DRG付费下医院医保管理案例报告指南:基于CARE的扩展与解读

胡广宇, 陈吟, 吴航洲, 马玉婷, 万彬, 胥雪冬, 王贞慧, 杨嘉颐, 王珩, 贺华, 徐林珍, 倪志颖, 徐侃, 刘丹, 董四平

中国医疗保险 ›› 2022, Vol. 0 ›› Issue (11) : 45-49.

中国医疗保险 ›› 2022, Vol. 0 ›› Issue (11) : 45-49. DOI: 10.19546/j.issn.1674-3830.2022.11.008
观察思考

DRG付费下医院医保管理案例报告指南:基于CARE的扩展与解读

  • 胡广宇1,2,3, 陈吟2,3, 吴航洲4, 马玉婷5, 万彬6, 胥雪冬7, 王贞慧8, 杨嘉颐9, 王珩10, 贺华11, 徐林珍12, 倪志颖13, 徐侃14, 刘丹1, 董四平15
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The CARE-DRG: Adaptation of the CARE Guidelines for Diagnosis-Related Groups-based Payment Case Report

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摘要

案例报告指南(CAse REport Guidelines, CARE)由多学科国际专家共同制定,旨在规范临床实践中案例报告的撰写,提升案例报告的准确性、透明度与实用性。本文介绍了基于CARE条目的扩展,用以医院按疾病诊断相关分组付费病例的医保管理案例报告指南(CARE for Diagnosis-Related Groups-based Payment,CARE-DRG),旨在为医院医保管理提供规范化的病组研究和案例教学工具,以期提升医院临床病组的医保管理案例报告质量。

Abstract

To improve the consistency of information contained in case reports, the CAREwas developed, published for the medical community by international experts with multi-disciplinary background. This article reports an adaptation of the CARE guidelines for Diagnosis-Related Groups-based payment case report(CARE-DRG)based on a consensus process in the Chinese setting. We believe the implementation of the CARE-DRG by medical journals, authors could contribute to improving the completeness, transparency of case reports for DRG-based payment, insurance audit

关键词

疾病诊断相关分组 / 医保管理 / 案例报告 / 指南

Key words

Diagnosis-Related Groups / medical insurance management / case report / guideline

引用本文

导出引用
胡广宇, 陈吟, 吴航洲, 马玉婷, 万彬, 胥雪冬, 王贞慧, 杨嘉颐, 王珩, 贺华, 徐林珍, 倪志颖, 徐侃, 刘丹, 董四平. DRG付费下医院医保管理案例报告指南:基于CARE的扩展与解读[J]. 中国医疗保险. 2022, 0(11): 45-49 https://doi.org/10.19546/j.issn.1674-3830.2022.11.008
The CARE-DRG: Adaptation of the CARE Guidelines for Diagnosis-Related Groups-based Payment Case Report[J]. China Health Insurance. 2022, 0(11): 45-49 https://doi.org/10.19546/j.issn.1674-3830.2022.11.008
中图分类号: F840.684 C913.14   

参考文献

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基金

中央级公益性科研院所基本科研业务费专项资金(2018PT33009)

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