DRG、DIP为主的多元复合式医保支付方式改革对医院资金管理的影响与优化策略  

Impact and Optimization Strategy of DRG, DIP-Based Multi-Compound Medical Insurance Payment Reform on Hospital Fund Management

作　　者：丁音洁 姜立文 DING Yin-jie;JIANG Li-wen(Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院,上海200011

出　　处：《中国卫生经济》2023年第4期84-86,共3页Chinese Health Economics

基　　金：上海申康医院发展中心管理研究项目(2020SKMR-40)。

摘　　要：目的:探讨以疾病诊断相关分类组(DRG)和按病种分值付费(DIP)为主的多元复合式医保支付方式对医院资金管理的影响。方法:通过分析以DRG、DIP为主的多元复合式医保支付方式改革对医院资金管理的影响,提出相应的医院资金管理优化策略。结果:DRG、DIP医保支付方式改革对医院资金管理产生了深远影响,医院应当完善成本核算体系,优化医疗服务定价策略,建立科学的绩效管理制度,同时提高财务管理人力资源建设重视程度,充分利用信息化技术提高财务管理水平,以适应新环境下的医院长期发展需求。结论:针对DRG、DIP为主的多元复合式医保支付方式改革对医院资金管理的影响,提出了相应的医院资金管理优化策略。Objective:To explore the influence of multiple and compound medical insurance payment methods,mainly including disease Diagnosis Related Groups(DRG)and Diagnosis-Intervention Packet(DIP)on hospital fund management.Methods:By analyzing the impact of the reform of multiple and compound medical insurance payment mode,mainly DRG and DIP,on hospital fund management,the corresponding optimization strategy of hospital fund management was proposed.Results:The reform of DRG and DIP medical insurance payment mode had a profound impact on the hospital fund management.The hospital should improve the cost accounting system,optimize the medical service pricing strategy,establish a scientific performance management system,improve the importance of financial management human resource construction,and fully use information technology to improve the level of financial management to meet the long-term development needs of the hospital under the new environment.Conclusion:In view of the impact of DRG and DIP based multiple compounds medical insurance payment reform on hospital fund management,the corresponding hospital fund management optimization strategy was proposed.

关 键 词：按疾病诊断相关分组 按病种分值付费 医疗保险 支付方式 医院财务管理 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] D922.26[政治法律—经济法学]