医疗保险费用支付方式的进展应用及前景 医疗保险费用支付方式的进展应用及前景 摘 要:DRGs 作为一种新型医疗保险费用支付方式,不仅大幅度提升了费用支付的流畅性,简化了医疗保险费用支付环节,同时促进了医院内部管理体系的升级,使其能够为患者提供更为优质的结算服务。该文以 DRGs 医疗保险费用支付作为讨论对象,系统探讨,其在实践环节应用的具体方式,总结、梳理应用经验,同时对其在我国医疗体系中的应用进展前景进行探讨,旨在充分发挥 DRGs 在医疗付费方式改革中的作用。 关键词:DRGs 医疗保险费用 支付 应用 中图分类号: 文献标识码:A 文章编号:1672-379108-0247-03 Application and Development Prospect of DRGs Medical Insurance Expense Payment Method in China TONG Tong JING Hao* Abstract: DRGs, as a new payment method of medical insurance cost, not only greatly improves the fluency of payment , simplifies the payment process of medical insurance cost , but also promotes the upgrading of the internal management system of the hospital, so that it can provide more high-quality settlement services for patients. This paper takes DRGs medical insurance payment as the research object , systematically discusses the specific ways of its application in practice, summarizes and combs the application experience, and discusses its application and development prospects in China's medical system , aiming to give full play to the role of DRGs in the reform of medical payment mode. Key Words: DRGs; Medical insurance expenses; Payment; Application DRGs 在醫疗保险费用支付工作中的应用,能够有效理顺医疗管理体系,强化保险费用阶段的控制能力,逐步构建起科学、合理、高效的医疗保险费用支付体系,在保证费用核算、支付准确性的基础上,法律规范引导医疗服务行为,构建起完善的医疗服务体系。基于 DRGs 的实践价值,我国医疗保险费体系在优化创新的过程中,需要结合 DRGs 的内容,逐步理清 DRGs 在我国医疗保险费用支付的应用情况以及进展前景,旨在充分发挥出 DRGs 的管理作...