过程评价在DRG效果评价中的应用与思考

Application and reflection of process evaluation in DRG effectiveness evaluation

通过文献研究对DRG实施及评价现况进行梳理。阐述了过程评价的重要性和必要性,构建DRG过程评价逻辑模型,促进DRG过程评价的规划和执行,为阐明DRG实施与结果的因果机制提供新思路,为政府制定精准推进DRG质量保证和监测机制提供参考。

The current status of DRG implementation and evaluation is summarized through literature research.It elaborates the importance and necessity of process evaluation,constructs a logic model for DRG process evaluation,facilitates the planning and execution of DRG process evaluation,provides new ideas for elucidating the causal mechanism of DRG implementation and results,and provides a reference for the government to formulate a mechanism for accurately promoting the quality assurance and monitoring of DRG.medical insurance payment and protect the rights and interests of insured personnel.