DRG绩效改革下医院精细化管理实践与思考.pdfVIP

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DRG绩效改革下医院精细化管理实践与思考

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林振威吴风琴程斌虞丽娟陈洁王亚平

【摘要】

相较于按项目付费，DRG付费改革对医院产生重大影响。为此，样本医院主动求变，进行绩效改革，加强成本管控，

建立协同机制，定期进行宣教，构建信息平台，引导合理诊疗，加强事前审核，保证合理入组，促进了医院精细化管理和高质

量发展。因此，DRG改革下，医院要以保证医疗质量为前提，加强管理MDT建设，调动临床医务人员的积极性，做好精细化管

理，并以此促进医院结构转型，引领医院向高效节约型医院发展。

【关键词】

疾病诊断相关组绩效改革精细化管理

中图分类号R197文献标识码BDOI10.19660/j.issn.1671-0592.2024.3.04

PracticeandreflectiononrefinedhospitalmanagementunderDRGperformancereform/LINZhenwei,WU

Fengqin,CHENGBin,YULijuan,CHENJie,WANGYaping//ChineseHospitals.-2024,28(3):15-18

【Abstract】

ComparedtoFee-for-Servicepayment,theDRGreformhasexertedasignificantimpactonhospitals.Tothisend,thesample

hospitalactivelyperformedseveralchanges,suchascarryingoutperformancereforms,increasingeffortstocontrolthecosts,establishing

collaborativemechanisms,conductingregulareducation,buildinginformationplatforms,guidingthepatientstohaveareasonablediagnosis

andtreatment,enhancedtheimplementationofaudit,toensurethatthepatientscanbeenrolledreasonably,thosemeasuresfacilitatedthe

refinedmanagementandhigh-qualitydevelopmentofthehospital.Therefore,inthecontextofDRGreform,hospitalsshouldbasedonthe

premiseofensuringmedicalquality,strengtheningthemanagementofMDTconstruction,carryingoutperformancereforms,mobilizingthe

enthusiasmofclinicalmedicalpersonnel,doingagoodjobsinfinemanagement,andbasedonthis,promotethetransformationofhospital

structure,leadinghospitalstodevelopintoefficientandthriftyhospitals.

【Keywords】

diagnosis-relatedgroups,performancereform,refinedmanagement

Authorsaddress：ZhejiangCancerHospital,Hangzh