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DRG付费下中医医院疾病编码缺陷对DRG入组结果的影响 被引量:22

The Influence of Disease Coding Defects on DRG Inclusion Results in Traditional Chinese Medicine Hospitals under DRG Payment
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摘要 随着我国医保支付方式的改革,按DRG付费越来越受到重视,DRG入组结果直接影响医院的经济效益和绩效管理。文章通过对样本中医医院DRG入组概况和DRG重点监控指标提示下的病案进行分析,揭示了中医医院疾病编码缺陷影响DRG入组的问题所在,从而提升中医医院的DRG入组质量。 With the reform of medical insurance payment in China,Diagnosis Related Group(DRG) payment has been paid more and more attention. The results of DRG enrollment directly affect the economic benefits and performance management of hospitals.Based on the analysis of DRG enrollment in sample hospitals of traditional Chinese medicine and the medical records prompted by the key monitoring indicators of DRG,it reveals the problems of DRG enrollment affected by the defects of disease coding in traditional Chinese medicine hospitals,so as to promote the grouping quality of DRG in traditional Chinese medicine hospitals.
作者 马忠凯 MA Zhong-kai(The Second Hospital Affiliated to Heilongjiang University of Traditional Chinese Medicine,Harbin,150001,China)
出处 《中国卫生经济》 北大核心 2021年第4期80-82,共3页 Chinese Health Economics
基金 黑龙江省卫生健康委科研课题项目(2019-189)。
关键词 疾病诊断相关分组 医保付费 疾病编码 Diagnosis Related Groups medical insurance payment disease coding medical record
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