Case study on Sanming′s transformation from medical treatment to health promotion through DRG payment under global budget

VernacularTitle:总额预算下的DRG支付推动三明从治病向健康转型的案例分析
Author: Hufeng WANG ¹ ; Yu MA ; Shitang XIE ; Shengpeng GUO
Author Information

1. 中国人民大学公共健康与疾病预防控制交叉学科重大创新平台，北京　100872
Keywords: Health; Medical insurance; Medical insurance payment method; Diagnosis-related groups; Global budget; Sanming healthcare reform
From: Chinese Journal of Hospital Administration 2024;40(7):500-504
CountryChina
Language:Chinese
Abstract: The reform of medical insurance payment methods is one of the important measures for Sanming City to achieve universal health. This study explored the design and implementation of DRG payment method under global budget based on the case of Sanming, in order to promote the transformation from disease treatment to health promotion. The transformation practice of Sanming City involved three aspects: concept reshaping, structural reconstruction, and functional reconstruction, which were promoted from the dimensions of goals, paths, and methods, and have achieved significant results. The author proposed three recommendations, including adhering to and improving DRG payments under global budget, attaching importance to medical quality assessment and monitoring, and designing a global budget plus composite payment method that is suitable for various health scenarios.