DRG支付方式对住院患者就医体验及医疗服务质量影响研究-国际中医药研究-CSCIED科技核心评价数据库-手机版

DRG支付方式对住院患者就医体验及医疗服务质量影响研究

Study on the influence of DRG payment method on inpatient medical experience and medical service quality

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DOI	10.12208/j.ircm.20240050
刊名	国际中医药研究 International Research in Chinese Medicine
年，卷(期)	2024, 4(3)
作者	孙淼,狄庆人,王建华,王奕谋,王亚君,孙晨曦,唐金成,武宁欣,冯璎丹,徐立光*,
作者单位	1 中国人民解放军联勤保障部队第九二四医院康复医学科广西桂林 ; 2 长春市中医院儿科吉林长春 ; 3 朝阳区人民医院吉林长春 ; 4 长春中医药大学吉林长春 ;
摘要	本研究以两家三甲医院及一家二甲医院住院患者作为研究对象，实证分析DRG支付方式对就医体验、医疗服务质量的影响，结果显示:一方面，DRG支付方式改革显著提升了医疗服务质量、服务能力和效率，减少资源消耗的同时降低了住院总死亡率及再入院率，调节住院费用结构，规范诊疗行为；另一方面，相关的问题也随之而来,如过度追求高难度病例、出院后的再门诊率升高、挑选病人、诊断升级等行为。DRG支付方式改革工作还有很多改善空间。
Abstract	This study took the inpatients in two first-class hospitals and one second-class hospital as the research objects, and empirically analyzed the impact of DRG payment method on medical experience and medical service quality. The results showed that: On the one hand, the reform of DRG payment method significantly improved the quality, service capacity and efficiency of medical service. While reducing resource consumption, the total mortality rate and readmission rate were reduced, the structure of hospitalization expenses was adjusted, and the diagnosis and treatment behavior was standardized. On the other hand, related problems also arise, such as excessive pursuit of difficult cases, the increase in the rate of re-outpatient after discharge, the selection of patients, and the upgrading of diagnosis. There is much room for improvement in the DRG payment reform effort.
关键词	DRG；住院患者；就医体验；医疗服务质量
KeyWord	DRG; Hospitalized patients; Medical experience; Medical service quality
基金项目
页码	41-44

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引用本文

孙淼,狄庆人,王建华,王奕谋,王亚君,孙晨曦,唐金成,武宁欣,冯璎丹,徐立光*. DRG支付方式对住院患者就医体验及医疗服务质量影响研究 [J]. 国际中医药研究. 2024; 4; (3). 41 - 44.

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