{"id":145342,"date":"2022-01-27T00:49:33","date_gmt":"2022-01-27T00:49:33","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e5%85%88%e8%bf%9b%e4%bd%93%e5%a4%96%e8%af%8a%e6%96%ad%e6%8a%80%e6%9c%af%e5%b3%b0%e4%bc%9a%e5%bd%b0%e6%98%be%e4%b8%ad%e5%9b%bd%e6%8e%a8%e8%bf%9b%e6%94%af%e4%bb%98%e6%94%b9%e9%9d%a9%e7%9a%84%e5%86%b3\/"},"modified":"2026-02-04T06:38:48","modified_gmt":"2026-02-04T06:38:48","slug":"ivd-new-technology-summit-showcases-push-toward-payment-reform-in-china","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhcn\/management\/hospital-management\/ivd-new-technology-summit-showcases-push-toward-payment-reform-in-china\/","title":{"rendered":"\u5148\u8fdb\u4f53\u5916\u8bca\u65ad\u6280\u672f\u5cf0\u4f1a\u5f70\u663e\u4e2d\u56fd\u63a8\u8fdb\u652f\u4ed8\u6539\u9769\u7684\u51b3\u5fc3"},"content":{"rendered":"

\u672c\u6587\u4f5c\u8005 Chris L. Hardesty \u7cfb\u5168\u7403\u536b\u751f\u653f\u7b56\u9886\u57df\u7684\u72ec\u7acb\u4e13\u5bb6\uff0c\u5c24\u5176\u4e13\u6ce8\u4e8e\u7ecf\u6d4e\u53ef\u884c\u7684\u521b\u65b0\u83b7\u53d6\u8ba1\u5212\u3002<\/em><\/p>\n

\u4e0e\u4e9a\u592a\u5730\u533a\u4e43\u81f3\u5168\u7403\u4f17\u591a\u56fd\u5bb6\/\u5730\u533a\u4e00\u6837\uff0c\u5728\u4e2d\u56fd\uff0c\u5305\u62ec\u4f53\u5916\u8bca\u65ad (IVD) \u6280\u672f\u5728\u5185\u7684\u533b\u7597\u8bbe\u5907\u5b9a\u4ef7\u95ee\u9898\uff0c\u59cb\u7ec8\u662f\u5907\u53d7\u77a9\u76ee\u7684\u7126\u70b9\u3002\u5c3d\u7ba1\u5404\u65b9\u5229\u76ca\u76f8\u5173\u8005\u5747\u8ba4\u53ef\u521b\u65b0\u4e14\u4f18\u8d28\u7684\u536b\u751f\u6280\u672f\u6240\u8574\u542b\u7684\u4ef7\u503c\uff0c\u4f46\u4ed6\u4eec\u4e5f\u5fc5\u987b\u5728\u6e34\u671b\u83b7\u53d6\u8fd9\u4e9b\u6280\u672f\u4e0e\u8c28\u614e\u7ba1\u7406\u9884\u7b97\u4e4b\u95f4\u5bfb\u6c42\u5e73\u8861\u3002<\/p>\n

\u4e2d\u56fd\u4f5c\u4e3a\u5168\u7403\u7b2c\u4e8c\u5927\u4f53\u5916\u8bca\u65ad\u5e02\u573a[1]\uff0c\u8fd1\u671f\u63a8\u884c\u7684\u5b9a\u4ef7\u6539\u9769\u4e3e\u63aa\uff0c\u6781\u6709\u53ef\u80fd\u5728\u4e34\u5e8a\u5b9e\u9a8c\u5ba4\u9886\u57df\u5f15\u53d1\u4e00\u7cfb\u5217\u8fde\u9501\u53cd\u5e94\u3002\u672c\u6587\u5c06\u8be6\u7ec6\u9610\u8ff0 2021 \u5e74 10 \u6708\u4e3e\u529e\u7684\u4e2d\u56fd\u5148\u8fdb\u4f53\u5916\u8bca\u65ad\u6280\u672f\u5cf0\u4f1a\u7684\u5173\u952e\u8981\u70b9\uff0c\u6b64\u6b21\u5cf0\u4f1a\u56f4\u7ed5\u4e2d\u56fd\u7684\u6210\u672c\u63a7\u5236\u63aa\u65bd\u53ca\u5176\u5bf9\u5b9e\u9a8c\u5ba4\u533b\u5b66\u5b9e\u8df5\u7684\u5f71\u54cd\u5c55\u5f00\u4e86\u5e7f\u6cdb\u800c\u6df1\u5165\u7684\u8ba8\u8bba\u3002<\/p>\n

\u6309\u75be\u75c5\u8bca\u65ad\u76f8\u5173\u5206\u7ec4 (DRG) \u4e0e\u4e2d\u56fd\u533b\u7597\u652f\u4ed8\u6539\u9769\u7684\u5174\u8d77<\/h3>\n

