Exploring the DRG Exclusion Payment Mechanism from a Multiple Perspective

China Health Insurance ›› 2022, Vol. 0 ›› Issue (10) : 54-57.

China Health Insurance ›› 2022, Vol. 0 ›› Issue (10) : 54-57. DOI: 10.19546/j.issn.1674-3830.2022.10.010
Observation & Discussion

Exploring the DRG Exclusion Payment Mechanism from a Multiple Perspective

Author information +
History +

Abstract

The introduction of the "excluded payment" mechanism for new drugs, new technologies and extreme cases have attracted widespread attention, including disagreements and debates, and it is urgent to understand and interpret the DRG excluded payment mechanism from a scientific and comprehensive perspective. Based on this, the paper proposes eight key perspectives for the in-depth understanding and interpretation of the DRG exclusion mechanism, combining relevant theoretical concepts and consensus, in the hope of promoting scientific positioning and recognition of the DRG exclusion mechanism in the academic and business fields.

Key words

DRG / payment method / medical insurance

Cite this article

Download Citations
Exploring the DRG Exclusion Payment Mechanism from a Multiple Perspective[J]. China Health Insurance. 2022, 0(10): 54-57 https://doi.org/10.19546/j.issn.1674-3830.2022.10.010

References

[1] 杨迎春, 巢健茜. 单病种付费与DRGs预付模式研究综述[J]. 中国卫生经济, 2008, (06): 66-70.
[2] Zander B, Dobler L, Busse R.The introduction of DRG funding and hospital nurses’ changing perceptions of their practice environment, quality of care and satisfaction: comparison of cross-sectional surveys over a 10-year period[J]. InternationalJjournal of Nursing Studies, 2013, 50(2): 219-29.
[3] 北京市医疗保障局.关于印发CHS-DRG付费新药新技术除外支付管理办法的通知(试行)[EB/OL].(2022-07-13)[2022-10-04]. http://ybj.beijing.gov.cn/tzgg2022/202207/t20220713_2798069.html.
[4] 宋占军,朱铭来.大病保险制度推广对各地城居医保基金可持续性的影响[J]. 保险研究, 2014, (01): 98-107.
[5] 杨瑞龙. 我国制度变迁方式转换的三阶段论—兼论地方政府的制度创新行为[J]. 经济研究, 1998, (01):5-12.
[6] 蒋伊石,邵晓军.德国G-DRG医院偿付系统实施回顾与借鉴[J]. 中国卫生经济, 2020, 39(02): 93-6.
[7] Fleischmann C, Thomas-Rueddel D O, Hartmann M, et al. Hospital incidence and mortality rates of sepsis: an analysis of hospital episode (DRG) statistics in Germany from 2007 to 2013[J]. Deutsches Ärzteblatt International, 2016, 113(10): 159.
[8] 张新鑫,侯文华,申成霖.价格管制、战略性创新激励与创新药市场绩效[J]. 科研管理, 2017, 38(10): 68-75.

Accesses

Citation

Detail

Sections
Recommended

/