[1]石梦潇,王浜琴,王前强.DRG支付下公立医院高质量发展路径的案例研究 ——基于动态能力分析[J].卫生经济研究,2024,41(05):62-65.
 SHI Mengxiao,WANG Bangqin,WANG Qianqiang.Case Study on the Path of High-quality Development for Public Hospitals under DRG Payment Reform ——Based on Dynamic Capabilities Analysis[J].Journal Press of Health Economics Research,2024,41(05):62-65.
点击复制

DRG支付下公立医院高质量发展路径的案例研究
——基于动态能力分析
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年05期
页码:
62-65
栏目:
改革探索
出版日期:
2024-04-23

文章信息/Info

Title:
Case Study on the Path of High-quality Development for Public Hospitals under DRG Payment Reform
——Based on Dynamic Capabilities Analysis
作者:
石梦潇1王浜琴1王前强2
1.广西壮族自治区人民医院,广西 南宁 530021
2.广西医科大学人文社会科学学院,广西 南宁 530021
Author(s):
SHI Mengxiao WANG Bangqin WANG Qianqiang
The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning Guangxi 530021, China
关键词:
DRG支付公立医院高质量发展动态能力理论
Keywords:
DRG payment public hospitals high-quality development dynamic capabilities theory
分类号:
R197.322
文献标志码:
A
摘要:
目的:探讨DRG支付下公立医院高质量发展的路径。方法:基于动态能力理论,以中国西部地区某三甲医院为案例医院,进行实证研究。结果:公立医院的动态能力包括感知识别能力、吸收整合能力和重构创造能力;案例医院在不断变化的外部环境中感知医保支付方式改革的机会与威胁,通过对现有医疗资源和管理模式进行整合、更新和重构,形成新的竞争优势,助力医院高质量发展。结论:从顶层设计、医疗资源和未来发展三个维度,提出DRG支付下公立医院高质量发展的路径。
Abstract:
Objective To explore the path of high-quality development for public hospitals under DRG payment reform. Methods Based on the perspective of dynamic capabilities theory, an empirical study was conducted with a tertiary hospital in western China as a case hospital. Results The dynamic capabilities of public hospitals included the ability to perceive and recognize, absorb and integrate, and reconfigure and create. The case hospital perceived the opportunities and threats of the health insurance payment reform in the ever-changing external environment. By integrating, updating, and restructuring existing medical resources and management models, new competitive advantages were formed to assist the hospital in high-quality development. Conclusion The path of high-quality development for public hospitals under DRG payment reform is proposed from three dimensions: top-level design, medical resources and future development.

参考文献/References:

[1] Teece D J,Pisano G,Shuen A.Dynamic capabilities and strategic anagement[J].Strategic Management Journal,1997,18(07):509-533.
[2] 罗珉,刘永俊.企业动态能力的理论架构与构成要素[J].中国工业经济,2009,250(01):75-86.
[3] Wernz C,Song Y,Hughes D R.How hospitals can improve their public quality metrics:a decision-theoretic model[J].Health Care Manag Sci,2021,24(04):702-715.
[4] Boes S,Napierala C.Assessment of the introduction of DRG-based reimbursement in Switzerland:Evidence on the short-term effects on length of stay compliance in university hospitals[J].Health Policy,2021,125(06):739-750.
[5] Zollo M,Winter S G.Deliberate learning and the evolution of dynamic capabilities[J].Organization Science,2002(03):339-351.
[6] 朱佳英,高奇隆,任晋文,等. DRG支付在公立医院高质量发展中的功能探析[J].卫生经济研究,2021,38(12):57-61.
[7] Ridder H G,Doege V,Martini S.Differences in the implementation of diagnosis-related groups across clinical departments: a German hospital case study[J].Health Serv Res,2007,42(6 Pt1):2120-2139.
[8] 贺睿博,张亮,殷晓露.DRG实施背景下公立医院高质量发展路径研究[J].中国卫生政策研究,2022,15(10):1-9.
[9] Gifford R,Fleuren B,van de Baan F,etal.Touncertainty and beyond:identifying the capabilities needed by hospitals to function in dynamic environments[J].Med Care Res Rev,2022,79(04):549-561.

相似文献/References:

[1]王建,王子鸣,何平,等.目标成本法在公立医院基建成本控制中的应用与思考[J].卫生经济研究,2016,(02):61.
[2]谭华伟,颜维华,刘 宪,等.新医改对公立医院补偿机制研究的影响分析[J].卫生经济研究,2016,(04):14.
[3]郑安琪,沈 晓,马宗奎.非营利视角下政府维护公立医院公益性的责任[J].卫生经济研究,2016,(04):18.
[4]史书源,史芮源,田立启.公立医院医务人员薪酬制度改革研究[J].卫生经济研究,2016,(04):21.
[5]赵 云,林艳明.公立医院体制机制与医疗保险付费方式错配的主要形式[J].卫生经济研究,2016,(04):28.
[6]谭华伟,郑万会,张 云,等.公立医院补偿机制改革:典型模式和路径反思[J].卫生经济研究,2016,(05):9.
[7]赵 云,王政乂.公立医院体制机制与医疗保险付费方式适配的主要模式[J].卫生经济研究,2016,(05):22.
[8]赵 云,杨道田.公立医院体制机制与医疗保险付费方式适配模式比较[J].卫生经济研究,2016,(05):25.
[9]周欣悦,骆水娣,郑燕娜.城市优质医疗资源下沉中资金管理问题探究[J].卫生经济研究,2016,(06):26.
[10]邓 萱,熊 鹰,刘勇华,等.政策效果视角下公立医院财务运行分析及建议[J].卫生经济研究,2016,(06):55.
[11]韩冬青.公立医院实施DRG支付的问题及路径改善研究[J].卫生经济研究,2023,40(5):83.
 HAN Dongqing.Study on the Problems and Improvement Path of Implementing DRG Payment in Public Hospitals[J].Journal Press of Health Economics Research,2023,40(05):83.

更新日期/Last Update: 2024-04-23