医护人员对按病种付费认知的调查研究  

Research of the medical staff awareness of disease-based payment

作　　者：罗琪[1] 应可满[2,3] 翁海晨[2,3] 褚晓静[2,3] 庄良金[4] 洪顺攀[5] 

机构地区：[1]安徽医科大学174临床学院,福建厦门361003 [2]厦门大学附属成功医院 [3]解放174医院,福建厦门361003 [4]厦门大学附属第一医院,福建厦门361003 [5]厦门大学附属中山医院,福建厦门361004

出　　处：《东南国防医药》2013年第1期11-13,45,共4页Military Medical Journal of Southeast China

基　　金：南京军区医学科技创新项目(11MB01)

摘　　要：目的研究分析医护人员对按病种付费的认知度。方法采用自制问卷对本地区3家三级甲等综合医院按病种付费相关科室医护人员进行调查。结果医生与护士对按病种付费了解程度有明显差异,医护人员对按病种付费实施效果持不肯定、不否定观点,从总体上看大部分医护人员能接受按病种付费的推行。结论提高医护人员认知水平,建立补偿机制保证其积极性,实施临床路径保证医疗质量,以达到按病种付费的最佳实施效果。Objective To analysis of medical staff awareness of disease-based payment. Methods Using self-designed ques- tionnaire investing three hospitals medical staff in Xiamen. Results The doctors and nurses were significantly different level of under- standing of Disease-based Payment. Medical staff on the implementation of the effect of Disease-based Payment held the point of view ＂not sure, do not negate＂. Overall, the majority of health care workers can accept the implementation of Disease-based Payment. Con- cluslon Enhancement of staff awareness and establish a compensation mechanism to ensure a positive and implementation of clinical pathways and to ensure the quality of medical care in order to achieve the best implementation of DRGs effect.

关 键 词：医护人员 按病种付费 认知调查 临床路径 

分 类 号：R195.1[医药卫生—卫生统计学]