[1]李祖兰,周戈耀,毛 佳,等.贵州省中医优势病种支付方式改革推行的影响因素研究[J].卫生经济研究,2023,40(10):61-65.
　LI Zulan,ZHOU Geyao,MAO Jia,et al.Study on the Influencing Factors of the Implementation of Payment Reform for Dominant Diseases of Traditional Chinese Medicine in Guizhou Province[J].Journal Press of Health Economics Research,2023,40(10):61-65.
点击复制

贵州省中医优势病种支付方式改革推行的影响因素研究
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
40
期数:
2023年10期
页码:
61-65
栏目:
筹资与支付
出版日期:
2023-09-28

文章信息/Info

Title:
Study on the Influencing Factors of the Implementation of Payment Reform for Dominant Diseases of Traditional Chinese Medicine in Guizhou Province
作者:
李祖兰1; 周戈耀1; 毛 佳1; 周先凤1
1.贵州医科大学医药卫生管理学院/医药经济管理研究中心，贵州 贵阳 550025
Author(s):
LI Zulan;  ZHOU Geyao;  MAO Jia;  ZHOU Xianfeng
Research Center of Medical Economy Management, School of Medicine and Health Management, Guizhou Medical University, Guiyang Guizhou 550025, China
关键词:
医保支付方式改革; 中医优势病种; 影响因素
Keywords:
medical insurance payment reform;  dominant diseases of traditional Chinese medicine;  influencing factors
分类号:
R197.1
文献标志码:
A
摘要:
目的：调查分析贵州省中医优势病种支付方式改革现状及影响因素。方法：采用简单随机抽样法，对改革试点医院相关人员进行问卷调查，运用多因素非条件Logistic回归分析影响改革推行的因素。结果：医院级别、当前遴选的优势病种合理性、改革实施后绩效变化、医生病历书写不规范导致入组错误、医院或医务人员不够重视、中医疾病编码规则，是改革推行的显著影响因素。结论：重视各级医院改革实施差异，遴选更多能够体现医务人员技术劳务价值的优势病种，构建适宜的优势病种遴选评价标准，规范病案首页书写，重视改革实施和监管力度，促进中医优势病种支付方式改革的推广实施。
Abstract:
Objective To investigate and analyze the current situation and influencing factors of payment reform for dominant diseases of traditional Chinese medicine in Guizhou province. Methods A simple random sampling method was used to conduct a questionnaire survey on relevant medical personnel in pilot hospitals for reform, and multiple factor unconditional logistic regression analysis was used to analyze the factors influencing the implementation of the reform. Results The hospital level, the rationality of the currently selected dominant diseases, changes in performance after the implementation of the reform, errors in enrollment caused by non-standard medical record writing by doctors, insufficient attention from hospitals or medical personnel, and the coding rules of traditional Chinese medicine diseases were significant influencing factors for the implementation of the reform. Conclusion It is necessary to pay attention to the differences in the implementation of the reform in hospitals at all levels, select more dominant diseases that can reflect the technical labor value of medical personnel, establish appropriate evaluation standards for the selection of dominant diseases, standardize the writing of the first page of medical records, attach importance to the implementation of reform and supervision, and promote payment reform for dominant diseases of traditional Chinese medicine.

参考文献/References:

[1] 徐婧.国家医疗保障局、国家中医药管理局联合发文推动医保支持中医药传承创新发展[J].中医药管理杂志，2022，30（1）：176.
[2] 孙立明.关于中医优势病种研究的评述和建议[J].中华中医药杂志，2022，37（3）：1271-1273.
[3] 陶群山，魏骅.安徽省中医药按病种支付方式改革效果分析[J].锦州医科大学学报（社会科学版），2019，17（6）：25-31.
[4] 周倜，段涵敏，欧阳振华，等.看病住院“一口价”打包支付[N].湖南日报，2022-03-11（006）.
[5] Wang Jianjian,Zheng Mingfu,Guo Qiangqiang,et al.Dominant diseases of Traditional Chinese Medicine (TCM)[J].Integrative Med- icine Research,2022,11(3):100872.
[6] 张弘，丁科，谢俊明，等.“疗效价值付费”下的中医优势病种DRG付费方案探索[J].卫生经济研究，2021，38（12）：75-76，79.
[7] 刘应科，孙光荣.中医优势病种的认识及发展建议[J].湖南中医药大学学报，2022，42（3）：498-503.
[8] Liu Hongliang,Tan Jinpeng,Jon Kyongson,et al.A new case-mix classification method for mdical insurance payment[J].Mathematics,2022,10(10):1640.
[9] 张永硕，乔学斌.DRG-PPS在我国地方性卫生支付方式改革中的应用研究[J].江苏卫生事业管理，2022，33（7）：841-843，866.
[10] 王静，钟力炜，言行，等.上海市中医医院医保支付改革实践探索[J].中国医院管理，2022，42（3）：70-73.
[11] 沈洁，冯煜，汤哲伟，等.基于病案首页分析的中医医院单病种质量评价研究[J].中国医院管理，2022，42（5）：42-46.
[12] 龚煜，许斯略，吴婧文，等.眉山市DRG付费“线上+线下”监管模式的探讨[J].中国医疗保险，2022（4）：53-58.

