- VernacularTitle:以患者获益为核心, 促进医联体可持续发展
- Author:
Wenting ZHENG
1
;
Yuyu ZHOU
1
;
Qiming JIN
2
;
Yi YUAN
3
;
Yanbin LIU
1
;
Xiaojun MA
1
;
Jiong ZHOU
1
Author Information
- Publication Type:Journal Article
- Keywords: medical consortium; DRG; tiered diagnosis and treatment model; medical resources; sustainable development
- From: Medical Journal of Peking Union Medical College Hospital 2024;15(5):1006-1010
- CountryChina
- Language:Chinese
-
Abstract:
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.