DRGs-PPS支付模式对医疗机构的影响及应对措施

DRGs-PPS支付模式在医疗机构对患者疾病科学分组、合理治疗及社保经办机构进行医疗保险费用支付等方面有着显著的优势和一定的科学性,但同时也存在着自身的部分局限性。医疗机构应通过完善内部组织结构、健全病案首页信息、强化病种分组能力、健全临床路径、强调过程监督、强化成本管控等措施,积极应对支付方式转变后的医疗机构的日常运营管理。

The DRGs-PPS payment model has significant advantages and scientificity in the medical organization’s medical science grouping, reasonable treatment and medical insurance payment, but also has its own limitations. Medical institutions should actively cope with the daily operation and management of medical institutions after the payment method is changed by perfecting the internal organizational structure, perfecting the information on the front page of medical records, strengthening the ability of grouping disease, perfecting clinical path, emphasizing process supervision and strengthening cost control.