CAJ | 학술논문

公立医院改革深化是新一轮深化医改的重要内容，而研究疾病诊断分组，建立科学合理的基于疾病诊断分组的绩效考核办法，对于公立医院强化公益性、提高服务能力、提升专业化精细化管理水平具有重要意义。通过将国际成熟疾病分组系统本土化并利用上海市级医院临床信息交换平台（医联平台）数据渠道对疾病分组系统进行模拟评估和权重设置，本土化的疾病诊断分组系统具有较好的适宜性和一致性；引入基于难度的疾病诊断分组，可以有效体现疾病诊治的难易度，客观反映医院运行和管理的实质结果，对于专业化精细化医院管理起到正确的导向作用。
공립의원개혁심화시신일륜심화의개적중요내용，이연구질병진단분조，건립과학합리적기우질병진단분조적적효고핵판법，대우공립의원강화공익성、제고복무능력、제승전업화정세화관리수평구유중요의의。통과장국제성숙질병분조계통본토화병이용상해시급의원림상신식교환평태（의련평태）수거거도대질병분조계통진행모의평고화권중설치，본토화적질병진단분조계통구유교호적괄의성화일치성；인입기우난도적질병진단분조，가이유효체현질병진치적난역도，객관반영의원운행화관리적실질결과，대우전업화정세화의원관리기도정학적도향작용。
The public hospital reform is the main content of the new healthcare reform.Studying the diagnosis related group system and establishing a set of scientific and rational performance assessment, which is essential to strengthen the public hospitals'public and social benefits, improve the service capacity and enhance the specialized and delicacy management.The international diagnosis related group system localization and weight settlement have been proved suitable and consistent through the Shanghai Shenkang Hospital Development Centre.Hence, the severity-based DRGs should be introduced to reflect the actual hospitals operation and management outcome, which provides a proper guidance on the hospitals'specialized and delicacy management.