\u4f5c\u4e3a\u4e2d\u56fd\u300a\u201c\u5341\u56db\u4e94\u201d\u5168\u6c11\u533b\u7597\u4fdd\u969c\u89c4\u5212\u300b\u7684\u5173\u952e\u7ec4\u6210\u90e8\u5206\uff0c\u8fd1\u5e74\u6765\u4e2d\u56fd\u5728\u836f\u54c1\u5b9a\u4ef7\u65b9\u9762\u8fdb\u884c\u4e86\u5927\u80c6\u7684\u6539\u9769\u3002\u636e\u76f8\u5173\u4f30\u7b97\uff0c\u8fd9\u4e9b\u6539\u9769\u63aa\u65bd\u4f7f\u6bcf\u4f4d\u60a3\u8005\u7ecf\u98ce\u9669\u8c03\u6574\u540e\u7684\u533b\u7597\u652f\u51fa\u964d\u4f4e\u4e86 3.5%[2]\u3002<\/p>\n

\u6e05\u534e\u5927\u5b66\u533b\u9662\u7ba1\u7406\u7814\u7a76\u9662\u7684 Yang Yansui \u6559\u6388\u6307\u51fa\uff1a\u201c\u4e2d\u56fd\u7684\u533b\u7597\u652f\u4ed8\u6539\u9769\uff0c\u5c06\u5bf9\u6574\u4e2a\u533b\u7597\u751f\u6001\u7cfb\u7edf\u7684\u7ee9\u6548\u8bc4\u4f30\u4f53\u7cfb\u4ea7\u751f\u6781\u4e3a\u6df1\u8fdc\u7684\u5f71\u54cd\u3002\u8fd9\u4e00\u6539\u9769\u6216\u8bb8\u6807\u5fd7\u7740\u533b\u9662\u89c4\u6a21\u6269\u5f20\u65f6\u4ee3\u7684\u7ec8\u7ed3\uff0c\u8f6c\u800c\u63a8\u52a8\u5404\u5229\u76ca\u76f8\u5173\u65b9\u7cbe\u51c6\u5b9a\u4f4d\u81ea\u8eab\u89d2\u8272\uff0c\u5e76\u52a0\u5f3a\u5f7c\u6b64\u95f4\u7684\u534f\u4f5c\u3002\u201d<\/p>\n

\u5728\u4e2d\u56fd\u4ee5\u53ca\u5176\u4ed6\u5730\u533a\uff0c\u652f\u4ed8\u6539\u9769\u7684\u7406\u5ff5\u5e76\u975e\u65b0\u751f\u4e8b\u7269\u3002\u65e9\u5728 1983 \u5e74\uff0c\u7f8e\u56fd\u4fbf\u7387\u5148\u7acb\u6cd5\uff0c\u5c06\u533b\u7597\u4fdd\u9669\u65b9\u6848\u4ece\u6309\u670d\u52a1\u6536\u8d39 (FFS) \u6a21\u5f0f\uff0c\u8f6c\u53d8\u4e3a\u6309\u75be\u75c5\u8bca\u65ad\u76f8\u5173\u5206\u7ec4 (DRG) \u6a21\u5f0f\u3002\u5176\u6838\u5fc3\u76ee\u6807\u5728\u4e8e\u6784\u5efa\u4e00\u4e2a\u66f4\u4e3a\u5b8c\u5584\u7684\u7cfb\u7edf\uff0c\u4f9d\u636e\u8bca\u65ad\u3001\u6cbb\u7597\u3001\u5171\u75c5\u56e0\u7d20\u4ee5\u53ca\u9884\u540e\u60c5\u51b5\u5bf9\u60a3\u8005\u8fdb\u884c\u5206\u7c7b\uff0c\u8fdb\u800c\u4f18\u5316\u60a3\u8005\u7ba1\u7406\u6d41\u7a0b\uff0c\u5b9e\u73b0\u6574\u4f53\u533b\u7597\u4fdd\u9669\u8d39\u7528\u7684\u8282\u7701[3]\u3002<\/p>\n

