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
Key words
TCM DRG /
DRG grouping /
TCM ambulatory ward /
reform of payment methods
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