疾病诊断相关组支付制度改革对医院信息化的影响及对策

Effect of payment system reform for disease diagnosis-related groups on hospital information system construction and its countermeasures

根据我国新医改的发展进程、医保支付政策和疾病诊断相关组支付方式的发展历史,以病案首页作为数据采集来源,通过病种组合计算相对权重的方式,实现医保结算的预付费制度。面对疾病诊断相关组支付方式给我国医院信息化工作带来的新要求和挑战,提出了医院信息化工作应对疾病诊断相关组支付方式时的相关对策。

The advance payment system for the setting account of medical insurance was developed by calculating the relative weight of disease diagnosis-related groups with the first page of medical records as its data collection source according to the development of new medical insurance reform and the policy of medical insurance payment.Certain countermeasures were put forward for hospital information system construction in our country in order to meet the new requirements and challenges of the payment methods of disease diagnosis-related groups.