DRG \u6982\u5ff5\u5f88\u5feb\u4f20\u5165\u4e9a\u592a\u5730\u533a\uff0c\u6fb3\u5927\u5229\u4e9a\u4e8e 1993 \u5e74\u7387\u5148\u91c7\u7528\u3002 \u97e9\u56fd\uff0c\u4f5c\u4e3a\u4f17\u591a\u9762\u4e34\u533b\u7597\u8d39\u7528\u6500\u5347\u7684\u4e9a\u6d32\u56fd\u5bb6\/\u5730\u533a\u4e4b\u4e00\uff0c\u81ea 2012 \u5e74\u8d77\uff0c\u5f00\u59cb\u5728\u533b\u9662\u548c\u8bca\u6240\u9010\u6b65\u63a8\u884c DRG \u6a21\u5f0f\u3002 2011 \u5e74\uff0c\u5317\u4eac\u7387\u5148\u5728\u516d\u5bb6\u4e09\u7ea7\u533b\u9662\u5f00\u5c55 DRG \u8bd5\u70b9\u8fd0\u884c\u5de5\u4f5c\uff0c\u5171\u7eb3\u5165\u8fd1 5 \u4e07\u540d\u60a3\u8005\uff0c\u8bd5\u70b9\u7ed3\u679c\u663e\u793a\uff0c\u60a3\u8005\u7684\u4f4f\u9662\u65f6\u95f4\u663e\u8457\u7f29\u77ed[4,5]\u3002<\/p>\n

2019 \u5e74 5 \u6708\uff0c\u4e2d\u56fd\u56fd\u5bb6\u533b\u7597\u4fdd\u969c\u5c40\u3001\u8d22\u653f\u90e8\u3001\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u4ee5\u53ca\u56fd\u5bb6\u4e2d\u533b\u836f\u7ba1\u7406\u5c40\u8054\u5408\u53d1\u5e03\u300a\u5173\u4e8e\u5370\u53d1\u6309\u75be\u75c5\u8bca\u65ad\u76f8\u5173\u5206\u7ec4\u4ed8\u8d39\u56fd\u5bb6\u8bd5\u70b9\u57ce\u5e02\u540d\u5355\u7684\u901a\u77e5\u300b\uff0c\u6311\u9009\u51fa 30 \u4e2a\u57ce\u5e02\u4f5c\u4e3a\u9996\u6279\u8bd5\u70b9\u3002\u4e00\u5e74\u540e\uff0c\u53c8\u53d1\u5e03\u4e86\u6269\u5927\u8bd5\u70b9\u8303\u56f4\u7684\u901a\u77e5\uff0c\u5e76\u5f15\u5165\u4e86\u201c\u6309\u75c5\u79cd\u5206\u503c\u4ed8\u8d39 (DIP)\u201d\u8fd9\u4e00\u65b0\u672f\u8bed\u3002DIP \u53ef\u89c6\u4e3a DRG \u6982\u5ff5\u7684\u4e00\u79cd\u7ec6\u5fae\u53d8\u4f53\uff0c\u5176\u521b\u65b0\u4e4b\u5904\u5728\u4e8e\u5f15\u5165\u4e86\u4e00\u79cd\u8c03\u6574\u673a\u5236\uff0c\u5373\u6700\u7ec8\u62a5\u9500\u91d1\u989d\u5c06\u6839\u636e\u5b9e\u9645\u60c5\u51b5\u4e8b\u540e\u786e\u5b9a[2]\u3002<\/p>\n

\u5e7f\u5dde\u4f5c\u4e3a\u8bd5\u70b9\u57ce\u5e02\u4e4b\u4e00\uff0c\u4eab\u6709\u4e3a\u671f\u4e24\u5e74\u7684\u65f6\u95f4\u6765\u8bd5\u7528\u65b0\u6280\u672f\uff0c\u5e76\u53ef\u83b7\u5f97\u57fa\u672c\u62a5\u9500\u652f\u6301\u3002\u201c\u8fd9\u79cd\u6a21\u5f0f\u4f7f\u6211\u4eec\u80fd\u591f\u5145\u5206\u6536\u96c6\u8bc1\u636e\uff0c\u8bc1\u660e\u65b0\u6280\u672f\u7684\u4e34\u5e8a\u548c\u7ecf\u6d4e\u6548\u76ca\uff0c\u8fd9\u4e0e DRG\/DIP \u6539\u9769\u7684\u6838\u5fc3\u7406\u5ff5\u76f8\u5951\u5408\uff0c\u201d\u4e2d\u5c71\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u533b\u52a1\u5904\u526f\u5904\u957f Liu Dayue \u6559\u6388\u8868\u793a\uff0c\u201c\u6211\u4eec\u671f\u671b\u4e2d\u56fd\u66f4\u591a\u7701\u4efd\u80fd\u591f\u91c7\u7eb3\u8fd9\u79cd\u5177\u6709\u524d\u77bb\u6027\u7684\u653f\u7b56\u3002\u201d<\/p>\n