相似文献/References:

[1]宋生来,胡小波,胡晓彦.湖州市医共体综合付费方式改革的经验和启示——以德清县为例[J].卫生经济研究,2021,38(12):25.
　SONG Sheng-lai,HU Xiao-bo,HU Xiao-yan.Experience and Enlightenment of Comprehensive Payment Method Reform in Huzhou Medical Alliance——Taking Deqing County as Example[J].Journal Press of Health Economics Research,2021,38(10):25.
[2]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.
　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(10):29.
[3]陈芬芳,姜建琼,韦庆钢,等.DRG下长期住院病例按床日点数付费的实践探索[J].卫生经济研究,2021,38(12):51.
　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(10):51.
[4]张 弘,丁 科,谢俊明,等.“疗效价值付费”下的中医优势病种DRG付费方案探索[J].卫生经济研究,2021,38(12):75.
　ZHANG Hong,DING Ke,XIE Jun-ming,et al.Exploration of DRG Payment Scheme for Dominant Diseases of Traditional Chinese Medicine under "Efficacy Value Payment"[J].Journal Press of Health Economics Research,2021,38(10):75.
[5]黄成凤,申丽君,杨燕绥.价值导向型医保付费政策效果探讨——基于柳州市中医优势病种的实证分析[J].卫生经济研究,2022,39(5):37.
　HUANG Cheng-feng,SHEN Li-jun,YANG Yan-sui.Discussion on the Effect of Value-Oriented Medical Insurance Payment Policy ——Based on Empirical Analysis in Liuzhou[J].Journal Press of Health Economics Research,2022,39(10):37.
[6]熊 蔓,伍林生.重庆市DRG实施成效评估及问题分析——基于模拟运行阶段[J].卫生经济研究,2022,39(7):28.
　XIONG Man,WU Linsheng.Evaluation of Implementation Effectiveness and Problem Analysis of DRG in Chongqing ——Based on Simulation Operation Phase[J].Journal Press of Health Economics Research,2022,39(10):28.
[7]廖藏宜,秦纪华,蓝志成.中医优势病种按疗效价值付费的柳州经验[J].卫生经济研究,2023,40(6):61.
　LIAO Zangyi,QIN Jihua,LAN Zhicheng.Experience of Efficacy Value Payment for Dominant Diseases of Traditional Chinese Medicine in Liuzhou[J].Journal Press of Health Economics Research,2023,40(10):61.
[8]杨 菁,李梦滢,沈际勇.中医优势病种支付方式改革试点经验与启示[J].卫生经济研究,2023,40(12):33.
　YANG Jing,LI Mengying,SHEN Jiyong.Experience and Enlightenment of the Pilot Reform of Payment Methods for Dominant Diseases of Traditional Chinese Medicine[J].Journal Press of Health Economics Research,2023,40(10):33.
[9]牛 琨,贺 婷,袁 勇.按病种分值付费背景下医院科室收入核算模式探索[J].卫生经济研究,2024,41(02):85.
　NIU Kun,HE Ting,YUAN Yong.Exploration on Revenue Accounting Model for Hospital Departments under the Background of Diagnosis-Intervention Packet[J].Journal Press of Health Economics Research,2024,41(10):85.
[10]岳铭坤,李 凯,黄 娜,等.按病种付费对中医优势病种住院费用的影响研究 ——基于PSM-DID法[J].卫生经济研究,2024,41(03):62.
　YUE Mingkun,LI Kai,HUANG Na,et al.Study the Impact of DRG on the Hospitalization Expenses of the Dominant Diseases of Traditional Chinese Medicine ——Based on PSM-DID Method[J].Journal Press of Health Economics Research,2024,41(10):62.

更新日期/Last Update: 2023-09-28