北京某中医医院DRG模拟支付改革的实践探索  

Practice and Exploration of Simulated DRG Payment Reform in a Traditional Chinese Medicine Institution in Beijing

作　　者：黄筱蕾 郭昕[1] 李屏[1] 杜琨 

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《中国医疗保险》2023年第8期76-80,共5页China Health Insurance

摘　　要：按照北京市医疗保障工作部署,北京某中医医院推进实行DRG模拟支付,在历史数据分析、医疗行为规范、病案首页质量、医保支付改革等方面重点开展工作,通过一段时间的支付数据有效分析,为中医医院DRG医保支付改革提供实践经验和改革策略。According to the requirements of Beijing Municipal Medical Insurance Bureau,a traditional Chinese medicine hospital in Beijing promoted the implementation of DRG simulation payment,focusing on historical data analysis,medical behavior code,the quality of the medical records’homepage,medical insurance payment reform and other aspects.Through the data results of simulation payment for a period of time,this paper provides practical experience and reform strategies for the DRG medical insurance payment reform of traditional Chinese medicine institutions.

关 键 词：中医机构 DRG 支付改革 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]