CAJ | 학술논문

描述了我国单病种付费实施现况以及10余年来取得的成效与问题.强调指出,与目前发达国家的DRGs支付方式相比,我国单病种付费还存在诸多问题,如病种覆盖率低、实施政策不匹配、定价方法科学性不足等,表明我国尚处于按病种付费的初级阶段.应借鉴国际经验,促进按病种付费改革,逐步走向DRGs支付.
묘술료아국단병충부비실시현황이급10여년래취득적성효여문제.강조지출,여목전발체국가적DRGs지부방식상비,아국단병충부비환존재제다문제,여병충복개솔저、실시정책불필배、정개방법과학성불족등,표명아국상처우안병충부비적초급계단.응차감국제경험,촉진안병충부비개혁,축보주향DRGs지부.
Discussed in the paper are case-based payment practice in China,and outcomes of this practice for the past ten years.The authors pointed out that compared with DRGs,such a practice is exposed to such risks as low coverage of diseases,incompatible policies,defective pricing method,and lack of comprehensive evaluation.It indicates that China is on the initial stage of case-based payment reform which should be promoted with reference to international experiences.