基于DRG的公立医院精细化成本管控实践探讨  

Practice of Lean Cost Control in Public Hospitals Based on Diagnosis Related Group

作　　者：吴镝娅 张丽华[2] 刘艳[1] 蔡林[1] WU Diya;ZHANG Lihua;LIU Yan(Zhongnan Hospital of Wuhan University,Wuhan,Hubei,430071,China;不详)

机构地区：[1]武汉大学中南医院,湖北武汉430071 [2]武汉大学中南医院规划运行部,湖北武汉430071

出　　处：《中国卫生质量管理》2023年第1期39-43,共5页Chinese Health Quality Management

基　　金：湖北省卫生计生委2018年联合基金立项项目(编号:WJ2018H0032)。

摘　　要：分析DRG病种成本,可进一步优化医院成本管控。通过建立项目叠加法联合作业成本法的DRG病种成本核算方式,充分运用DRG病种成本核算结果进行同一病种不同学科间、同一病种不同治疗方式、临床路径入径和未入径、病种盈亏平衡等比较分析,以挖掘DRG成本管控难点。经实践,病案首页质量提高,DRG相关运营指标得以改善,医院运行效率和患者满意度进一步提高。为优化医院资源配置,帮助科室明确学科发展方向,提升医疗效率,建议制定临床科室个性化DRG管理方案,合理规避成本管控风险点,完善成本管理考核机制。By analyzing the cost of Diagnosis Related Group(DRG),hospital cost control can be further optimized.By establishing the cost accounting method of DRG diseases with the combination of project overlay method and actionable costing method,the cost accounting results of DRG diseases were fully used to compare and analyze the same disease among different disciplines,the entry and out of clinical pathways,and the profit and loss balance of diseases,so as to explore the difficulties in the cost control of DRG.Through practice,the quality of the first page of medical records had been improved,the relevant operating indicators of DRG had been improved,and the hospital's operating efficiency and patient satisfaction had been further improved.In order to optimize the allocation of hospital resources,help departments clarify the direction of discipline development and improve medical efficiency,it was suggested to develop a personalized DRG management scheme for clinical departments,reasonably avoid the risk points of cost control and improve the cost management assessment mechanism.

关 键 词：公立医院 DRG 成本管控 病种成本 

分 类 号：R197.323[医药卫生—卫生事业管理]