创新技术由于上市时间短、费用高等原因,在DRG支付结算体系下,可能陷入临床应用推广难的困境。域外已有多个国家在DRG付费的基础上引入除外支付机制,支持医疗机构合理推广使用创新技术。本文立足国际视野与中国国情,对我国除外支付机制建立的理论依据、除外模式、适用条件及适用范围四个关键问题进行深入研究,以期在全面推广DRG付费改革的同时,兼顾临床治疗创新技术的可持续发展。
Abstract
Under the DRG/DIP prospective payment, innovative technology is probably subject to predicament in clinical promotion due to short marketing time and high cost. Exclusion payment has been introduced to DRG payment in many foreign countries to foster the rational promotion of innovative technology in medical institutions. Based on global vision and China’s reality, this paper studies the establishment and application of exclusion payment in China from four aspects of theoretical basis, mode, conditions and scope, by which innovative technology is expected to be sustainably extended in clinical use when DRG payment reform is extensively promoted.
关键词
DRG /
创新技术 /
除外支付
Key words
DRG /
innovative technology /
exclusion payment
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