按疾病诊断相关分组付费对护理影响的研究进展

Research progress of the impact of payment by disease diagnosis-related group on nursing care

国家医疗保障局于2019年在全国启动按疾病诊断相关分组(DRG)付费国家试点工作, 按DRG付费从临床角度对有限资源进行优化再利用, 控制住院费用及医疗成本, 降低平均住院日。文章通过阐述DRG付费的概念及应用, 从临床护理视角出发, 阐述按DRG付费在国内外研究的进展, 试图分析按DRG付费与护理的关系, 并进一步提出对临床护理发展的影响。

The National Medical Insurance Administration launched a national pilot project based on diagnosis-related group(DRG)payment across the country in 2019.It optimizes and reuses limited resources from a clinical perspective,controls hospitalization expenses and medical costs,and reduces average hospital stays based on DRG payment.This article expounds the concept and application of DRG payment,from the perspective of clinical nursing,expounds the research progress of DRG payment at home and abroad,attempts to analyze the relationship between DRG payment and nursing,and further proposes the impact on the development of clinical nursing.