DIP付费下县级公立医院成本管控策略与实践

Cost control strategies and practices in county-level public hospitals under DIP payment system guided by quality control and operations

DIP付费改革影响着医院的综合运营管理和医疗服务质量。其目的在于促进医疗机构加强内部管理,控制不合理的医疗费用,减轻病人就医负担,保障医保基金安全。本文围绕当前医院面临的改革困境及亏损压力,医院DIP运营的总体情况展开论述,通过统计医院预估病种费用盈亏情况,结合实际案例对比分析,旨在找到一条应对DIP付费走出困境之路。积累推广县级公立医院以质控和运营为导向,以绩效激励为抓手,强化多部门MDT协作,坚持医疗质量与费用并重的实践经验,探索DIP付费下县级公立医院可持续健康发展模式。

The DIP payment reform impacts the overall operational management and quality of medical services in hospitals.Its goal is to encourage healthcare institutions to strengthen internal management,control unreasonable medical expenses,alleviate patients′financial burdens,and ensure the safety of medical insurance funds.This article discusses the current challenges and financial pressures faced by hospitals amidst reform,detailing the overall situation of DIP operations.By analyzing the estimated profitability of various medical cases and comparing actual case studies,the aim is to identify a pathway for overcoming the challenges associated with DIP payments.It advocates for the promotion of a quality control and operationally driven approach in county-level public hospitals,leveraging performance incentives,enhancing multi-department MDT collaboration,and balancing medical quality with costs.This exploration seeks to develop a sustainable and healthy growth model for county-level public hospitals under the DIP payment system.