\u622a\u81f3\u5f53\u4e0b\uff0c\u4e2d\u56fd\u5df2\u6709\u8d85\u8fc7 200 \u4e2a\u57ce\u5e02\u5f00\u5c55\u4e86 DRG\/DIP \u76f8\u5173\u5de5\u4f5c\u3002\u57fa\u4e8e\u6b64\u80cc\u666f\uff0c2021 \u5e74 9 \u6708\uff0c\u56fd\u52a1\u9662\u529e\u516c\u5385\u53d1\u5e03\u4e86\u4e0e\u300a\u201c\u5341\u56db\u4e94\u201d\u5168\u6c11\u533b\u7597\u4fdd\u969c\u89c4\u5212\u300b\u76f8\u5173\u7684\u901a\u77e5\uff0c\u660e\u786e\u8981\u6c42\u5230 2025 \u5e74\u5168\u56fd\u8303\u56f4\u5185\u5168\u9762\u91c7\u7528 DRG \u6216 DIP \u6a21\u5f0f\uff0c\u9884\u8ba1\u8be5\u6a21\u5f0f\u5c06\u8986\u76d6\u5927\u90e8\u5206\u4f4f\u9662\u8d39\u7528[6]\u3002<\/p>\n

\u4e2d\u56fd DRG\/DIP \u6539\u9769\u5bf9\u4e34\u5e8a\u5b9e\u9a8c\u5ba4\u9886\u57df\u7684\u5f71\u54cd<\/h3>\n

\u5728\u672c\u6b21\u5cf0\u4f1a\u4e0a\uff0c\u6765\u81ea\u4e2d\u56fd\u533b\u7597\u751f\u6001\u7cfb\u7edf\u7684\u5404\u65b9\u5229\u76ca\u76f8\u5173\u8005\u4e00\u81f4\u8ba4\u53ef\uff0c\u51c6\u786e\u4e14\u53ca\u65f6\u7684\u8bca\u65ad\u5bf9\u4e8e\u6709\u6548\u63a8\u884c DRG\/DIP \u7406\u5ff5\u8d77\u7740\u81f3\u5173\u91cd\u8981\u7684\u4f5c\u7528\u3002\u5728\u6574\u4e2a\u8ba8\u8bba\u73af\u8282\uff0c\u4e34\u5e8a\u5b9e\u9a8c\u5ba4\u9886\u57df\u7684\u4ee3\u8868\u5c55\u73b0\u51fa\u79ef\u6781\u652f\u6301\u5e76\u4e3b\u52a8\u9002\u5e94\u8fd9\u4e9b\u53d8\u9769\u7684\u610f\u613f\u3002<\/p>\n

\u8bb8\u591a\u5b9e\u9a8c\u5ba4\u8d1f\u8d23\u4eba\u5df2\u63d0\u524d\u5e03\u5c40\uff0c\u7740\u529b\u52a0\u5f3a\u81ea\u8eab\u80fd\u529b\u5efa\u8bbe\u6d3b\u52a8\uff0c\u4ee5\u5e94\u5bf9 DRG\/DIP \u6539\u9769\u3002\u5176\u4e2d\uff0c\u7f29\u77ed\u4e34\u5e8a\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u7684\u5468\u8f6c\u65f6\u95f4\u6210\u4e3a\u91cd\u70b9\u5173\u6ce8\u7684\u9886\u57df\u4e4b\u4e00\u3002\u201c\u6211\u4eec\u5bf9\u4e8e\u5feb\u901f\u51fa\u5177\u68c0\u6d4b\u62a5\u544a\u6709\u7740\u8feb\u5207\u9700\u6c42\uff0c\u201d\u4e2d\u56fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u76db\u4eac\u533b\u9662\u5fc3\u8840\u7ba1\u5185\u79d1\u4e3b\u4efb Sun Zhijun \u6559\u6388\u8868\u793a\uff0c\u201c\u7279\u522b\u662f\u5728\u5fc3\u810f\u8870\u7aed\u7b49\u75be\u75c5\u8d1f\u62c5\u65e5\u76ca\u52a0\u91cd\u7684\u60c5\u51b5\u4e0b\uff0c\u968f\u7740\u65f6\u95f4\u7684\u63a8\u79fb\uff0c\u5e76\u53d1\u75c7\u53d1\u751f\u7684\u98ce\u9669\u53ea\u4f1a\u4e0d\u65ad\u6500\u5347\u3002\u201d<\/p>\n

\u90e8\u5206\u5b9e\u9a8c\u5ba4\u8d1f\u8d23\u4eba\u4e0d\u4ec5\u7740\u773c\u4e8e\u5185\u90e8\u6d41\u7a0b\u7ba1\u7406\uff0c\u8fd8\u79ef\u6781\u534f\u52a9\u76f8\u5173\u90e8\u95e8\u5236\u5b9a\u65b0 DRG\/DIP \u65b9\u6848\u4e0b\u7684\u8bca\u65ad\u68c0\u6d4b\u653f\u7b56\u3002\u53e6\u6709\u4e00\u4e9b\u8d1f\u8d23\u4eba\u5219\u5728\u5176\u6240\u670d\u52a1\u7684\u533b\u7597\u4f53\u7cfb\u5185\u5916\u79ef\u6781\u5f00\u5c55\u521b\u65b0\u5408\u4f5c\uff0c\u5145\u5206\u5229\u7528\u5fae\u4fe1\u7b49\u5de5\u5177\u8fdb\u884c\u9ad8\u6548\u534f\u8c03\u3002\u5728\u5cf0\u4f1a\u4e0a\uff0c\u591a\u4f4d\u5229\u76ca\u76f8\u5173\u8005\u6307\u51fa\uff0c\u4ef7\u503c\u4e0e\u4f9b\u5e94\u94fe\u5408\u4f5c\u4f19\u4f34\u4e4b\u95f4\u7684\u6c9f\u901a\u65b9\u5f0f\u4ecd\u6709\u8f83\u5927\u7684\u63d0\u5347\u7a7a\u95f4\u3002<\/p>\n

