摘要
在我国现代化医保行业发展的过程中,越来越多新技术融合其中,有效地满足各项业务活动的实施要求,在其中为了便捷人们的付费方式,诊断相关分组(diagnosis related groups,DRG)与区域点数法总额预算和按分值付费(big data diagnosis-intervention packet,DIP)的融合属于时代发展的必然趋势。通过数字化技术方案地有效推广逐渐摆脱对人工操作的依赖感,付费信息也可以快速地传递到后台数据库平台中,全面提高医保行业的发展水平。本文介绍了医保DRG与DIP付费方式的融合思路及改革建议,回顾以往的文献和资料,简述了融合的建议,分析了实际情况,旨在为实际工作提供一定的帮助。
In the process of the development of China's modern medical insurance industry,more and more new technologies are integrated to effectively meet the implementation requirements of various business activities.In order to facilitate people's payment methods,The integration of diagnosis related groups(DRG)and Big data diagnosis-intervention packet(DIP)is an inevitable trend of the times.Through the effective promotion of digital technology solutions,the stydy can gradually get rid of the dependence on manual operation,and the paid information can also be quickly transferred to the background database platform,comprehensively improving the development level of the medical insurance industry.This paper introduces the ideas and reform suggestions of the integration of DRG and DIP payment methods in medical insurance,reviews the previous literature and data,briefly describes the integration suggestions,analyzes the actual situation,and aims to provide some help for the practical work.
作者
梁秀芳
LIANG Xiufang(Medical Insurance Price Office,Dongguan Dalang Hospital,Dongguan Guangdong 523000,China)
出处
《中国卫生标准管理》
2023年第23期65-68,共4页
China Health Standard Management
关键词
医保
DRG
DIP
付费方式
融合创新
路径
发展
medical insurance
DRG
DIP
payment method
integration and innovation
path
develop
