DRG支付对医院信息化发展的要求与对策

Review the requirements and countermeasures of DRG payment for hospital information development

目的:通过可视化分析研究当前国内外DRG支付影响医院信息化建设的研究现状,为DRG支付背景下医院信息化建设提供发展建议。方法:选取中国知网(CNKI)数据库、Web of Science数据库2012-2022年与“DRG支付对医院信息化建设的要求与对策”相关文献为样本,利用CiteSpace软件绘制知识图谱。结果:国内研究热点主要是驱动医院信息化建设以实现DRG成本核算、DRG绩效评价、病案首页质控等,但研究集群互动少;国外相关研究起步早,着重关注DRG病组分析、DRG实施效果等,研究协同多。结论:应加强国际国内理论研究合作,在实践方面加快数据标准化建设步伐,提升病案首页数据质量,倡导DRG参与各方开展良性互动,明确DRG定位为建设优质高效医疗卫生服务体系提供路径。

Objective:To study the current research status of DRG payment affecting hospital informatization construction at home and abroad through visual analysis,and to provide development suggestions for hospital informatization construction in the context of DRG payment.Methods:China National Knowledge Network(CNKI)database and Web of Science database 2012-2022 and"Requirements and countermeasures of DRG Payment for hospital information construction"were selected as samples,and CiteSpace software was used to draw a knowledge map.Results:Domestic research hotspot mainly drives hospital information construction to realize DRG cost accounting,DRG performance evaluation,and quality control of medical record home page,but less research cluster interaction;foreign-related research started early,focusing on the analysis of DRG disease group and DRG implementation effect,and more research coordination.Conclusion:It is necessary to strengthen international and domestic theoretical research cooperation,accelerate the pace of data standardization construction in practice,improve the data quality of the home page of medical records,advocate positive interaction among DRG participants,and clarify the DRG positioning as a path for the construction of high-quality and efficient medical and health service system.