按病种定额预付制的可行性探讨  

The Feasibility to Put DRGs - PPS in Practice

作　　者：洪国灿[1] 姚诠[1] 

机构地区：[1]复旦大学附属金山医院,上海市200540

出　　处：《中国医院管理》2002年第1期14-16,共3页Chinese Hospital Management

摘　　要：探讨按病种的定额预先付费(DRG_s—PPS)对按服务的事后付费(fee-for-service)改革的可行性。DRG_s—PPS起源于美国,并在欧洲等相继推广,对提高医院效率、评价医疗服务质量、控制住院费用等方面有显著作用,可产生重大社会效益与经济效益。但实行DRG_s—PPS存在管理难度大、服务打折、费用转嫁等问题。以各医院的平均病种费用试行预先支付制度,总量控制,是一种较好的可行方法。To discuss the feasibility to replace DRGs - PPS With fee - for - sevice. DRGs - PPS(Diagnosis Related Groups -Prospective Paymnt System)is come of the untied stateds and spread into Europe. It has notable function to advance efficiency and evaluate medical quality and control expense in hospital. There are some problem to put DRGs - PPS in practice, for instance, the big running difficulty, the discount on serving , the fee diversion, the resistaned in the hospital or in the price department. It is Preferable way to link DRGs - PPS to total - quantity - control with the average fee in the diagnosis related groups.

关 键 词：病种 定额预付制 可行性 医院效率 医疗服务质量 

分 类 号：R197.3[医药卫生—卫生事业管理]