Research on the Construction and Application of DRG-based Medical Insurance Service Quality Evaluation System
- VernacularTitle:基于DRG的医保服务质量评价体系构建及应用研究
- Author:
Bin WAN
1
;
Yitong ZHOU
;
Yingpeng WANG
;
Yang PU
;
Yiyang ZHAN
;
Haixia DING
Author Information
1. 江苏省人民医院·南京医科大学第一附属医院 江苏 南京 210029
- Keywords:
DRG;
medical insurance service quality;
evaluation system
- From:
Chinese Hospital Management
2024;44(1):83-86
- CountryChina
- Language:Chinese
-
Abstract:
Jiangsu Provincial People's Hospital takes the reform of DRG payment method as an opportunity,based on the theory of incentive behavior,uses literature research,expert consultation,and key performance indicator methods to develop evaluation indicators,and applies PDCA management tools to establish a continuously improving medical insurance service quality evaluation system.It introduces the process of medical insurance service quality evaluation system construction and its application in medical insurance performance management,and analyzes the implementation effect:DRG operation is improving,disease group structure is optimized,medical quality and efficiency continue to improve,and medical service evaluation scores are improving.
