试述ICD在DRGs管理中的作用

The Role of ICD in DRGs Management

随着"人人享有基本医疗服务、建立覆盖全国城乡的医疗保障体系"目标的建立,"全民医保"时代已经到来。与此同时,医保基金面临着既要保证有效供给,又要控制费用的双重压力。缓解这样的双重压力,势必要进行医疗保险付费方式的改革,并且医疗费用支付方式改革必然依赖DRGs。准确无误的ICD分类是DRGs科学实施的重要保障。

With the establishment of a national health insurance system providing basic medical services covering all over the country, the era of universal health insurance has arrived. At the same time, the health insurance fund is faced with the dual pressures to ensure the effective supply, but also to control costs. Ease the double pressure, the medical insurance pay reform is imperative, DRGs will become the inevitable reform of China's medical expenses. The quality of ICD directly affects the DRGs and medical expenses per annum, improve the quality of ICD is for 'medical insurance' third party for the reasonable interests of the key, is an important guarantee for the scientific implementation of DRGs.