DRG/DIP付费下开展中医优势病种的政策思考

Policy Considerations for Developing TCM Predominant Diseases Under DRG/DIP Payment

在DRG/DIP政策框架范围内,探索中医药按病种支付的范围、标准和方式,支持和促进中医药传承创新发展,是建立支付方式改革协同推进机制的重要任务。本文对DRG/DIP支付方式改革背景下开展中医优势病种医保支付的必要性、中医优势病种的概念与遴选标准等进行讨论分析,并提出相应建议,以期为中医优势病种医保支付的开展提供借鉴。

Exploring the scope,standards,and methods of traditional Chinese medicine(TCM)payment by disease,supporting and promoting the inheritance,innovation,and development of TCM within the framework of DRG/DIP policy is an important task in establishing a collaborative promotion mechanism for payment method reform.This article discusses and analyzes the necessity of carrying out medical insurance payment for TCM predominant diseases under the background of DRG/DIP payment method reform,as well as the concept and selection criteria of TCM predominant diseases.Corresponding suggestions are proposed to provide a reference for the development of medical insurance payment for TCM predominant diseases.