付方式改革的指导意见[Z].2017.
[2] 李芬,金春林,朱莉萍,等.以价值为导向的医保支付制度实施路径[J].卫生经济研究,2021,38(1):10-13.
[3] 杨巧,陈登菊,田梅,等.总额预付下门诊特病医保费用实证分析[J].卫生经济研究,2020,37(1):25-27.
[4] 顾昕,吕兵,赵明,等.浙江DRG付费体系建设:国家医保改革战略的“重要窗口”[J].中国医疗保险,2021(6):39-45.
[5] 杨敏,王前.新医改以来我国DRG研究热点的聚类分析[J].卫生经济研究,2019,36(8):35-41.
[6] 俞红平,沈利明.嘉兴市医保基金绩效评价体系建设的实践探索[J].中国医疗保险,2020(10):54-58.
[7] 张玉玺.我国医保支付方式选择研究[D].北京:北京工业大学,2020.
[8] 陈志鹏,杨金侠.医保支付促进慢性病管理的国际经验及启示[J].卫生经济研究,2021,38(2):38-40.

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 CHEN Fen-fang,JIANG Jian-qiong,WEI Qing-gang,et al.Practical Exploration of Long-term Hospitalized Cases under DRG Per-diem Payment[J].Journal Press of Health Economics Research,2021,38(12):51.

更新日期/Last Update: 2021-12-02