Research on the Implement Pathway of DRG Payment Reform in Public Hospitals / 中国卫生经济

ABSTRACT

The reform of medical insurance payment mode was an important lever to regulate medical service behavior and guide the allocation of medical resources.The DRG payment system of China was entering the stage of empirical research and practice testing.Combined with the internal operation mechanism of public hospitals in China,the DRG payment methods of hospitals were divided into preparation period,simulation period and the implementation period.The implementation pathway of implementing DRG payment in public hospitals was discussed from the perspective of hospital information system transformation,settlement process transformation and data simulation test.According to the incentive effect of DRG payment method on hospital cost efficiency and the characteristics of "output" of standardized hospitals,it analyzed the impact of DRG payment method on hospital operation management from the aspects of cost management,performance management and subject development.