\u201c\u8981\u83b7\u53d6\u51c6\u786e\u3001\u5feb\u901f\u7684\u68c0\u6d4b\u7ed3\u679c\uff0c\u5c31\u5fc5\u987b\u52a0\u5f3a\u5b9e\u9a8c\u5ba4\u4e0e\u533b\u7597\u673a\u6784\u4e4b\u95f4\u7684\u6c9f\u901a\uff0c\u201d\u534e\u4e2d\u79d1\u6280\u5927\u5b66\u540c\u6d4e\u533b\u5b66\u9662\u9644\u5c5e\u540c\u6d4e\u533b\u9662\u4e34\u5e8a\u68c0\u9a8c\u79d1\u526f\u4e3b\u4efb Liming Cheng \u6559\u6388\u5f3a\u8c03\uff0c\u201c\u6211\u4eec\u9700\u8981\u6784\u5efa\u66f4\u4e3a\u5b8c\u5584\u7684\u53cd\u9988\u673a\u5236\u3002\u201d<\/p>\n

\u53e6\u4e00\u4e2a\u91cd\u70b9\u5173\u6ce8\u7684\u9886\u57df\u662f\u63d0\u5347\u68c0\u6d4b\u670d\u52a1\u8d28\u91cf\u3002\u7136\u800c\uff0c\u4e00\u4e9b\u5229\u76ca\u76f8\u5173\u8005\u62c5\u5fe7\uff0c\u8fc7\u5ea6\u805a\u7126\u4e8e\u6210\u672c\u63a7\u5236\uff0c\u53ef\u80fd\u4f1a\u56e0\u51cf\u5c11\u5bf9\u521b\u65b0\u6216\u9ad8\u8d28\u91cf\u6280\u672f\u7684\u6295\u5165\uff0c\u800c\u524a\u5f31\u63d0\u5347\u670d\u52a1\u8d28\u91cf\u7684\u52aa\u529b\uff0c\u5c24\u5176\u662f\u5728\u4e2d\u56fd\u7684\u533b\u7597\u4fdd\u9669\u4f53\u7cfb\u4ecd\u76f8\u5bf9\u57fa\u7840\u7684\u73b0\u72b6\u4e0b\u3002\u6309\u7167 DIP \u7684\u7406\u5ff5\uff0c\u968f\u7740\u4eba\u53e3\u75be\u75c5\u5206\u5c42\u6570\u636e\u968f\u65f6\u95f4\u4e0d\u65ad\u4e30\u5bcc\u548c\u5b8c\u5584\uff0c\u7701\u7ea7\u5c42\u9762\u4e5f\u5728\u63a2\u8ba8\u8bbe\u7acb\u8fdb\u4e00\u6b65\u7684\u201c\u8c03\u6574\u57fa\u91d1\u201d\u3002<\/p>\n

\u5bf9\u4e2d\u56fd\u533b\u7597\u9886\u57df\u7684\u66f4\u5e7f\u6cdb\u5f71\u54cd<\/h3>\n

\u6b63\u5982\u5cf0\u4f1a\u4e0a\u8bb8\u591a\u5229\u76ca\u76f8\u5173\u8005\u6240\u63d0\u53ca\u7684\uff0c\u4e2d\u56fd\u7684 DRG\/DIP \u6539\u9769\u4e3b\u8981\u662f\u4e3a\u4e86\u52a9\u529b\u5b9e\u73b0\u6709\u6548\u7684\u6210\u672c\u63a7\u5236\u5e76\u4f18\u5316\u62a5\u9500\u673a\u5236\u3002\u4e0d\u8fc7\uff0c\u4f5c\u4e3a\u6539\u9769\u7684\u9644\u5e26\u6548\u5e94\uff0c\u8fd9\u4e9b\u4e3e\u63aa\u4e5f\u50ac\u751f\u4e86\u5bf9\u66f4\u7cfb\u7edf\u5316\u533b\u7597\u8bb0\u5f55\u4fdd\u5b58\u7684\u9700\u6c42\uff0c\u6db5\u76d6\u8bca\u65ad\u7ed3\u679c\u3001\u60a3\u8005\u533b\u7597\u8def\u5f84\u4ee5\u53ca\u5065\u5eb7\u7ed3\u679c\u7b49\u65b9\u9762\u3002\u8fd9\u4e9b\u8981\u7d20\u4e3a\u533b\u7597\u7cfb\u7edf\u7684\u6df1\u5ea6\u6570\u5b57\u5316\u4ee5\u53ca\u771f\u6b63\u57fa\u4e8e\u4ef7\u503c\u7684\u533b\u7597\u751f\u6001\u7cfb\u7edf\u7684\u843d\u5730\u5b9e\u65bd\u5960\u5b9a\u4e86\u575a\u5b9e\u57fa\u7840\u3002<\/p>\n

