基于DRG和RBRVS的公立医院绩效分配制度改革研究  

Research on the Reform of Performance Distribution System based on DRG and RBRVS in Public Hospitals

作　　者：许剑红[1] 汪迦声 田佳[1] 葛宁妍[1] 刘媛 XU Jianhong;WANG Jiasheng;TIAN Jia;GE Ningyan;LIU Yuan(The Affiliated Sir Run Run Shaw Hospital Zhejiang University School of Medicine,Hangzhou Zhejiang 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院,浙江杭州310016

出　　处：《卫生经济研究》2023年第2期76-80,共5页

基　　金：浙江省医院可持续发展正大天晴研究项目“ABC-DRGs在公立医院成本管理中的应用研究”(2019ZHA-ZDTQ102)。

摘　　要：本文剖析了RBRVS与DRG在公立医院绩效分配应用中的难点与问题,在此基础上,以某三甲综合医院为例,设计实施了一套以工作量核算为基础的绩效分配体系,在优化难度系数的同时,还有合理应用DRG激励、重视质量指标、鼓励创新等特点。这一体系在提升医务人员工作积极性的基础上,体现了公立医院的公益性,有利于促进公立医院高质量发展。With the gradual deepening of the application of DRGs in medical insurance payment, public hospitals are moving towards the direction of improving quality and efficiency. However, the performance distribution system of public hospitals has generally not effectively echoed and integrated with the guidance of DRGs. In the case of system design only relying on RBRVS and other performance tools,the leading spirit of DRGs cannot be transmitted to each medical work unit from top to bottom. By analyzing the difficulties and problems in the application of the performance distribution system of DRGs and RBRVS, which are widely used in public hospitals at present, and based on scientific distribution principles and the basic reality of public hospitals, this paper designed an effective and typical performance distribution system, which strives to reflect the public welfare and efficiency of public hospitals on the basis of improving the enthusiasm of medical personnel. At the same time, the distribution system encouraged public hospitals to carry out technological innovation and tap potential to promote long-term high-quality development.

关 键 词：DRG RBRVS 绩效分配 公立医院 

分 类 号：R197[医药卫生—卫生事业管理]