Value-Based Quality and Cost Control Management Strategies in Hospitals Under the DIP Reform

China Health Insurance ›› 2024, Vol. 0 ›› Issue (5) : 103-108.

China Health Insurance ›› 2024, Vol. 0 ›› Issue (5) : 103-108. DOI: 10.19546/j.issn.1674-3830.2024.5.015
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Value-Based Quality and Cost Control Management Strategies in Hospitals Under the DIP Reform

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Abstract

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.

Key words

quality of medical care / cost control / value orientation / high-quality management

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Value-Based Quality and Cost Control Management Strategies in Hospitals Under the DIP Reform[J]. China Health Insurance. 2024, 0(5): 103-108 https://doi.org/10.19546/j.issn.1674-3830.2024.5.015

References

[1] 张计美,孟文竹.DIP付费对公立医院运营管理的影响探析[J].商业会计,2021,71(15):103-106.
[2] HAMADA H, SEKIMOTO M, IMANAKA Y.Effects of the per diem prospective payment system with DRG-like grouping system (DPC/ PDPS) on resource usage and healthcare quality in Japan[J].Health policy, 2012, 107(2-3): 194-201.
[3] 曹坤.临床路径信息化管理的实现[J].中国临床路径,2012,2(3):45-47.
[4] 刘洋.临床路径在腮腺多形性腺瘤治疗中实施效果评价的系统研究[J].江苏卫生事业管理,2015,26(5):50-51.
[5] 储梅.医院医用耗材收费管理的探讨[J].财经界,2022,62(16):74-76.
[6] 曾欣,马颖颖.以健康为导向的DIP创新机制与实现路径[J].卫生经济研究,2023,40(02):52-56.
[7] 钟书.按病种分值付费的经济社会价值——本刊“按病种付费机制的中国创新”沙龙观点摘登[J].中国医疗保险,2018(12):12-15.
[8] 傅卫.2018年度卫生政策研究报告汇编[M].北京:国家卫生健康委卫生发展研究中心,2019:135-142.
[9] 杨翼帆,王淑慧,杨凡,等.DRG支付方式下医院管理模式探索[J].中国卫生标准管理,2021,12(3):25-28.
[10] 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.

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