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在按病种付费中引入病例分型的探刮
引用本文:李国涛,耿仁文,田柯,胡平玲,王玉享.在按病种付费中引入病例分型的探刮[J].中国医院,2009,13(6):45-47.
作者姓名:李国涛  耿仁文  田柯  胡平玲  王玉享
作者单位:南方医科大学南方医院医务处,510515,广州市广州大道北路1838号
摘    要:通过对目前我国以单病种付费为基础的按病种付费模式进行分析,指出该付费模式下存在病种覆盖面不广、医疗质量及医疗费用缺乏可比性等问题,导致该付费模式难以推广。在此基础上,阐述了引入病例分型质量费用管理模式的优势,为探索医保付费方式提供参考。

关 键 词:按病种付费  病例分型  医疗质量

Discussion on introducing case classification in DRGS
Affiliation:LI Guotao, GENG Renwen, TIAN Ke, et al(Medical Affair Department, Affiliated Nanfang Hospital, Nanfang Medical University, No.1838,Guangzhou Da Dao,Guangzhou, 510515, Guangdong Province, PRC)
Abstract:Based on the analysis on single disease payment based DRGs in China, the problems such as poor coverage, poor medical quality control and poor comparison led the mode was difficult to extension. The advantages of introducing case classification based medical quality in DRGs payment system were presented. It could give some reference of exploring medical insurance in China.
Keywords:DRGs  case classification  medical quality
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