DRG/DIP支付方式改革下病案精细化管理现状及对策分析  

Current situation and countermeasures of medical records fine management under DRG/DIP payment reform

作　　者：陈明波 梁沛枫[3] CHEN Mingbo;LIANG Peifeng(School of Public Health,Ningxia Medical University,Yinchuan 750004,China;First Hospital of Hanbin District,Ankang 725000,China;The People’s Hospital of Ningxia Hui Autonomous Region,The People’s Hospital of Ningxia Medical University,Yinchuan 750011,China)

机构地区：[1]宁夏医科大学公共卫生学院,宁夏银川750004 [2]汉滨区第一医院,陕西安康725000 [3]宁夏回族自治区人民医院//宁夏医科大学附属自治区人民医院,宁夏银川750011

出　　处：《现代医院》2025年第3期382-384,441,共4页Modern Hospitals

基　　金：中央引导地方科技发展专项(2023FRD05051)。

摘　　要：DRG/DIP支付方式改革已成为当前政府部门、医疗机构、众多学者关注的热点话题之一,它是规范医疗服务行为、管控医疗服务成本、优化医疗资源配置的重要工具。在DRG/DIP支付方式改革体系下,开展病案精细化管理既是顺应高质量发展的时代要求,又是适应新时代医保支付的现实需要,也是推动医院高质量发展的有效举措。文章主要对病案管理的相关概念、开展病案精细化管理的原因及面临的问题进行分析,并给出了解决办法,为病案精细化管理提供参考或借鉴。DRG/DIP payment reform has become one of the hot topics of the current government departments,medical institutions,and many scholars.It is an important tool to standardize medical service behavior,control medical service costs,and optimize medical resource allocation.Under the DRG/DIP payment reform system,carrying out fine management of medical records not only conforms to the requirements of the era of high-quality development,but also meets the practical needs of medical insurance payment in the new era,and is also an effective measure to promote the high-quality development of hospitals.This paper mainly analyzes the related concepts of medical records management,the causes and problems of carrying out fine management of medical records,and puts forward solutions,so as to provide reference for the implementation of fine management of medical records.

关 键 词：DRG DIP 支付改革 病案 精细化管理 

分 类 号：R197.323.1[医药卫生—卫生事业管理]