\u201c\u8003\u8651\u5230 DRG \u7684\u63a8\u884c\uff0c\u6211\u4eec\u5f53\u524d\u9762\u4e34\u7684\u6700\u91cd\u8981\u4efb\u52a1\u5c31\u662f\u63d0\u5347\u8bca\u65ad\u80fd\u529b\uff0c\u201dLiming \u6559\u6388\u8bf4\u9053\u3002<\/p>\n

\n\u53c2\u8003\u8d44\u6599\uff1a<\/em><\/p>\n

[1]\u00a0\u201cIn Vitro Diagnostics Worldwide Global Comparison\u201d.Statista: Jan 2022.
\n[2]<\/a> Yi, Lai et al. \u201cHospital response to a case-based payment scheme under regional global budget: The case of Guangzhou in China\u201d.ScienceDirect: Jan 2022.
\n[3]<\/a> Yi, Rong and Liu, Wendy.\u201cOn the journey of cost containment \u2013 China\u2019s DRG development and implementation\u201d.MCOL: Sep 2021.
\n[4]<\/a> Kim, Seung Ju et al. \u201cThe effect of competition on the relationship between the introduction of the DRG system and quality of care in Korea.\u201dEuropean Journal of Public Health, Volume 26, Issue 1: Feb 2016.
\n[5]<\/a> Yu, Lihua and Lang, Jingjing.\u201cDRG pricing and payment policy in China: Where are we?\u201d.Hepatobiliary Surgery and Nutrition: Dec 2020.
\n[6]<\/a> \u201cNational medical security system to be advanced\u201d.The State Council, The People\u2019s Republic of China: Sep 2021.<\/p>\n

\n","protected":false},"excerpt":{"rendered":"

