我国台湾地区某医学中心DRGs个案管理演示及借鉴

Demonstration and reference of DRGs case management in a medical center in Taiwan of China

我国台湾地区2002年开发第一版Tw-DRGs,至今已经顺利完成了医院管理层面的制度导入,作者详细介绍了我国台湾地区某医学中心DRGs个案管理的组织架构(DRGs推动小组、前台医护端、疾病分类编码端、咲疗费用申报端等),以及对住院患者院前、院中、院后各环节展开辨识、锁定、调整的运作流程,最终为我国大陆医院推广DRGs个案管理提供借鉴。

Since the first edition of Tw-DRGs was developed in Taiwan in 2002,the system introduction of the hospital management level has been successfully completed.This paper detailed the organizational structure of DRGs case management in local hospitals (DRGs promotion group,front-end medical care,ICD end,and the medical expenses reporting).It also introduced the operation process of identifying,locking and adjusting process of the pre-hospital,in-hospital and post-hospital aspects of inpatients,and provides in the end useful experiences for the promotion of DRGs case management in China′s mainland hospitals.