DRG点数付费对医院运行的影响与绩效改进探讨

Discussion on Impact of DRGs Point Payment on Hospital Operation and Performance Improvement

医保住院患者实行按DRG点数付费政策后,对医院发展、运行和科室绩效均产生了较大影响。为促进医院适应付费模式的转变,改进患者诊疗服务,进一步提质增效,医院通过加强科室运营效益考核、药品耗材使用监控、住院病人费用管控等方式,完善了住院DRG点数支付下的绩效分配方式,有效地改进了住院诊疗服务,缩短了平均住院日,降低了住院患者费用,实现医保结算基本平衡。

The implementation of payment by DRGs points in the inpatients with medical insurance has had a great impact on the hospital development and operation and performance of the departments.In order to facilitate the transformation of the payment model,improve the medical services for patients,and further improve quality and efficiency,the hospital has improved the performance allocation under the DRGs point payment of inpatient services by strengthening the evaluation of department operation benefits,monitoring the use of medicines and medical consumables,and enhancing inpatient cost control.In this way,the hospital has effectively improved inpatient diagnosis and treatment services,shortened the average length of stay,reduced the costs of inpatients,and achieved the basic balance of medical insurance settlement.