DRG支付方式改革对医生医疗行为的影响研究

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the impact of diagnosis related group (DRG) payment reform on medical behavior of doctors. Methods In this study, 84 valid questionnaires were selected from the Maternal and Child Health Hospital of Bao′an District, Shenzhen from June 2020 to May 2021, and analyzed and studied from three dimensions: the cognition of doctors of DRG payment mode, the impact of DRG payment reform on doctors′ behavior and the impact of DRG payment on the quality of health services. Results The results showed that 88.1% of doctors said they were generally aware of or very familiar with the reform of DRG payment methods, and 61.9% of doctors said they supported the reform of DRG payment methods. The majority of doctors believed that the most prominent advantage of DRG payment was to regulate the behavior of diagnosis and treatment (70.2%) and to promote graded diagnosis and treatment (69.0%), while the biggest disadvantage was that the autonomy of doctors was too limited (72.6%). The results showed that 48.8% of doctors believed that DRG payments had a significant impact on medical behavior; 83.3% of the doctors thought that the implementation of DRG payment method would not affect the conditions of patients admitted; 84.5% of doctors believed that there was an increase in concern about medical costs after the implementation of DRG payment; 90.5% of doctors believed that the implementation of DRG payment would not affect the number of outpatient visits. 70.2%,83.3% and 63.1% of the doctors thought that the rate of patient readmission rate, the incidence of complications and the average hospitalization cost per time were not affected by the reform of DRG payment method, respectively. The results showed that 70.2%, 83.3% and 63.1% doctors thought that the rate of patient readmission, complication rate and average hospitalization cost per time were not affected by the reform of DRG payment method. Conclusion By studying the relationship between DRG payment system and medical behavior, the medical behaviors of medical staff can be further standardized, it also provides decision support for hospitals to carry out DRG pilot, and promotes the further improvement of DRG payment reform.

Key words： Diagnosis related group Payment reform;Medical behavior Doctor

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MA Yan

Cite this article:

MA Yan. Study on the impact of DRG payment mode reform on medical behavior of doctors[J]. 中国当代医药, 2021, 28(21): 205-208转213.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I21/205

[1]	陶芸，陈驰昂，韩勇.我国按病种分值付费实施效果分析及对DRG 试点医院的启示[J].中国医院，2021，25（6）：16-19.
[2]	郎婧婧，杨兴宇，周海龙，等.C-DRG 分组中疾病诊断和医疗服务操作选择的探讨[J].中国卫生经济，2021，40（4）：20-23.
[3]	邵琳.医保按病种分值付费对医院管理的影响及策略[J].黑龙江科学，2020，11（11）：136-137.
[4]	仇润丽.DRGs 付费的现状分析和对策[J].中国集体经济，2020，（18）：23-24.
[5]	李雪.DRG 付费方式改革对医院的机遇与挑战[J].财经界，2020，（13）：78-79.
[6]	魏万宏.国外DRGs 付费制度对我国疾病付费模式的启示[J].医学与哲学，2012，33（11）：45-47.
[7]	魏欣.DRGs 支付方式国际经验比较及启示[J].财讯，2018，（19）：179.
[8]	佟彤，景浩.DRGs 医疗保险费用支付方式在我国的应用及发展前景[J].科技资讯，2020，18（22）：247-248，251.
[9]	张萌，周炯，张国杰，等.DRG 付费制度优化策略探讨[J].中国医院管理，2021，41（5）：64-67.
[10]	申静霞.DRGs 付费对天津市医保制度改革的启示[J].中国城乡企业卫生，2020，35（5）：33-36.
[11]	陆璐.广州医疗保险按病种分值付费实践及对医院管理的影响[J].按摩与康复医学，2020，11（23）：80-83.
[12]	旋妮玲，吴粤，袁向东，等.DRG 用于医院病种结构优化的探索与应用[J].现代医院，2021，21（6）：866-868.
[13]	唐迪，丁锦希，陈烨，等.医保支付标准与DRG/DIP 支付协同推进机制研究[J].中国医疗保险，2021，（3）：38-42.
[14]	张梦晗，郝志梅.我国医疗保险按病种付费的实施现状及问题[J].中国农村卫生，2020，12（1）：75-77.
[15]	陶成琳，陈妍，林德南，等.DRGs 风险分析及对深圳市试点工作的启示[J].中国卫生质量管理，2019，26（2）：31-35.
[16]	范宏茜.基于DRG 的医院绩效评价及医疗服务质量分析[J].医学信息，2021，34（7）：31-34.
[17]	杨炯，徐卫国，李劲松.浅论医疗保险费用结算方式对平均住院日的影响[J].中国医院，2009，13（12）：45-46.
[18]	李海军.完善我国公立医院DRGs 付费制度的研究[J].锦州医科大学学报（社会科学版），2020，18（4）：31-33.