借助信息化系统赋能DRG全流程管理

中图分类号：R197.324；TP31 文献标志码：A 文章编码：1672-7274（2025）05-0200-03

Abstract： This article focuses on the research of empowering DRG full process management with the help of information systems.Firstly，the project background was introduced， including the process and requirements of promoting DRG payment reform through relevant national policies.Then， some pain points currently existing in hospitals were elaborated，such as difficulties in information data fusion，pre grouping of DRG cases，filling in medicalinsurance list diagnosis and surgical operations，and in-hospital operation management issues.Then the main purpose was explained，which is toachieve refined managementof hospital medical insurance operations.It also introduces management toolsandobjectives，including establishing relevant systems toachievereal-time monitoring and data analysis to achieve refined management goals.Finaly，summarize the project，covering itsachievements， shortcomings， and future prospects.

Keywords： information system; DRG; fullprocess management; hospitaloperation; reformofmedicalinsurance payment

1 项目背景

2019年6月5日，国家医保局、财政部、国家卫生健康委、国家中医药局等四部委联合发布《关于印发按疾病诊断相关分组付费国家试点城市名单的通知》（以下简称“通知”），公布了30个DRG付费国家试点城市名单。（剩余4279字）