DOI:
江苏卫生事业管理:2019,Vol.>>Issue(10):1297-1300
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C-DRG收付费与按病种分值付费实践政策比较△
郑秀萍,陈新坡,王 畅,康洽福*
(厦门大学附属中山医院医疗保险办公室;三明市中西医结合医院医务科;福建医科大学附属协和医院医疗保险办公室;中国铁路南昌局集团有限公司福州医疗保险事业管理中心)
Comparison of the Policy between Payment by C-DRG and Payment by Disease Score in Practice△
Zheng Xiuping,Chen Xinpo,Wang Chang,Kang Qiafu*
(Medical Insurance Office,Zhongshan Hospital Affiliated to Xiamen University;Department of Medical Affairs,Sanming Integrated Medicine Hospital;Medical Insurance Office,Fujian Medical Univesity Union Hospital;Fuzhou Medical Insurance Business Management Center of Railway Nanchang Group Co.,Ltd.)
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中文摘要: 梳理福建省三明市C-DRG收付费和厦门市按病种分值付费的改革背景与发展历程,比较两者基本概念、适用范围、病组与标准形成机制、技术支撑、结算政策等实践情况,两者有较多的相同点,也有一定的差异,医保支付方式改革需尊重多元诉求、因地制宜,综合两者优势有利于推动医保支付方式改革。
Abstract:This paper sorts out the reform background and development of payment by C-DRG in Sanming City and the payment by disease score in Xiamen,and compares their practice situations such as basic concepts,scope of application,diagnosis related group and standard formation mechanism,technical support,settlement policy. There were points of similarity and certain differences between them. The reform of medical insurance payment methods should respect multiple demands and adapt to local conditions. Combining their advantages helps promote the reform of medical insurance payment methods.
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基金项目:中国劳动和社会保障科学研究院2018年度面上课题(lkywt2018024) 中国劳动和社会保障科学研究院2018年度面上课题(lkywt2018024)
引用文本:
郑秀萍,陈新坡,王 畅,康洽福*.C-DRG收付费与按病种分值付费实践政策比较△[J].江苏卫生事业管理,2019,30(10):1297-1300.
Zheng Xiuping,Chen Xinpo,Wang Chang,Kang Qiafu*.Comparison of the Policy between Payment by C-DRG and Payment by Disease Score in Practice△[J].Jiangsu Health System Management,2019,30(10):1297-1300.

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