CAJ | 학술논문

综述了诊断相关组(DRGs)的内涵、发展过程和应用原理.DRGs是医疗管理领域应用广泛的一种病例组合系统.DRGs利用诊断和操作为主要的分类轴,实践证明,它对短期住院病例的风险调整能力甚佳,因而,应用于住院服务相关费用管理和绩效管理,能够有效地提升管理的效率.当前,世界上超过30个国家和地区在医疗管理的多个领域使用DRGs,DRGs应用的原理和诸多方法已经日趋成熟.在中国新一轮卫生体制改革向纵深发展的今日,积极研究并开发DRGs相关的管理工具,对于推进中国卫生系统管理走向科学化、规范化和系统化大有裨益.
종술료진단상관조(DRGs)적내함、발전과정화응용원리.DRGs시의료관리영역응용엄범적일충병례조합계통.DRGs이용진단화조작위주요적분류축,실천증명,타대단기주원병례적풍험조정능력심가,인이,응용우주원복무상관비용관리화적효관리,능구유효지제승관리적효솔.당전,세계상초과30개국가화지구재의료관리적다개영역사용DRGs,DRGs응용적원리화제다방법이경일추성숙.재중국신일륜위생체제개혁향종심발전적금일,적겁연구병개발DRGs상관적관리공구,대우추진중국위생계통관리주향과학화、규범화화계통화대유비익.
This article reviewed the connotation,developing process and utilization theory of diagnosis related groups (DRGs).DRGs,which is one of ease mix systems,is now used widely in healthcare management.DRGs classify inpatient based on diagnose and procedure.Practices have shown that it has relative high capacity for the risk adjustment of acute care cases; therefore,it can improve the efficiency of expenditure and performance management of inpatient services.Currently,there are more than 30 countries and regions using DRGs,and the theories and methodologies of DRGs get mature.China's new round healthcare reform have developed in depth.The study and development of DRGs related health management tool will promote China' s healthcare system becoming more scientific,normalized and systematic.