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诊断相关分组付费改革与医院成本控制。

Diagnosis-Related Groups payment reform and hospital cost control.

作者信息

Lin Ai-Ling, Hou Jian-Hua

出版信息

Technol Health Care. 2025;33(1):17-24. doi: 10.3233/THC-240110.

DOI:10.3233/THC-240110
PMID:39302392
Abstract

BACKGROUND

This study explores the influence of Diagnosis-Related Groups (DRG) payment reform on hospital cost control and offers pertinent cost management strategies for public hospitals. It situates the research by elucidating the significance of the DRG payment method and comparing its advantages and drawbacks with the traditional 'pay per project' model.

OBJECTIVE

The primary aim is to assess the impact of DRG payment reform on hospital cost control and propose effective cost management strategies for public hospitals. The objective is to provide insights into DRG payment implications and attempt practical recommendations for its implementation in the public healthcare sector.

METHODS

Employing a comprehensive approach, the study analyzes DRG payment, delineates advantages and drawbacks, and proposes cost management strategies. Methods include staff training, an information management platform, disease analysis, and optimized cost accounting. The study highlights the potential for improved medical diagnosis and treatment through industry-finance integration.

RESULTS

Findings reveal advantages and limitations of DRG payment, emphasizing strategies for optimizing hospital operations. Enhanced medical diagnosis and treatment procedures through industry-finance integration contribute to overall cost control effectiveness.

CONCLUSION

The study serves as a practical guide for implementing DRG payment reforms, offering valuable insights for policymakers and healthcare professionals in navigating the complexities of cost control in public healthcare.

摘要

背景

本研究探讨了疾病诊断相关分组(DRG)支付改革对医院成本控制的影响,并为公立医院提供了相关的成本管理策略。通过阐明DRG支付方式的重要性,并将其优缺点与传统的“按项目付费”模式进行比较,确定了研究方向。

目的

主要目的是评估DRG支付改革对医院成本控制的影响,并为公立医院提出有效的成本管理策略。目的是深入了解DRG支付的影响,并为其在公共医疗部门的实施提供切实可行的建议。

方法

本研究采用综合方法,分析DRG支付,阐述其优缺点,并提出成本管理策略。方法包括人员培训、信息管理平台、疾病分析和优化成本核算。该研究强调了通过业财融合改善医疗诊断和治疗的潜力。

结果

研究结果揭示了DRG支付的优缺点,强调了优化医院运营的策略。通过业财融合加强医疗诊断和治疗程序有助于提高整体成本控制效果。

结论

本研究为实施DRG支付改革提供了实践指南,为政策制定者和医疗专业人员应对公共医疗成本控制的复杂性提供了宝贵的见解。

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引用本文的文献

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Cost shifting or cost cutting by hospitals as a response to reimbursement reform? The case of diagnosis-related groups (DRG) scheme in China.医院通过成本转移或成本削减来应对报销改革?以中国的诊断相关分组(DRG)方案为例。
Front Public Health. 2025 Aug 20;13:1582001. doi: 10.3389/fpubh.2025.1582001. eCollection 2025.
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Multidisciplinary DRG management for rational medication in obstetrics: a cost analysis in Zhejiang Province.产科合理用药的多学科疾病诊断相关分组管理:浙江省的成本分析
BMC Health Serv Res. 2025 May 28;25(1):761. doi: 10.1186/s12913-025-12905-4.