基于DRGs的公立医院控费实践与成效分析  

Practice and effect analysis of cost control in public hospitals based on DRGs

作　　者：常小婉[1] 万胜凯 尼燕[1] 毛兵 李建军[1] CHANG Xiao-wan(Henan Provincial People’s Hospital,Zhengzhou,Henan,P.R.China)

机构地区：[1]河南省人民医院,河南郑州450003

出　　处：《中国卫生事业管理》2020年第1期35-37,共3页Chinese Health Service Management

基　　金：河南省软科学研究计划项目“管理会计视角下的患者费用增长管控研究”(192400410363);河南省软科学研究计划项目“基于质量与成本控制为核心的公立医院运营管理模式研究”(142400410169);河南省软科学研究计划项目“互联智慧分级诊疗体系构建与应用”(182400410172)。

摘　　要：目的:对河南省某三级综合医院引入DRGs管理工具,进行内部住院次均费用管控的经验进行总结,对其效果进行分析。方法:用CMI值对次均费用进行调整,对调整前后的次均费用分别监测。结果:该医院住院次均费用增长幅度逐年降低,用CMI值校正后的次均费用保持稳定甚至降低。结论:基于DRGs进行医院内部精准控费,可以提高医院的精细化管理水平;同时兼顾质量与安全,控费更加科学化。Objective To summarize the experience of introducing DRGs management tools into a tertiary general hospital in Henan Province to manage and control the average cost of hospitalization,and to analyze its effect.Methods The average cost was adjusted by CMI value,and the average cost before and after adjustment was monitored separately.Results The average cost adjusted by CMI value remained stable or even decreased.Conclusion The precise cost control based on DRGs can improve the fine management level of the hospital,take into account the quality and safety,and make the cost control more scientific.

关 键 词：DRGS 公立医院 控费 

分 类 号：R197.1[医药卫生—卫生事业管理]