| 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 |
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| (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) |
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| 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： |
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| 基金项目:黑龙江省卫生健康委科研课题(2020-155) |
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| 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 |