| 引用本文：李乐乐, 王偌菲.DRG/DIP付费改革对医生福利的影响及机制研究[J].中国卫生政策研究,2024,17(4):-23 |
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| DRG/DIP付费改革对医生福利的影响及机制研究 |
| 投稿时间：2024-01-16 修订日期：2024-03-06 PDF全文浏览 HTML全文浏览 |
| 李乐乐, 王偌菲 |
| 中国人民大学劳动人事学院 北京 100872 |
| 摘要:目的：评估DRG/DIP付费改革的效果，研究DRG/DIP付费改革对医生福利的影响。方法：基于工作需求—资源模型，利用问卷调查法收集的251份样本数据进行城市固定效应的多元回归分析。结果：DRG/DIP付费改革降低了医生的工资水平，且对医生福利的影响在不同科室间存在显著差异。但随着改革规范程度的提高，DRG/DIP付费改革对医生工资水平的负向作用减弱。结论：医疗机构应该根据DRG/DIP付费改革带来的结构性影响和不同科室的实际情况及时调整医生的绩效考核方式，不断提高DRG/DIP付费改革的规范性，使医生的劳务价值得到体现与回归。 |
| 关键词:DRG/DIP付费 医保支付方式改革 医生福利 工资水平 |
| 基金项目:国家自然科学基金项目(72204251)；河南省中原医学科技创新发展基金项目(24YCG2002) |
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| Impacts of DRG/DIP payment reform on physicians’ welfare and its mechanism research |
| LI Le-le, WANG Ruo-fei |
| School of Labor and Human Resources, Renmin University of China, Beijing 100872, China |
| Abstract:Objective: To evaluate the effects of DRG/DIP payment reform and to study the impact of DRG/DIP payment reform on physicians’ welfare. Methods: Based on the job demand-resource model, data from 251 samples collected using the questionnaire method were analyzed by multiple regression with city fixed effects. Results: The DRG/DIP payment reform reduced physicians’ salary levels, and the impact on physicians’ welfare differed significantly across departments. However, the negative effect of DRG/DIP payment reform on physicians’ salary levels weakened as the standardization of the reform improved. Conclusions: Medical institutions should adjust the performance appraisal methods of physicians in a timely manner according to the structural impact of DRG/DIP payment reform and the actual situation of different departments, and continuously improve the standardization of DRG/DIP payment reform, so that the value of physicians’ labor can be reflected and returned. |
| Key words:DRG/DIP payment Medical insurance payment reform Physicians’ welfare Salary level |
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