引用本文:吕兰婷, 施文凯.DRG改革背景下医院卫生技术评估的功能与推行策略[J].中国卫生政策研究,2020,13(2):26-32 |
|
DRG改革背景下医院卫生技术评估的功能与推行策略 |
投稿时间:2019-12-31 修订日期:2020-01-30 PDF全文浏览 HTML全文浏览 |
吕兰婷1,2, 施文凯1 |
1. 中国人民大学公共管理学院 北京 100872; 2. 中国人民大学卫生技术评估与医药政策研究中心 北京 100872 |
摘要:医院卫生技术评估(HB-HTA)是专门针对医院实际情况进行评估的方法学工具,可辅助医院进行卫生技术管理与决策。HB-HTA与DRG均是医院管理的工具,二者价值理念相同、现实作用相近,可推动医院向精细化管理和高质量服务提供的发展方向迈进。在DRG改革中,HB-HTA可通过对卫生技术安全性、有效性和经济性评估,对同一病种的不同诊疗过程、技术和相应的配套措施进行分析和比较,帮助医院进行成本核算,优化“服务包”的安全有效性和成本效益,促进医院对DRG改革进行战略性回应。此外,HB-HTA还可覆盖到DRG短时间无法覆盖和不适宜以DRG支付的医疗服务,辅助医院对多元复合式医保支付方式进行整体性探索。未来,应在医院内部重点打造“HB-HTA+DRG”式医院精细化管理模式,同时要理顺组织体制、注重大数据开发和使用、加快HB-HTA试点工作并建立动态监管机制。 |
关键词:疾病诊断相关分组 医院卫生技术评估 医院管理 |
基金项目:中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)项目(20XNA004) |
|
Research on the function and strategy of promoting hospital-based health technology assessment under the background of DRG reform |
LV Lan-ting1,2, SHI Wen-kai1 |
1. School of Public Administration and Policy, Renmin University of China, Beijing 100872, China; 2. Health Technology Assessment and Policy Evaluation Group of Renmin University of China, Beijing 100872, China |
Abstract:Hospital-based Health Technology Assessment (short as HB-HTA) is a methodological tool for assessing the actual situation of a hospital in order to assist in health technology management and decision-making in that specific hospital. Both HB-HTA and diagnosis related groups (DRGs) are important tools for hospital management. They have the same value concept and similar practical role, which can enhance the hospital to develop towards fine management and high-quality service provision. In the DRG reform, HB-HTA can be employed to analyze and compare different diagnosis and treatment processes, technologies and corresponding supporting measures of the same disease by assessing the safety, effectiveness and health technology economics. This helps hospitals carry out real and detailed cost accounting, optimized safety, effectiveness and cost-effectiveness of “service package” and promote the hospitals' strategic responses to DRG reforms therein. In addition, HB-HTA can also cover some medical services that DRGs can't cover in a reduced period of time, and are not suitable for DRG payment, yet HB-HTA do assist hospitals in the exploration of multiple composite medical insurance payments as a whole. It is suggested that, in the future, a “HB-HTA + DRG” hospital refined management model should be established within the hospital and at the same time the organizational system should be rationalized; attention should be paid to the development and big data should be used in the healthcare system clustering; HB-HTA pilot work should be speeded up and a dynamic regulatory mechanism should be established. |
Key words:Diagnosis related groups Hospital-based health technology assessment(HB-HTA) Hospital management |
摘要点击次数: 2863 全文下载次数: 787 |
|
|