目的: 分析DIP支付方式改革对公立医院的影响,探讨基于价值医疗为导向的医院医保和运营模式的转变,为公立医院高质量管理提供参考。方法: 主要从质量管理和成本管控两方面着手,构建病种战略管理、一体化临床路径、病案首页质量管理、无效成本管控等精细化运营管理体系,并形成自我强化监督的机制。结果: 医院提高管理效能,趋向于医、保、患三方利益均衡。结论: 以价值为导向的DIP付费倒逼公立医院管理的变革,促使公立医院回归价值医疗的本质。公立医院应站在更高角度,顺应改革需求,克服改革中的困难,持续动态优化和调整,实现高质量发展。

Objective: This study evaluates the effects of DIP payment method reform on public hospitals, explores changes of hospitals' medical insurance and operational models within the context of value-based healthcare, and provides guidance for high-quality management in public hospitals. Methods: Focusing on quality management and cost control, the hospital carried out the construction of disease strategic management, integrated clinical pathways, medical record quality management, ineffective cost control, and other refined operational management systems. These efforts contributed to a self-strengthening supervision mechanism. Results: The hospital improved the management efficiency, with a balance of interests among doctors, medical insurance, and patients. Conclusion: The value-oriented DIP payment model has driven public hospitals to reform and encouraged them to value-based medical treatment. Public hospitals should adopt a more strategic perspective, respond to the demands of reform, overcome challenges in the reform, and optimize and adjust management continuously and dynamically to achieve high-quality development.