DIP支付模式下公立医院运营管理优化路径研究  

Optimized pathways for operations management in public hospitals under the DIP payment system

作　　者：何慧莹 张萍[1] 汤广龄 张芷菁 费凡 钟敏华[1] HE Huiying;ZHANG Ping;TANG Guangling;ZHANG Zhijing;FEI Fan;ZHONG Minhua(The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院,广东广州510080

出　　处：《现代医院》2024年第2期165-167,171,共4页Modern Hospitals

基　　金：广东省财政厅2022年度财政科研课题(Z202285)。

摘　　要：随着公立医院综合改革进入深水区,粗放的运营管理已不符合高质量发展的需要。文章探讨了DIP支付模式下医院运营管理的现状问题,探索提出了优化路径及落地实践的要点,即以病种组合及分值为基础,实施预算绩效一体化闭环的资源配置策略、提升资源效能的成本管理机制、激发人员自生管理动力的绩效分配制度,并提出了建设管理信息系统的建议,进而为DIP支付模式下公立医院提升运营管理能力提供实践参考。As the comprehensive reform of public hospitals enters a more challenging phase,the conventional extensive operation management no longer fulfills the requirements of high-quality development.This article investigates the current challenges in hospital operation management under the DIP payment system,proposes an optimized pathway as well as an outline for practical implementation.The proposed pathway suggests implementing a closed-loop resource allocation strategy integrating budget and performance based on disease groups and scores,establishing a cost management mechanism for enhancing resource efficiency,and development of a performance distribution system for stimulating self-management motivation among personnel.Additionally,the article suggests the establishment of a Management Information System,aiming to provide practical references for enhancing operational management capabilities in public hospitals under the DIP payment mode.

关 键 词：运营管理 DIP支付 预算管理 成本管理 绩效管理 

分 类 号：R197.32[医药卫生—卫生事业管理]