| 引用本文: |
宋晶琳,马骋宇.基于内容分析法的按病种分值付费试点工作方案比较研究*[J].中国卫生经济,2023,42(1):29-32,36.[点击复制] |
SONG Jing-lin,MA Cheng-yu.A Comparative Study of the Diagnosis-Intervention Packet(DIP) Pilot Program Implementation Based on Content Analysis[J].CHINESE HEALTH ECONOMICS,2023,42(1):29-32,36.[点击复制] |
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| 基于内容分析法的按病种分值付费试点工作方案比较研究* |
| 宋晶琳,马骋宇 |
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| (首都医科大学公共卫生学院 北京 100069) |
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| 摘要: |
| 目的：检索公开发文的按病种分值付费(DIP)试点工作方案，了解试点改革实施现状，提出促进改革有效开展的政策建议。方法：搜索试点公开发布的相关政策文件，利用内容分析法从6个维度进行比较研究。结果：检索到19个试点共21份文件，比较发现目前我国DIP试点工作推进状况总体良好，但还有部分方面有待完善。结论：从适当拓宽付费范围， 在病种权重制定及分值纠偏方面减少病例单议专家评审，探索智能监管模式等方面提出政策建议。 |
| 关键词: 医保支付 按病种分值付费 内容分析法 |
| DOI： |
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| 基金项目:首都医科大学国家医疗保障研究院开放性课题 “互联网+”医疗的医保支付研究(YB2021B10)；北京市自然科学基金(9222993) |
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| A Comparative Study of the Diagnosis-Intervention Packet(DIP) Pilot Program Implementation Based on Content Analysis |
| SONG Jing-lin,MA Cheng-yu |
| (Capital Medical University,Beijing 100069 ,China) |
| Abstract: |
| Objective: Retrieving the published pilot plans of the big data diagnosis-intervention package (DIP)，in order to comprehend the implementation status of DIP payment reform in pilot areas，and intend to promote the effectiveness of this implementation by putting forward policy suggestions. Methods: The relevant policy documents on the Government website the pilot area and the website of the Healthcare Security Administrations were explored，and content analysis is used to compare pilot policies from 6 dimensions. Results: A total of 21 implementation plans of the DIP reform in 19 pilot regions were retrieved. By analyzed，it was found that the progress of the DIP pilot region in China is generally good，but still can be further improved. Conclusion: Policy suggestions are putting forward from several aspects such as appropriately broadening the scope of payment，reducing the expert review of cases in the formulation of related weight and score deviation correction，and exploring intelligent supervision method，etc. |
| Key words: the Big Data Diagnosis Intervention Package (DIP) medical insurance payment content analysis |
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