中医日间病房病种纳入中医DRG分组研究

周莹; 刘敏; 刘秀娟; 王兴齐; 李晓; 邓华亮

doi:10.19546/j.issn.1674-3830.2025.1.003

中国医疗保险 ›› 2025, Vol. 0 ›› Issue (1) : 22-27. DOI: 10.19546/j.issn.1674-3830.2025.1.003

专题分析

中医日间病房病种纳入中医DRG分组研究

周莹¹, 刘敏¹, 刘秀娟¹, 王兴齐², 李晓³, 邓华亮¹

作者信息 +

Research on the Inclusion of Traditional Chinese Medicine Ambulatory Ward Diseases in Traditional Chinese Medicine DRG

Author information +

文章历史 +

摘要

目的: 根据山东省医保支付方式改革实际情况,探讨实行中医DRG支付方式改革的现状、困难及各地实践经验,分析中医日间病房病种纳入中医DRG结算的可能。方法: 采集样本城市2023年4家二级以上中医医疗机构中医日间病房住院结算病例,模拟项痹、骨痹、腰痛、漏肩风四类病种进行中医DRG分组。结果及结论: 以中医治疗为主的中医日间病房病种可纳入中医DRG试点进行结算。

Abstract

Objective: According to the actual situation of the medical insurance payment method reform in Shandong Province, this paper discusses the current situation, difficulties, experience of the implementation of traditional Chinese medicineDRG payment method reform, analyzes the possibility of including TCM ambulatory ward in the TCM DRG settlement. Methods: In2023, the inpatient settlement cases of TCM ambulatory wards in four TCM medical institutions above the second level in the sample cities were collected, the four types of diseases of nucha disease, bone disease, back pain, frozen shoulderwere simulated for TCM DRG grouping. Results, Conclusion: TCM ambulatory ward diseases mainly treated by TCM could be included in the TCM DRG pilot for settlement

导出引用

周莹, 刘敏, 刘秀娟, 王兴齐, 李晓, 邓华亮. 中医日间病房病种纳入中医DRG分组研究[J]. 中国医疗保险. 2025, 0(1): 22-27 https://doi.org/10.19546/j.issn.1674-3830.2025.1.003

Research on the Inclusion of Traditional Chinese Medicine Ambulatory Ward Diseases in Traditional Chinese Medicine DRG[J]. China Health Insurance. 2025, 0(1): 22-27 https://doi.org/10.19546/j.issn.1674-3830.2025.1.003

中图分类号： F840.684 C913.7

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