Dilemma and policy proposal for the ethical value of new health care reform：From the per-spective of Diagnosis Related Groups

VernacularTitle:新医改伦理价值的实践困境与政策应对--以按病种付费政策为例
Author: Zihui YE ; Zhaoliang WANG
Publication Type:Journal Article
Keywords: New health care reform; Ethical value; Value standard; Diagnosis Related Groups
From: Chinese Journal of Health Policy 2015;(2):46-53
CountryChina
Language:Chinese
Abstract: Health care policy should follow principles of total efficiency, no-harm, fairness and justice as ethi-cal standards for public policy. Diagnosis Related Groups( DRGs) as a sign of new health care reform ( NHCR) is implemented as a pilot program across the country, with the obvious function of suppressing excessive growth in medi-cal costs and over-treatment. From the dimension of ethical values, the DRGs has avoided unethical individuals, fol-lowed the principle of total efficiency and achieved the equalization of social security. However it has also increased ethical risks and been adverse to the development of medical research. To realize the reasonable development of DRGS, the construction of DRGs must be improved, and security policies must be reasonable and feasible; orderly measures must be established to ensure promotion and implementation;the government’s financial investment must be increased to protect the social welfare of public hospitals;a sound communication mechanism must be implemented, and interaction between medical institutions and insurance institutions must be strengthened.