\u672c\u6587\u4f5c\u8005 Chris L. Hardesty \u7cfb\u5168\u7403\u536b\u751f\u653f\u7b56\u9886\u57df\u7684\u72ec\u7acb\u4e13\u5bb6\uff0c\u5c24\u5176\u4e13\u6ce8\u4e8e\u7ecf\u6d4e\u53ef\u884c\u7684\u521b\u65b0\u83b7\u53d6\u8ba1\u5212\u3002 \u4e0e\u4e9a\u592a\u5730\u533a\u4e43\u81f3\u5168\u7403\u4f17\u591a\u56fd\u5bb6\/\u5730\u533a\u4e00\u6837\uff0c\u5728\u4e2d\u56fd\uff0c\u5305\u62ec\u4f53\u5916\u8bca\u65ad (IVD) \u6280\u672f\u5728\u5185\u7684\u533b\u7597\u8bbe\u5907\u5b9a\u4ef7\u95ee\u9898\uff0c\u59cb\u7ec8\u662f\u5907\u53d7\u77a9\u76ee\u7684\u7126\u70b9\u3002\u5c3d\u7ba1\u5404\u65b9\u5229\u76ca\u76f8\u5173\u8005\u5747\u8ba4\u53ef\u521b\u65b0\u4e14\u4f18\u8d28\u7684\u536b\u751f\u6280\u672f\u6240\u8574\u542b\u7684\u4ef7\u503c\uff0c\u4f46\u4ed6\u4eec\u4e5f\u5fc5\u987b\u5728\u6e34\u671b\u83b7\u53d6\u8fd9\u4e9b\u6280\u672f\u4e0e\u8c28\u614e\u7ba1\u7406\u9884\u7b97\u4e4b\u95f4\u5bfb\u6c42\u5e73\u8861\u3002 \u4e2d\u56fd\u4f5c\u4e3a\u5168\u7403\u7b2c\u4e8c\u5927\u4f53\u5916\u8bca\u65ad\u5e02\u573a[1]\uff0c\u8fd1\u671f\u63a8\u884c\u7684\u5b9a\u4ef7\u6539\u9769\u4e3e\u63aa\uff0c\u6781\u6709\u53ef\u80fd\u5728\u4e34\u5e8a\u5b9e\u9a8c\u5ba4\u9886\u57df\u5f15\u53d1\u4e00\u7cfb\u5217\u8fde\u9501\u53cd\u5e94\u3002\u672c\u6587\u5c06\u8be6\u7ec6\u9610\u8ff0 2021 \u5e74 10 \u6708\u4e3e\u529e\u7684\u4e2d\u56fd\u5148\u8fdb\u4f53\u5916\u8bca\u65ad\u6280\u672f\u5cf0\u4f1a\u7684\u5173\u952e\u8981\u70b9\uff0c\u6b64\u6b21\u5cf0\u4f1a\u56f4\u7ed5\u4e2d\u56fd\u7684\u6210\u672c\u63a7\u5236\u63aa\u65bd\u53ca\u5176\u5bf9\u5b9e\u9a8c\u5ba4\u533b\u5b66\u5b9e\u8df5\u7684\u5f71\u54cd\u5c55\u5f00\u4e86\u5e7f\u6cdb\u800c\u6df1\u5165\u7684\u8ba8\u8bba\u3002 \u6309\u75be\u75c5\u8bca\u65ad\u76f8\u5173\u5206\u7ec4 (DRG) \u4e0e\u4e2d\u56fd\u533b\u7597\u652f\u4ed8\u6539\u9769\u7684\u5174\u8d77 \u4f5c\u4e3a\u4e2d\u56fd\u300a\u201c\u5341\u56db\u4e94\u201d\u5168\u6c11\u533b\u7597\u4fdd\u969c\u89c4\u5212\u300b\u7684\u5173\u952e\u7ec4\u6210\u90e8\u5206\uff0c\u8fd1\u5e74\u6765\u4e2d\u56fd\u5728\u836f\u54c1\u5b9a\u4ef7\u65b9\u9762\u8fdb\u884c\u4e86\u5927\u80c6\u7684\u6539\u9769\u3002\u636e\u76f8\u5173\u4f30\u7b97\uff0c\u8fd9\u4e9b\u6539\u9769\u63aa\u65bd\u4f7f\u6bcf\u4f4d\u60a3\u8005\u7ecf\u98ce\u9669\u8c03\u6574\u540e\u7684\u533b\u7597\u652f\u51fa\u964d\u4f4e\u4e86 3.5%[2]\u3002 \u6e05\u534e\u5927\u5b66\u533b\u9662\u7ba1\u7406\u7814\u7a76\u9662\u7684 Yang Yansui \u6559\u6388\u6307\u51fa\uff1a\u201c\u4e2d\u56fd\u7684\u533b\u7597\u652f\u4ed8\u6539\u9769\uff0c\u5c06\u5bf9\u6574\u4e2a\u533b\u7597\u751f\u6001\u7cfb\u7edf\u7684\u7ee9\u6548\u8bc4\u4f30\u4f53\u7cfb\u4ea7\u751f\u6781\u4e3a\u6df1\u8fdc\u7684\u5f71\u54cd\u3002\u8fd9\u4e00\u6539\u9769\u6216\u8bb8\u6807\u5fd7\u7740\u533b\u9662\u89c4\u6a21\u6269\u5f20\u65f6\u4ee3\u7684\u7ec8\u7ed3\uff0c\u8f6c\u800c\u63a8\u52a8\u5404\u5229\u76ca\u76f8\u5173\u65b9\u7cbe\u51c6\u5b9a\u4f4d\u81ea\u8eab\u89d2\u8272\uff0c\u5e76\u52a0\u5f3a\u5f7c\u6b64\u95f4\u7684\u534f\u4f5c\u3002\u201d \u5728\u4e2d\u56fd\u4ee5\u53ca\u5176\u4ed6\u5730\u533a\uff0c\u652f\u4ed8\u6539\u9769\u7684\u7406\u5ff5\u5e76\u975e\u65b0\u751f\u4e8b\u7269\u3002\u65e9\u5728 