DRG/DIP支付方式改革下三级公立医院内部协同治理的实现路径  

Based on DRG/DIP Payment Method Reform:the Realization Path of Internal Collaborative Governance in Tertiary Public Hospitals

作　　者：肖红军[1] 万红慧 肖海燕[2] 沈晓[2] 毛宗福[2] Xiao Hongjun;Wan Honghui;Xiao Haiyan(Renmin Hospital of Wuhan University,Wuhan,Hubei,430060,China;不详)

机构地区：[1]武汉大学人民医院,湖北武汉430060 [2]武汉大学全球健康研究中心,湖北武汉430072

出　　处：《中国医院管理》2025年第3期11-14,共4页Chinese Hospital Management

摘　　要：随着医保支付方式改革的持续推进,三级公立医院面临着医疗服务提供方式及经济运行模式的挑战。DRG/DIP支付方式改革是一项复杂的系统性工程,传统由医院单一职能部门主导的管理模式难以有效应对DRG/DIP支付方式改革带来的复杂性事务,必须创新管理机制,引入协同治理新模式,通过内部多元治理主体的文化协同、组织协同、流程协同、激励协同,促进医院治理体系和治理能力现代化。With the medical insurance payment system undergoes continuous reform,tertiary public hospitals are confronted with the dual challenge of medical service provision and economic operation mode.The implementation of Diagnosis Related Groups(DRG)and Disease-Intervention Packet(DIP)payment reform represents a complex,systemic.The traditional management model dominated by a single functional department of the hospital is difficult to effectively cope with the complex affairs brought about by the DRG/DIP payment method reform.It is imperative to innovate the management mechanism and introduce a novel collaborative governance model.To harness the synergistic effects of multiple internal management entities,including cultural integration,organizational alignment,process coordination,and incentive alignment,thereby advancing the modernization of hospital management systems and enhancing managerial efficacy.

关 键 词：医保支付 公立医院 协同治理 疾病诊断相关分组 按病种分值付费 

分 类 号：R197.1[医药卫生—卫生事业管理]