我国医院推行DRG过程中的成本管理问题和对策研究

Problems and Countermeasures of Hospitals Cost Management in Implementing DRG in China

诊断相关组(DRG)通过规范医疗卫生资源的利用达到控制医疗费用过快增长的目的。在分析和总结了DRG对我国医疗服务成本管理的影响和我国医院推行DRG过程中的成本管理问题之后,提出了相关对策,进而分别研究了面向DRG的广义医疗服务成本管理体系的构建、病种成本估计和优化控制、隐性成本的识别与控制、医疗物资采购成本控制以及医疗安全成本控制策略,从而达到降低广义医疗服务成本、提高医院竞争力的目的。

The diagnosis related group payment achieves the purpose ot controlling nealm care cost excessive growth by normalizing the use of health care resources. After analyzing and summarizing the influence of DRG on the medical service cost management and cost management problems in the process of implementing DRG in China, the corresponding countermeasures are given, including the strategies of the modeling of generalized medical service cost management system, disease cost estimation and optimization control, hidden cost recognition and optimization control, medical material purchasing cost control and medical safety cost control, and achieve the purpose of reducing medical service cost and improving hospital competitiveness.