1983 \u5e74\uff0c\u7f8e\u56fd\u4fbf\u7387\u5148\u7acb\u6cd5\uff0c\u5c06\u533b\u7597\u4fdd\u9669\u65b9\u6848\u4ece\u6309\u670d\u52a1\u6536\u8d39 (FFS) \u6a21\u5f0f\uff0c\u8f6c\u53d8\u4e3a\u6309\u75be\u75c5\u8bca\u65ad\u76f8\u5173\u5206\u7ec4 (DRG) \u6a21\u5f0f\u3002\u5176\u6838\u5fc3\u76ee\u6807\u5728\u4e8e\u6784\u5efa\u4e00\u4e2a\u66f4\u4e3a\u5b8c\u5584\u7684\u7cfb\u7edf\uff0c\u4f9d\u636e\u8bca\u65ad\u3001\u6cbb\u7597\u3001\u5171\u75c5\u56e0\u7d20\u4ee5\u53ca\u9884\u540e\u60c5\u51b5\u5bf9\u60a3\u8005\u8fdb\u884c\u5206\u7c7b\uff0c\u8fdb\u800c\u4f18\u5316\u60a3\u8005\u7ba1\u7406\u6d41\u7a0b\uff0c\u5b9e\u73b0\u6574\u4f53\u533b\u7597\u4fdd\u9669\u8d39\u7528\u7684\u8282\u7701[3]\u3002 DRG \u6982\u5ff5\u5f88\u5feb\u4f20\u5165\u4e9a\u592a\u5730\u533a\uff0c\u6fb3\u5927\u5229\u4e9a\u4e8e 1993 \u5e74\u7387\u5148\u91c7\u7528\u3002 \u97e9\u56fd\uff0c\u4f5c\u4e3a\u4f17\u591a\u9762\u4e34\u533b\u7597\u8d39\u7528\u6500\u5347\u7684\u4e9a\u6d32\u56fd\u5bb6\/\u5730\u533a\u4e4b\u4e00\uff0c\u81ea 2012 \u5e74\u8d77\uff0c\u5f00\u59cb\u5728\u533b\u9662\u548c\u8bca\u6240\u9010\u6b65\u63a8\u884c DRG \u6a21\u5f0f\u3002 2011 \u5e74\uff0c\u5317\u4eac\u7387\u5148\u5728\u516d\u5bb6\u4e09\u7ea7\u533b\u9662\u5f00\u5c55 DRG \u8bd5\u70b9\u8fd0\u884c\u5de5\u4f5c\uff0c\u5171\u7eb3\u5165\u8fd1 5 \u4e07\u540d\u60a3\u8005\uff0c\u8bd5\u70b9\u7ed3\u679c\u663e\u793a\uff0c\u60a3\u8005\u7684\u4f4f\u9662\u65f6\u95f4\u663e\u8457\u7f29\u77ed[4,5]\u3002 2019 \u5e74 5 \u6708\uff0c\u4e2d\u56fd\u56fd\u5bb6\u533b\u7597\u4fdd\u969c\u5c40\u3001\u8d22\u653f\u90e8\u3001\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u4ee5\u53ca\u56fd\u5bb6\u4e2d\u533b\u836f\u7ba1\u7406\u5c40\u8054\u5408\u53d1\u5e03\u300a\u5173\u4e8e\u5370\u53d1\u6309\u75be\u75c5\u8bca\u65ad\u76f8\u5173\u5206\u7ec4\u4ed8\u8d39\u56fd\u5bb6\u8bd5\u70b9\u57ce\u5e02\u540d\u5355\u7684\u901a\u77e5\u300b\uff0c\u6311\u9009\u51fa 30 \u4e2a\u57ce\u5e02\u4f5c\u4e3a\u9996\u6279\u8bd5\u70b9\u3002\u4e00\u5e74\u540e\uff0c\u53c8\u53d1\u5e03\u4e86\u6269\u5927\u8bd5\u70b9\u8303\u56f4\u7684\u901a\u77e5\uff0c\u5e76\u5f15\u5165\u4e86\u201c\u6309\u75c5\u79cd\u5206\u503c\u4ed8\u8d39 (DIP)\u201d\u8fd9\u4e00\u65b0\u672f\u8bed\u3002DIP \u53ef\u89c6\u4e3a DRG \u6982\u5ff5\u7684\u4e00\u79cd\u7ec6\u5fae\u53d8\u4f53\uff0c\u5176\u521b\u65b0\u4e4b\u5904\u5728\u4e8e\u5f15\u5165\u4e86\u4e00\u79cd\u8c03\u6574\u673a\u5236\uff0c\u5373\u6700\u7ec8\u62a5\u9500\u91d1\u989d\u5c06\u6839\u636e\u5b9e\u9645\u60c5\u51b5\u4e8b\u540e\u786e\u5b9a[2]\u3002 \u5e7f\u5dde\u4f5c\u4e3a\u8bd5\u70b9\u57ce\u5e02\u4e4b\u4e00\uff0c\u4eab\u6709\u4e3a\u671f\u4e24\u5e74\u7684\u65f6\u95f4\u6765\u8bd5\u7528\u65b0\u6280\u672f\uff0c\u5e76\u53ef\u83b7\u5f97\u57fa\u672c\u62a5\u9500\u652f\u6301\u3002\u201c\u8fd9\u79cd\u6a21\u5f0f\u4f7f\u6211\u4eec\u80fd\u591f\u5145\u5206\u6536\u96c6\u8bc1\u636e\uff0c\u8bc1\u660e\u65b0\u6280\u672f\u7684\u4e34\u5e8a\u548c\u7ecf\u6d4e\u6548\u76ca\uff0c\u8fd9\u4e0e 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