医院深化DIP付费改革的实践探索——以邵阳市某三甲医院为例

朱鹏程, 陈容, 莫冬玉, 金军芝, 颜笑玉, 戴丽莎, 易海涛, 曾文君, 杨峰, 张韫玉

中国医疗保险 ›› 2023, Vol. 0 ›› Issue (10) : 112-115.

中国医疗保险 ›› 2023, Vol. 0 ›› Issue (10) : 112-115. DOI: 10.19546/j.issn.1674-3830.2023.10.017
医疗视点

医院深化DIP付费改革的实践探索——以邵阳市某三甲医院为例

  • 朱鹏程, 陈容, 莫冬玉, 金军芝, 颜笑玉, 戴丽莎, 易海涛, 曾文君, 杨峰, 张韫玉
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Practice and Exploration of Deepening DIP Payment Reform in Hospitals——Taking a Tertiary Hospital in Shaoyang City as an Example

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摘要

按病种分值付费(DIP)是符合我国国情、管用高效的一种医保支付方式,是我国在医保支付方式改革领域的创新。邵阳市某三甲医院聚焦质量、病种、绩效三个着力点,围绕病案、清单、医疗三要素抓质量提升,围绕战略、优势、基础三层级优化病种结构,围绕成本、价值、监管三维度构建DIP绩效体系,初步实现患者得实惠、医院得发展、基金更高效的DIP改革目标。

Abstract

Diagnosis-Intervention Packet (DIP)is an effective, efficient and innovative medical insurance payment method which is suitable for China's conditions. The hospital in Shaoyang City focuses on the quality, disease groups and performance, improves the quality of medical records, medical insurance settlement statement and medical treatment, optimizes the disease structure from strategy, advantage and foundation, and builds the DIP performance system from the perspective of cost, value and supervision. The DIP reform goal of benefiting patients, developing hospitals, and making funds more efficient has been initially achieved.

关键词

DIP支付方式改革 / 质量 / 病种 / 绩效 / 高质量发展

Key words

DIP reform / quality / disease / performance system / high-quality development

引用本文

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朱鹏程, 陈容, 莫冬玉, 金军芝, 颜笑玉, 戴丽莎, 易海涛, 曾文君, 杨峰, 张韫玉. 医院深化DIP付费改革的实践探索——以邵阳市某三甲医院为例[J]. 中国医疗保险. 2023, 0(10): 112-115 https://doi.org/10.19546/j.issn.1674-3830.2023.10.017
Practice and Exploration of Deepening DIP Payment Reform in Hospitals——Taking a Tertiary Hospital in Shaoyang City as an Example[J]. China Health Insurance. 2023, 0(10): 112-115 https://doi.org/10.19546/j.issn.1674-3830.2023.10.017
中图分类号: F840.684C913.7   

参考文献

[1] 唐远伟.湖南邵阳围绕四个点深化DIP改革[J].中国卫生,2023,449(01):74-75.
[2] 黄华波.浅议DRG/DIP支付方式改革的价值逻辑[J].中国医疗保险,2022(05):40-44.
[3] 应亚珍.按病种分值付费:理论探索与实践思考[J].中国医疗保险,2023(05):4-8.

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