疾病诊断相关分组与护理研究进展
摘要
通过对疾病诊断相关分组法(DRG)在医疗方面的应用现状进行分析总结,指出该预付费模式存在的必要性和不足之处,结合国内外的应用成果,提出DRG在护理方面的发展前景,从护理角度为按病种收费提出建议,从而体现护理服务价值收费标准的制定。
引文
[1] MATHAUER I,WITTENBECHER F.Hospital payment systems based on diagnosis-related groups:experiences in low-and middle-income countries[J].Bull World Health Organ,2013 91(10):746-756A.
[2] FRANCIS HRF.Case mix use in 25 countries:a migration success but international comparisons failure[J].International Journal of Medical Informatics,2003,70:215-219.
[3] 中华人民共和国国家卫生和计划生育委员会.卫生部办公厅关于推广应用疾病诊断相关分组(DRG)开展医院评价工作的通知[EB/OL].2011-08-02http://www.Nhfpc.gov.cn/yzygj/s3586q/201108/c74flca5335d48fbb36b877863139ace.shtml.
[4] 中华人民共和国国家卫生和计划生育委员会.医疗质量管理办法[S].2016-10-14.
[5] 国务院办公厅关于进一步深化基本医疗保险支付方式改革的指导意见[EB/OL].http://www.gov.cn/zhengce/content/2017-06-28/content-5206315.htm.
[6] FETTER R,FREEMAN J,AVERILL A,et al.Case mix definition by diagnosis related groups[J].Med Care,1980,18(2):1-53.
[7] FRANCIS H,ROGER FRANCE.Case mix use in 25 countries a migration success but international comparisons failure[J].International Journal of Medical Informatics,2003,70:215-219.
[8] WELTON J M.Paying for nursing care in hospitals[J].Am J Nurs,2006,106(11):67-69.
[9] GOLDFIELD N.The evolution of diagnosis-related groups(DRGs):from its beginnings in case-mix and resource use theory,to its implementation for payment and now for its current utilization for quality within and outside the hospital[J].Quality management in Health care,2010,19(1):3-16.
[10] 杨迎春,巢健茜.单病种付费与DRGs预付模式研究综述[J].中国卫生经济,2008,27(6):66-70.
[11] 朱士俊,鲍玉荣.医疗费用支付方式改革-DRGs简介.中华医院管理杂志,2006,22:664-665.
[12] 周宇,郑树忠,孙国侦.德国DRG付费制度的借鉴[J].中国卫生资源,2004,7(4):186-187.
[13] 中国医疗保险研究会.德国、瑞典医疗保险制度及DRGs的应用[J].中国医疗保险,2010,15(2):61-63.
[14] Institute for das entgelt system im krankenhaus.G-DRGs System,2015[EB/OL].[2014-12].Http://www.g-Drg.de/cms.
[15] 艾自胜,高歌,潘军燕.国际医疗保险支付制度理论研究及对我国的借鉴作用[J].中国农村卫生事业管理,2001,21(1):40-42.
[16] 国务院深化医药卫生体制改革领导小组简报(第73期)[EB/OL].http://www.nhfpc.gov.cn/tigs/ygjb/201412/a04558eeae0b4dc18942a9ccf6a46f44.shtml.
[17] 赵红梅,张海澄.DRGs与公立医院改革[J].中国医院,2010,14(1):20-21.
[18] ROSENBERG,MARJORIE A,BROWNE,et al.The impact of the inpatient prospective payment system and DRGs:a survey of the literature[J].North American Actuarial Journal,2001,11:119.
[19] WELTON J M,HALLORAN E J.Nursing diagnoses,diagnosis related group,and hospital outcomes[J].J Nurs Adm,2005,35(12):541-549.
[20] WELTON J M,FISCHER M,Degrace S,et al.Hospital nursing costs,billing,and reimbursement[J].Nurs Econ,2006,24(5):239-245.
[21] WELTON J M,UNRUH L,HALLORAN E J.Nurse staffing,nursing intensity,staff mix,and direct nursing care costs across Massachusetts Hospitals[J].J Nurs Adm,2006,36(9):416-425.
[2] FRANCIS HRF.Case mix use in 25 countries:a migration success but international comparisons failure[J].International Journal of Medical Informatics,2003,70:215-219.
[3] 中华人民共和国国家卫生和计划生育委员会.卫生部办公厅关于推广应用疾病诊断相关分组(DRG)开展医院评价工作的通知[EB/OL].2011-08-02http://www.Nhfpc.gov.cn/yzygj/s3586q/201108/c74flca5335d48fbb36b877863139ace.shtml.
[4] 中华人民共和国国家卫生和计划生育委员会.医疗质量管理办法[S].2016-10-14.
[5] 国务院办公厅关于进一步深化基本医疗保险支付方式改革的指导意见[EB/OL].http://www.gov.cn/zhengce/content/2017-06-28/content-5206315.htm.
[6] FETTER R,FREEMAN J,AVERILL A,et al.Case mix definition by diagnosis related groups[J].Med Care,1980,18(2):1-53.
[7] FRANCIS H,ROGER FRANCE.Case mix use in 25 countries a migration success but international comparisons failure[J].International Journal of Medical Informatics,2003,70:215-219.
[8] WELTON J M.Paying for nursing care in hospitals[J].Am J Nurs,2006,106(11):67-69.
[9] GOLDFIELD N.The evolution of diagnosis-related groups(DRGs):from its beginnings in case-mix and resource use theory,to its implementation for payment and now for its current utilization for quality within and outside the hospital[J].Quality management in Health care,2010,19(1):3-16.
[10] 杨迎春,巢健茜.单病种付费与DRGs预付模式研究综述[J].中国卫生经济,2008,27(6):66-70.
[11] 朱士俊,鲍玉荣.医疗费用支付方式改革-DRGs简介.中华医院管理杂志,2006,22:664-665.
[12] 周宇,郑树忠,孙国侦.德国DRG付费制度的借鉴[J].中国卫生资源,2004,7(4):186-187.
[13] 中国医疗保险研究会.德国、瑞典医疗保险制度及DRGs的应用[J].中国医疗保险,2010,15(2):61-63.
[14] Institute for das entgelt system im krankenhaus.G-DRGs System,2015[EB/OL].[2014-12].Http://www.g-Drg.de/cms.
[15] 艾自胜,高歌,潘军燕.国际医疗保险支付制度理论研究及对我国的借鉴作用[J].中国农村卫生事业管理,2001,21(1):40-42.
[16] 国务院深化医药卫生体制改革领导小组简报(第73期)[EB/OL].http://www.nhfpc.gov.cn/tigs/ygjb/201412/a04558eeae0b4dc18942a9ccf6a46f44.shtml.
[17] 赵红梅,张海澄.DRGs与公立医院改革[J].中国医院,2010,14(1):20-21.
[18] ROSENBERG,MARJORIE A,BROWNE,et al.The impact of the inpatient prospective payment system and DRGs:a survey of the literature[J].North American Actuarial Journal,2001,11:119.
[19] WELTON J M,HALLORAN E J.Nursing diagnoses,diagnosis related group,and hospital outcomes[J].J Nurs Adm,2005,35(12):541-549.
[20] WELTON J M,FISCHER M,Degrace S,et al.Hospital nursing costs,billing,and reimbursement[J].Nurs Econ,2006,24(5):239-245.
[21] WELTON J M,UNRUH L,HALLORAN E J.Nurse staffing,nursing intensity,staff mix,and direct nursing care costs across Massachusetts Hospitals[J].J Nurs Adm,2006,36(9):416-425.