| Citation: |
ZHENG Wenting, ZHOU Yuyu, JIN Qiming, YUAN Yi, LIU Yanbin, MA Xiaojun, ZHOU Jiong. Focusing on the Benefits of Patient, Promoting the Sustainable Development of Medical Consortium[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1006-1010. DOI: 10.12290/xhyxzz.2024-0646
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As a practical carrier for promoting the tiered diagnosis and treatment model, the medical consor-tium is of great significance for balancing medical resources and boosting medical service efficiency. The construction of medical consortiums not only improves the accessibility of high-quality medical resources for patients, but also enhances the diagnostic and treatment level of member units. Meanwhile, it provides space for the leading hospital to adjust the structure of diseases and improve the level of discipline construction. As the core of medical insurance payment reform, DRG, through indicators such as the case mix index(CMI) and the number of diagnosis related group (DRG), provides objective and quantified data support for case management and disease structure optimization, thus effectively guiding the rational allocation of medical resources and the adjustmentof diseases and surgical types within the medical consortium. Comprehensive use of DRG evaluation indicators can construct a multidimensional medical consortium construction evaluation system, provides a clear direction for medical consortium cooperation, thereby promoting the overall healthy and sustainable development of medical consortiums and achieving a win-win situation for all parties involved. This paper, based on the "1+5+1" medical consortium cooperation model centered around Peking Union Medical College Hospital, utilizes DRG indicators to analyze the benefits for patients, member hospitals, and the leading hospital during the medical consortium construction process, with the hope of providing reference for the construction of a medical consortium evaluation system.
| [1] |
中华人民共和国国务院办公厅. 国务院办公厅关于推进医疗联合体建设和发展的指导意见[EB/OL]. (2017-04-23)[2024-08-18]. https://www.gov.cn/gongbao/content/2017/content_5191699.htm.
General Office of the State Council of the People's Republic of China. Guiding opinions of the General Office of the State Council on promoting the construction and development of medical consortia[EB/OL]. (2017-04-23)[2024-08-18]. https://www.gov.cn/gongbao/content/2017/content_5191699.htm.
|
| [2] |
白剑峰. 全国建设医联体1.8万余个双向转诊取得显著成效[EB/OL]. (2024-02-29)[2024-08-18]. https://m.gmw.cn/2024-02/29/content_1303674725.htm.
BAI Jianfeng. Significant results have been achieved in the construction of more than 18000 two-way referrals for medical consortia across the country[EB/OL]. (2024-02-29)[2024-08-18]. https://m.gmw.cn/2024-02/29/content_1303674725.htm.
|
| [3] |
郝艳, 王立峰, 李永宁. 医联体建设面临的困境与对策研究[J]. 医院管理论坛, 2023, 40(1): 16-18.
Hao Y, Wang L F, Li Y N. Study on predicament and countermeasures of medical consortium construction[J]. Hosp Manag Forum, 2023, 40(1): 16-18.
|
| [4] |
秦伟娜. DRG付费下医院业财融合智慧成本管理体系构建[J]. 财会通讯, 2023(10): 171-176.
Qin W N. Construction of intelligent cost management system for hospital business finance integration under DRG payment[J]. Commun Finance Account, 2023(10): 171-176.
|
| [5] |
中华人民共和国国家医疗保障局办公室. 关于印发疾病诊断相关分组(DRG)付费国家试点技术规范和分组方案的通知[EB/OL]. (2019-10-16)[2024-08-18]. https://www.gov.cn/zhengce/zhengceku/2019-11/18/content_5562261.htm.
Office of the National Medical Security Administration of the People's Republic of China. Notice on issuing the technical specifications and grouping scheme for the national pilot of disease diagnosis related grouping (DRG) payment[EB/OL]. (2019-10-16)[2024-08-18]. https://www.gov.cn/zhengce/zhengceku/2019-11/18/content_5562261.htm.
|
| [6] |
朱晓丽, 郑英, 王清波, 等. 我国部分地区医联体医保总额预付制改革的比较分析[J]. 中国医院管理, 2020, 40(2): 21-25.
Zhu X L, Zheng Y, Wang Q B, et al. Comparative study on global budget reform of regional health alliance in China[J]. Chin Hosp Manag, 2020, 40(2): 21-25.
|
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