基于适宜技术理论的双DRG绩效管理模式探究  

Exploration of Dual DRG Performance Management Mode Based on Appropriate Technology Theory

作　　者：姚月宁[1] 鲍伟 董四平 肖一鸣 刘颜[1] 钟婉婷 罗斌 易子乐 陈芸[1] 成思 陈先祥 许昌 YAO Yuening;BAO Wei;DONG Siping(Peking University Shenzhen Hospital,Shenzhen,Guangdong,518036,China;不详)

机构地区：[1]北京大学深圳医院,广东深圳518036 [2]清华大学医院管理研究院,广东深圳518055 [3]国家卫生健康委医院管理研究所,北京100044 [4]珠海市人民医院(暨南大学附属珠海医院),广东珠海519050 [5]武汉雕龙医疗数据服务股份有限公司,湖北武汉430073 [6]深圳国际交流书院,广东深圳518043 [7]武汉市肺科医院,湖北武汉430030

出　　处：《中国卫生质量管理》2024年第4期73-77,共5页Chinese Health Quality Management

基　　金：广东省卫生经济学会科研项目基金(编号:2022-WJMF-25);深圳市卫生经济学会科研项目基金(编号:202265);武汉市医学科研项目(公共卫生政策类)(编号:WG21A04)。

摘　　要：DRG广泛应用于医保支付和绩效评价,能够促进医疗服务的透明性和公平性。在国内实践过程中,衍生出不同DRG版本。基于适宜技术理论,同时采用C-DRG和CN-DRG进行绩效管理,将C-DRG用于医保支付,CN-DRG用于绩效评价,并应用智能绩效管理系统实现数字化运营管理。双DRG的绩效管理模式能够兼顾医院内部管理和外部支付,在提高医院运营效率的同时,实现降本增效。Diagnosis Related Groups(DRG)is widely used in medical insurance payment and performance evaluation,which can promote the transparency and fairness of medical services.In the process of domestic practice,different DRG versions had been derived.Based on the theory of appropriate technology,both C-DRG and CN-DRG were used for performance management,C-DRG was used for medical insurance payment,CN-DRG is used for performance evaluation,and intelligent performance management system was applied to realize digital operation management.The dual DRG performance management mode can take into account the internal management and external payment of the hospital,improve the operating efficiency of the hospital,and achieve cost reduction and efficiency increase.

关 键 词：C-DRG CN-DRG 绩效管理 医保支付 

分 类 号：R197[医药卫生—卫生事业管理]