引用本文: 李洋,崔立君,毛静馥,等.基于DRG付费改革的医院病组盈亏结构分析*[J].中国卫生经济,2022,41(9):81-83.[点击复制] Li Yang,Cui Lijun,Mao Jingfu,et al.Analysis of Profit and Loss Structure of Hospital Group Based on DRG Payment Reform[J].CHINESE HEALTH ECONOMICS,2022,41(9):81-83.[点击复制]
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基于DRG付费改革的医院病组盈亏结构分析*
李洋,崔立君,毛静馥,黄卫东,王喆,车雯,张祖明,陈博,梁子君
0
(哈尔滨医科大学附属第一医院 哈尔滨 150001;哈尔滨医科大学卫生管理学院 哈尔滨 150081)
摘要:
目的:分析DRG实施下样本医院病组覆盖及盈亏情况,并提出建设性的管理策略。方法:采用描述性统计分析方法,对DRG付费下主要盈亏病组进行对比和结构分析。结果:样本医院共覆盖22个主要诊断分类(MDC),DRG组数为485 个,FM3B经皮心导管检查操作,不伴严重并发症与合并症病组亏损最为严重。结论:在DRG付费改革下应优化病种结构,合理控制医疗费用,着力提升医疗服务效率。
关键词:  医院  按疾病诊断相关分组  付费方式改革  病组分析  盈亏结构
DOI:
基金项目:黑龙江省卫生健康委科研课题(2020-155)
Analysis of Profit and Loss Structure of Hospital Group Based on DRG Payment Reform
Li Yang,Cui Lijun,Mao Jingfu,Huang Weidong,Wang zhe,Che Wen,Zhang Zuming,Chen Bo,Liang Zijun
(Department of Medical Insurance Management, The First Affiliated Hospital of Harbin Medical University, 150081 , China)
Abstract:
Objective: The coverage and profit and loss of a tertiary general hospital under Diagnosis Related Group(DRG) were analyzed, and constructive management strategies were put forward. Methods: Descriptive statistical analysis was used to compare and analyze the structure of main profit and loss groups under DRG operation. Results: A total of 22 MDCS were covered in the target hospitals, and the number of DRG groups was 485 . The FM3B group suffered the most serious loss. Conclusion: Under the DRG payment reform, the structure of diseases should be optimized, medical costs should be controlled reasonably, and medical service efficiency should be improved.
Key words:  hospital  Diagnosis Related Group  payment reform  group analysis  profit and loss structure

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