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                [1]陶成琳 陳妍 林德南 劉建華.DRGs風險分析及對深兩者相撞圳市試點工作的啟示[J].中國衛生質量管◤理,2019,26(02):031-35.[doi:10.13912/j.cnki.chqm.2019.26.2.11]
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                DRGs風險分析及對深圳市試點工作好恐怖的啟示
                分享到:

                《中國惡魔之主臉色一變衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

                卷:
                第26卷
                期數:
                2019年02期
                頁碼:
                031-35
                欄目:
                醫療質量
                出版日期:
                2019-03-28

                文章信息/Info

                作者:
                陶成琳 陳妍 林德南 劉建華
                深圳市醫學信息中心
                關鍵詞:
                疾病診「斷相關分組(DRGs)醫療保險制度支付方式風險管理
                Keywords:
                Diagnosis Related Groups (DRGs) Medical Insurance System Payment Method Risk Management
                DOI:
                10.13912/j.cnki.chqm.2019.26.2.11
                摘要:
                分析已經實施DRGs的國家和我國臺灣地區的DRGs運行方式,歸納成功經驗,總結問題及風Ψ 險,並結合深圳市的實際情況,為深圳市DRGs試點ζ 工作的開展提供風險管控建議及意見,即建◇立完善的分級診療機制,建立相應監管機天賦神通制,防範編碼虛報∩與升級,完善醫▅保報銷方式,保①證康復期醫療質量和加強再入院審核等。
                Abstract:
                The DRGs operating mode in countries which have implemented DRGs and Taiwan arer were summarized. Furthermore, relevant successful experience, problems and risks were summed up, and combined with the actual medical conditions in Shenzhen, risk management suggestions and solutions for the pilot work in Shenzhen were provided inclding establish a complete hierarchical diagnosis and treatment mechanism,establish a corresponding supervision mechanism,prevent code false reports and up grades,improve medical insurence reimbursement methods,ensure medical quality during rehabilitation and strengthen readmission review and so on.

                參考文獻/References:

                [1]Fetter R B, Thompson J D. Case mix definition by diagnosis-related groups[J].Medical Care, 1980, 18(2 Suppl):53.

                相似文獻/References:

                [1]朱曉偉 陳璐 王鳳梅.DRGs在醫院重點學科管卐理中的應用[J].中國簡直是做夢衛生質量管理,2018,25(02):020.[doi:10.13912/j.cnki.chqm.2018.25.2.06]
                [2]王穎倩 湯小波 何紀毅 陳翀 張文硯 吳巍巍 郭明和 楊錦錦 武劍.基於DRGs平臺的主∏診醫師團隊醫療質量評價研究[J].中國衛生質量管可免一死理一道道攻擊不斷落到星主府,2019,26(02):036.[doi:10.13912/j.cnki.chqm.2019.26.2.12]

                更新日期/Last Update: 2019-03-28