| 引用本文: |
张学军,陈咏梅,李嘉,等.医保支付方式改革下公立医院绩效分配策略探讨*[J].中国卫生经济,2022,41(8):57-60.[点击复制] |
Zhang Xuejun,Chen Yongmei,Li Jia,et al.Research on the Performance Distribution of Public Hospitals Based on the Payment Method Reform[J].CHINESE HEALTH ECONOMICS,2022,41(8):57-60.[点击复制] |
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| 摘要: |
| 以DRG/DIP为主的医保支付方式改革将推动建立基于价值的优质医疗服务体系，公立医院需要相应地建立基于价值的绩效分配体系，促进医院发展符合医改要求。文章通过运用以资源消耗为标准的相对价值比率(Resource-basedrelative valvescale，RBRVS)与DRG管理工具，从分配理念、分配方法、实施路径和处理策略等角度，构建以相对价值为测算基础， 以质量为激励导向，以成本为约束条件，以医疗效果为考核目标的绩效考核分配体系，面向医师、护理、医技和药技等不同人员设计相应的分配方法，并突出特色技术与质量目标，推动公立医院向价值医疗和精益绩效方向的高质量发展迈进。 |
| 关键词: 绩效分配 公立医院 以资源消耗为标准的相对价值比率 疾病诊断相关分组 |
| DOI： |
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| 基金项目:天津市卫生经济学会课题项目 |
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| Research on the Performance Distribution of Public Hospitals Based on the Payment Method Reform |
| Zhang Xuejun,Chen Yongmei,Li Jia,Wang Hongbo,Liu Xiaoxia,Yao Man |
| (Finance Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine (National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion), Tianjin, 300381 , China) |
| Abstract: |
| The reform of medical insurance payment methods based on Diagnosis Related Group(DRG) and Diagnosis-Intervention Packet(DIP) will promote the establishment of a value-based high-quality medical service system. Public hospitals need to establish a value-based performance distribution system accordingly to promote hospital development to meet the reform requirements. Through the integration of Resource-Based Relative Value Scale(RBRVS) and DRG management tools, from the perspectives of distribution concept, distribution method, implementation path and processing strategy, it builds a performance appraisal and distribution system based on relative value, with quality as the incentive orientation, cost as the constraint, medical effect as the assessment target. The corresponding distribution methods are designed for different personnel such as physicians, nurses, medical technicians, and pharmaceutical technicians. The characteristic technologies and quality goals are highlighted to promote high-quality development of public hospitals in the direction of value medical care and lean performance. |
| Key words: performance allocation pullic hospital Resource-Based Relative Value Scale Diagnosis Related Group |
