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Evaluation of Attending Medical Teams and Their Impact on the DRG Components of Cholecystectomy
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作者 Qi Zhang Chuanyu Chen +3 位作者 Yan Wang Huachen Fan Wenping Sun Jing Deng 《Journal of Clinical and Nursing Research》 2024年第1期113-118,共6页
Objective:This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components.Methods:The association between team structure,workflow,and treatment outcomes was analyze... Objective:This study assessed the role of the attending medical team in the cost control of the cholecystectomy DRG components.Methods:The association between team structure,workflow,and treatment outcomes was analyzed using a mixed-methods approach combining quantitative data and qualitative interviews from 628 patients.Results:Inter-professional teamwork significantly affected length of stay,treatment costs,and recurrence rates,with experienced teams performing better in terms of emergency response and collaborative efficiency.Patient satisfaction was generally high,indicating that good teamwork enhances treatment outcomes.Significance:The study highlights the importance of optimizing team configuration to improve the quality,efficiency,and cost control of healthcare. 展开更多
关键词 Attending medical team intervention Diagnosis-related group(DRG)system Healthcare quality and efficiency Interprofessional collaboration
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Current Situation and Suggestions on the Development of Diagnosis Related Group(DRG)Policy in China
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作者 Dong Yujiao Wang Shuling 《Asian Journal of Social Pharmacy》 2022年第4期367-375,共9页
Objective To implement the national diagnosis related group(DRG)policy smoothly,and gradually move towards value medicine and fine management,some suggestions are put forward for improving medical service efficiency,s... Objective To implement the national diagnosis related group(DRG)policy smoothly,and gradually move towards value medicine and fine management,some suggestions are put forward for improving medical service efficiency,saving medical insurance fund,and reducing the burden of patients,so as to realize the win-win situation of medical insurance and patients.Methods Based on the experience of the United States,Australia,and Germany,the policy implementation background and development process in China were summarized.The advantages and disadvantages of single disease payment method,disease score payment method,and diagnosis related groups-prospective payment system(DRG-PPS)method were compared,and then the problems were found out.Results and Conclusion In view of the imperfect information system,lack of professional talents,and uneven progress of each pilot,it is proposed that relevant departments should pay more attention to the construction and improvement of coding and other information systems,cultivate professional talents,promote the reform of DRG payment technology specification and grouping technology combined with national pilot project,thus enhancing the application and in-depth development of DRG policy in China. 展开更多
关键词 diagnosis related group(DRG) DRG policy DRG payment system
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DRG支付方式改革背景下公立医院高质量发展机制——基于双重嵌入性视角的单案例研究
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作者 孟翠湖 辛至明 孟雪晖 《公共管理学报》 北大核心 2024年第1期134-145,174,共13页
目前,中国DRG(Diagnosis-Related Group)支付方式改革已初显成效,公立医院如何在这一制度背景下迈向高质量发展道路备受关注。本文采用诠释主义案例研究范式,深描在DRG支付制度背景下公立医院“谋生行义”的过程,归纳出公立医院“义生... 目前,中国DRG(Diagnosis-Related Group)支付方式改革已初显成效,公立医院如何在这一制度背景下迈向高质量发展道路备受关注。本文采用诠释主义案例研究范式,深描在DRG支付制度背景下公立医院“谋生行义”的过程,归纳出公立医院“义生耦合”的高质量发展机制:正式制度嵌入设计激励约束机制,而政治嵌入若发挥纠正作用将促使组织激励结构趋同;医院通过非正式制度嵌入传导激励约束机制,实现组织生存和制度落地;制度嵌入性与政治嵌入性嵌合形成公立医院高质量发展助力,有利于实现利益主体间激励相容。DRG支付制度背景下公立医院变革及公共治理的实践已十分丰富,本文界定了制度嵌入性和政治嵌入性的概念,为上述情境提供了新的理论解释框架,并通过质性案例研究进行学理归纳;另外,文章拓展了新经济社会学理论在中国行政事业单位的应用。 展开更多
关键词 DRG(Diagnosis-Related group)支付 制度嵌入性 政治嵌入性 高质量发展 公立医院
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