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国际中医药研究

International Research in Chinese Medicine

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International Research in Chinese Medicine. 2024; 4: (3) ; 10.12208/j.ircm.20240050 .

Study on the influence of DRG payment method on inpatient medical experience and medical service quality
DRG支付方式对住院患者就医体验及医疗服务质量影响研究

作者: 孙淼1, 狄庆人2, 王建华3, 王奕谋4, 王亚君4, 孙晨曦4, 唐金成4, 武宁欣4, 冯璎丹4, 徐立光4 *

1 中国人民解放军联勤保障部队第九二四医院康复医学科 广西桂林

2 长春市中医院儿科 吉林长春

3 朝阳区人民医院 吉林长春

4 长春中医药大学 吉林长春

*通讯作者: 徐立光,单位: 长春中医药大学 吉林长春;

引用本文: 孙淼, 狄庆人, 王建华, 王奕谋, 王亚君, 孙晨曦, 唐金成, 武宁欣, 冯璎丹, 徐立光 DRG支付方式对住院患者就医体验及医疗服务质量影响研究[J]. 国际中医药研究, 2024; 4: (3) : 41-44.
Published: 2024/9/26 11:03:21

摘要

本研究以两家三甲医院及一家二甲医院住院患者作为研究对象,实证分析DRG支付方式对就医体验、医疗服务质量的影响,结果显示:一方面,DRG支付方式改革显著提升了医疗服务质量、服务能力和效率,减少资源消耗的同时降低了住院总死亡率及再入院率,调节住院费用结构,规范诊疗行为;另一方面,相关的问题也随之而来,如过度追求高难度病例、出院后的再门诊率升高、挑选病人、诊断升级等行为。DRG支付方式改革工作还有很多改善空间。

关键词: DRG;住院患者;就医体验;医疗服务质量

Abstract

This study took the inpatients in two first-class hospitals and one second-class hospital as the research objects, and empirically analyzed the impact of DRG payment method on medical experience and medical service quality. The results showed that: On the one hand, the reform of DRG payment method significantly improved the quality, service capacity and efficiency of medical service. While reducing resource consumption, the total mortality rate and readmission rate were reduced, the structure of hospitalization expenses was adjusted, and the diagnosis and treatment behavior was standardized. On the other hand, related problems also arise, such as excessive pursuit of difficult cases, the increase in the rate of re-outpatient after discharge, the selection of patients, and the upgrading of diagnosis. There is much room for improvement in the DRG payment reform effort.

Key words: DRG; Hospitalized patients; Medical experience; Medical service quality

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