基于DRG/DIP支付背景下病种分值付费的研究

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摘要：本文结合现阶段医保支付改革进程，梳理DRG和DIP的内涵和区别与联系，剖析按病种分值付费的现状问题，并针对问题提出建议对策，为创新医保付费方式改革提供可复制、可学习、可应用的意见和建议，进一步完善医保付费方式，实现医疗保险制度可持续发展。

关键词：按病种分值付费；疾病诊断相关分组；医保付费方式

中图分类号：R197                                   文献标识码：B                                 DOI：10.3969/j.issn.1006-1959.2023.15.019

文章编号：1006-1959（2023）15-0100-04

Research on Disease Score Payment Based on DRG/DIP Payment Mode

ZHAN Han-qiang1，WEI Xin-ran2

（Department of Medical Record Management1，Department of Information2，the First Affiliated Hospital of Zhengzhou University，Zhengzhou 450000，Henan，China）

Abstract：This paper combines the current process of medical insurance payment reform， combs the connotation， difference and connection of DRG and DIP， analyzes the current situation of payment by disease score， and puts forward suggestions and countermeasures for the problem， in order to provide reproducible， learnable and applicable opinions and suggestions for the reform of innovative medical insurance payment methods， further improve the medical insurance payment methods， and realize the sustainable development of the medical insurance system.

Key words：Diagnosis-intervention packet;Diagnosis related groups;Medical insurance payment method

目前，我国医改中公立医院已全面取消药品加成，全面取消卫生材料收入加成，药品、耗材逐步推行集中带量采购，降低大型设备检查费用[1]。（剩余5975字）