以DRG为导向重塑公立医院全面预算管理体系  

Reshaping the Comprehensive Budget Management System Guided by DRG in Public Hospitals

作　　者：于婷 严波[1] YU Ting;YAN Bo(Yantai Yuhuangding Hospital,Yantai Shandong 264000,China;不详)

机构地区：[1]烟台毓璜顶医院,山东烟台264000

出　　处：《卫生经济研究》2023年第12期56-59,共4页

基　　金：烟台市科技创新发展计划(政策引导类)“以DRG为导向的医院预算管理体系探究”(2022YD002);国家卫生健康委医院管理研究所公立医院精细化管理与评价研究项目“基于DRG的公立医院全面预算精细化管理研究与评价”(NIHA23JXH066)。

摘　　要：当前,公立医院预算管理存在缺乏目标导向、精细化程度不足等问题,以DRG为导向的全面预算管理,将医疗业务以DRG数据的形式融入医院战略制定和全面预算管理体系中,形成以DRG病组为价值链核心的资源配置体系,将战略性资源和经营性资源在不同病组之间进行科学分配,建立了资源消耗与医疗业务的直接关联,有利于公立医院实施精细化管理,逐步完成调整病组结构、提升技术水平、占领学科高地、控制医疗费用和成本增长等目标规划,从而实现高质量、可持续发展。At present,there are some problems in budget management of public hospitals,such as a lack of goal orientation and insufficient refinement.The DRG-oriented comprehensive budget management integrates medical business into the hospital strategy formulation and comprehensive budget management system in the form of DRG data,forming a resource allocation system with DRG disease groups as the core of the value chain.The DRG oriented comprehensive budget management scientifically allocates strategic resources and operational resources among different disease groups,establishing a direct correlation between resource consumption and medical business.It will be conducive to the implementation of refined management in public hospitals,gradually achieving planning goals such as adjusting the structure of disease groups,improving technical level,building disciplinary highlands,controlling medical expenses and cost growth,and achieving high-quality and sustainable development.

关 键 词：DRG 全面预算管理 价值链 

分 类 号：R197.32[医药卫生—卫生事业管理]