摘要
目的针对目前按病种分值付费(Diagnosis-Intervention Packet,DIP)支付模式下中医优势病种相关政策,选取典型医院为代表,通过研究该政策实施对医生诊疗行为的影响,总结归纳优缺点,为今后该政策的改进提供参考依据。方法以厦门市某三级甲等中医院为例,充分结合DIP试点的情况,采用文献分析法、问卷调查法等研究方法,通过对医生诊疗行为的问卷调查,以及DIP执行前后数据的对比,从业务量、费用结构、病种情况等角度进行分析比较。结果DIP中医优势病种对医生诊疗行为产生了正面和负面的影响,改变了原有行为模式。结论DIP中医优势病种对现有医院和医生诊疗行为的影响可以为下一步的中医优势病种付费改革提供参考依据。
Objective To analyze the impact of the policy where the predominant Traditional Chinese Medicine(TCM)diseases are paid based on the disease types of diagnosis-intervention packet(DIP)on the diagnosis and treatment behaviors in representative hospitals,and to summarize its advantages and disadvantages,thus providing references for the future improvements in this policy.Methods Taking a tertiary first-class TCM hospital in Xiamen as an example,a series of methods,such as analyzing the situation of DIP pilot,literature review,questionnaire survey were adopted to examine the business volume,cost structure,and disease conditions by investigating questionnaire surveying results of diagnosis and treatment behaviors,and data before and after implementing DIP.Results Predominant TCM diseases paid based on the DIP posed both positive and negative impacts on the images of diagnosis and treatment behaviors,and changed the original behavior pattern.Conclusion The impact of predominant TCM diseases paid based on the DIP on current diagnosis and treatment behaviors in TCM hospitals provides references for the future reform of predominant TCM diseases.
作者
黄冠伟
陈晖阳
朱晓贞
黄昭倩
唐敏
裴晓华
Huang Guanwei;Chen Huiyang;Zhu Xiaozhen;Huang Zhaoqian;Tang Min;Pei Xiaohua(Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361009,Fujian Province,China)
出处
《中国医疗管理科学》
2025年第3期117-122,共6页
Chinese Journal Of Medical Management Sciences
基金
国家中医药管理局监测统计中心2024年课题“医保支付改革下中医优势专病的病种管理及体系化建设研究”(YGZXKT2024203)。
关键词
医生诊疗行为
DIP
优势病种
中医医院
Diagnosis and treatment behavior
DIP
Predominant diseases
Traditional Chinese Medicine hospital
作者简介
通信作者:裴晓华,Email:kurana23@163.com。
