黑龙江按病种分值付费政策的实施情况及优化对策

Research on Implementation and Optimization Countermeasures of the Diagnosis-Intervention Packet Policy in Heilongjiang

目的:了解试点城市DIP实施情况并提出建议,为政策完善提供参考依据。方法:对黑龙江省J市和H市医院管理者和医务人员进行半结构式访谈和问卷调查,并引入史密斯政策执行过程模型,从不同维度分析其实施情况。结果:试点城市改革初具成效,结果显示60%的对象对政策了解程度较高并认为实施效果较好,但由于实际付费时间较短,也存在配套政策不完善和执行主体协作度不高等问题。结论:为保证DIP政策平稳有效运行,建议优化制度顶层设计,持续优化政策环境,加强部门联动,加大政策培训力度,提升医院管理者和医务人员的认知水平,增强其参与意愿。

Objective:To understand the implementationof diagnosis-intervention packet(DIP)in pilot cities and put forward corresponding suggestions for the improvement.Methods:A semi-structured interview and questionnaire survey were conducted among hospital managers and doctors in J City and H City of Heilongjiang Province,and Smith Policy Implementation Process Model was introduced to analyze its implementation from different dimensions.Results:The reform in the pilot area has achieved initial results.The results show that 60%of the respondents have a high degree of understanding of the policy and believe that the implementation effect is good.However,due to the short actual payment time,there are also problems such as imperfect supporting policies and low degree of cooperation between the executive bodies.Conclusion:To ensure the stable and effective operation of the policy in pilot cities,it is suggested tooptimize the top-level design of the system,continue to optimize the policy environment,strengthen the linkage between departments,strengthen the policy training,improve the cognitive level of hospital managers and medical staff,and enhance their willingness to participate.