包头市医务人员对DIP支付制度的认知现状及影响因素分析

Analysis of the Current Situation and Factors Influencing the Perception of the DIP Payment System Among Medical Staff in Baotou

目的分析按病种分值付费(DIP)支付改革的实施发展现状,并调查包头市医务人员对DIP政策的认知情况和态度,为进一步推广医保付费方式提供参考。方法采用随机抽样法对2023年1月—2023年4月包头市医务人员进行问卷调查,得到311份有效问卷,在SPSS 26.0软件中使用描述性统计、χ2检验、二元逻辑回归分析对影响因素进行实证分析。结果包头市医务人员对DIP政策的认知度较低,熟悉该政策的人数仅占32%,医务人员所在科室、职务水平的不同、有无进行过政策培训及医务人员对DIP的满意度和执行态度是医务人员对DIP政策认知度的影响因素。结论包头市医务人员对DIP政策的认知度不高,DIP政策培训覆盖范围较大,人数较多,但培训效果不显著,培训质量亟待提高,医院需要加强对医务人员的政策培训,可对重点科室和关键人员进行针对性加强培训;调动医务人员工作积极性,引导医护人员不断加强学习,适时调整院内制度,通过加大DIP政策宣传力度提高医务人员对按病种分值付费认知度,让医务人员尽快适应DIP支付的工作,顺应医疗改革发展。

Objective To analyze the current status of the implementation development of the payment reform of the disease share payment(DIP),and to investigate the knowledge and attitude of medical personnel in Baotou city towards the DIP policy,so as to provide reference for further promotion of the medical insurance payment method.Methods A random sampling method was used to survey medical personnel in Baotou,and 311 valid questionnaires were obtained.Descriptive statistics,chi-square test and binary logistic regression analysis were used in SPSS 26.0 to make an empirical analysis of the influencing factors.Results Awareness of the DIP policy among medical staffin Baotou is low,with only 32%familiar with the policy.Differences in medical staff's departments and job levels,the availability of training on the policy and medical staff's satisfaction with the DIP and attitude towards its implementation are factors that influence medical staff's awareness of the DIP policy.Conclusion Medical staffin Baotou do not have a high level of awareness of DIP policy,DIP policy training covers a larger number of people,but the training is not effective and the quality of training needs to be improved,the hospital needs to strengthen policy training for medical staff,targeted and enhanced training can be provided to key departments and key personnel;motivate medical staffto work,guide medical staffto continuously strengthen their learning,adjust the hospital system at the right time,improve medical staff's awareness of payment by value by increasing DIP policy publicity,so that medical staffcan adapt to the work of DIP payment as soon as possible and comply with the development of medical reform.