典型国家DRG体系下新技术支付政策分析及启示

New Technology Payment Policies under the DRG Payment System in Typical Countries and the Enlightenments

在我国深入推进按疾病诊断相关分组(DRG)付费改革的背景下,设计DRG体系下适宜的新技术支付政策以及纳入DRG体系,是避免改革对技术创新产生负面影响的重要手段,也是DRG付费改革设计时需考虑的重要因素。文章在深入探讨技术创新与DRG支付体系关系的基础上,选取美国和德国作为典型国家,比较分析两国新技术支付政策的设计亮点,以及纳入DRG体系的流程,结合我国新技术支付的现状,提出新技术选择、额外支付范围、短期支付和纳入DRG支付体系等方面的政策建议。

Under the background of the reform of payment by Diagnosis-Related Group(DRG)in China,designing appropriate payment policies for new technologies under the DRG system and the process of incorporating them into the DRG system is an important means to avoid the negative impact of the reform on technological innovation,and also an important factor to be considered in the design of DRG payment reform.On the basis of exploring relationship between technical innovation and DRG payment system,typical countries were selected,the United States and Germany,after the comparative analysis between the two countries DRG design points of the new technology pay policies,and processes into the DRG system,combining with the present situation of the new technology payment in China,this paper puts forward some policy suggestions on new technology selection,additional payment scope,short-term payment and inclusion in DRG payment system.