DRGs与公立医院改革

DRGs and public hospital reform

在新医改方案出台,推进公立医院改革试点的新形势下,分析了疾病诊断相关组(DRGs)在我国实施的必要性,阐述了实施过程中需要注意的病案首页中,出院诊断部分应采用ICD-10编码,首页信息必须详细准确;组织专家编写常见病、多发病临床路径,并试点使用后逐步推广;制定出各疾病分组的出院标准,避免为了节约医疗费用而让患者提前出院;注意对危重患者的补偿,避免出现推诿危重患者的现象;推进患者"一卡通"服务,完善患者就诊的信息化管理,避免出现增加门诊服务费用的现象;继续鼓励医疗技术的创新等六方面的问题。

With the environment of promoting public hospital reform according to new health care system reform guideline, the necessity of implementing DRGs in China is analyzed. A series of preparations are considered to be done. Firstly, the first page of medical record should be detail and correct. The diagnosis should be coded by ICD-10. Secondly, regular clinical pathway of common disease should be designed. Thirdly, the standards of discharged with all kinds of disease should be developed to avoid pre-discharged for reducing medical cost. Fourthly, the compensation work of crisis patient should be highlighted to prevent buck-passing crisis patient. Fifthly, ID card service should he promoted to strengthen patient information management and avoid outpatient cost increasing. Sixthly, medical technology innovation should be sustainable encouraged.