摘要
综述了诊断相关组（DRGs）的内涵、发展过程和应用原理。DRGs是医疗管理领域应用广泛的一种病例组合系统。DRGs利用诊断和操作为主要的分类轴，实践证明，它对短期住院病例的风险调整能力甚佳，因而，应用于住院服务相关费用管理和绩效管理，能够有效地提升管理的效率。当前，世界上超过30个国家和地区在医疗管理的多个领域使用DRGs，DRGs应用的原理和诸多方法已经日趋成熟。在中国新一轮卫生体制改革向纵深发展的今日，积极研究并开发DRGs相关的管理工具，对于推进中国卫生系统管理走向科学化、规范化和系统化大有裨益。
This article reviewed the connotation, developing process and utilization theory of diagnosis related groups （DRGs）. DRGs, which is one of case mix systems, is now used widely in healthcare management. DRGs classify inpatient based on diagnose and procedure. Practices have shown that it has relative high capacity for the risk adjustment of acute care cases; therefore, it can improve the efficiency of expenditure and performance management of inpatient services. Currently, there are more than 30 countries and regions using DRGs, and the theories and methodologies of DRGs get mature. China＇s new round healthcare reform have developed in depth. The study and development of DRGs related health management tool will promote China＇s healthcare system becoming more scientific, normalized and systematic.
出处
《中华医院管理杂志》
北大核心
2011年第11期817-820,共4页
Chinese Journal of Hospital Administration
基金
北京大学医学部“985工程”二期建设项目（985205939）
关键词
诊断相关组(DRGs)
风险调整
应用
费用管理
绩效管理
Diagnosis related groups
Risk adjustment
Utilization
Expendituremanagement
Performance management
