[1]祝 玲,董子坤.DRG支付下的大数据医保基金监管创新实践[J].卫生经济研究,2021,38(12):37-40.
　ZHU Ling,DONG Zi-kun.Innovative Practice of Big Data Medical Insurance Fund Supervision under DRG Payment[J].Journal Press of Health Economics Research,2021,38(12):37-40.
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DRG支付下的大数据医保基金监管创新实践
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年12期
页码:
37-40
栏目:
地市经验
出版日期:
2021-12-02

文章信息/Info

Title:
Innovative Practice of Big Data Medical Insurance Fund Supervision under DRG Payment
作者:
祝 玲1; 董子坤1
1.浙江省金华市医疗保障局,浙江 金华321017
Author(s):
ZHU Ling;  DONG Zi-kun
Medical Security Bureau of Zhejiang Jinhua, Jinhua Zhejiang 321017，China
关键词:
DRG支付; 大数据; 医保基金监管
Keywords:
DRG payment;  big data;  medical insurance fund supervision
分类号:
F840.684
文献标志码:
B
摘要:
介绍浙江省金华市在大数据技术背景下针对DRG支付的监管创新实践，并提出了改进建议——优化现有的规则和模型、继续推进信息化建设、完善监管工作流程，以期为我国DRG支付监管提供经验参考。
Abstract:
This paper introduces the regulatory innovation practice of DRG payment in Jinhua City, Zhejiang Province under the background of big data technology, and puts forward some suggestions for improvement -- optimizing the existing rules and models, continuing to promote information construction, and perfecting the regulatory work flow, in order to provide experience and reference for Chinese DRG payment supervision.

参考文献/References:

[1] 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（国办发〔2017〕55号）[Z/OL]. (2017-06-28). http://www.gov.cn/zhengce/content/2017-06/28/content_5206315.htm.
[2] 杨嫱.大数据背景下中国医疗保险基金监管的路径创新研究——以 C 市为例[D].西南政法大学，2019.
[3] Dye C.The World Health Report 2013：Research for universal health coverage[M].2013.
[4] 杨华.损害医保基金安全不当行为之厘清——基于国内外文献的研究[J].中国医疗保险，2010，10（10）：76-80.

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更新日期/Last Update: 2021-12-02