Impacts of DRG/DIP payment reform on physicians' welfare and its mechanism research
10.3969/j.issn.1674-2982.2024.04.004
- VernacularTitle:DRG/DIP付费改革对医生福利的影响及机制研究
- Author:
Le-Le LI
1
;
Ruo-Fei WANG
Author Information
1. 中国人民大学劳动人事学院 北京 100872
- Keywords:
DRG/DIP payment;
Medical insurance payment reform;
Physicians'welfare;
Salary level
- From:
Chinese Journal of Health Policy
2024;17(4):23-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects of DRG/DIP payment reform and to study the impact of DRG/DIP payment reform on physicians'welfare.Methods:Based on the job demand-resource model,data from 251 samples collected using the questionnaire method were analyzed by multiple regression with city fixed effects.Results:The DRG/DIP payment reform reduced physicians'salary levels,and the impact on physicians'welfare differed significantly across departments.However,the negative effect of DRG/DIP payment reform on physicians'salary levels weakened as the standardization of the reform improved.Conclusions:Medical institutions should adjust the performance appraisal methods of physicians in a timely manner according to the structural impact of DRG/DIP payment reform and the actual situation of different departments,and continuously improve the standardization of DRG/DIP payment reform,so that the value of physicians'labor can be reflected and returned.
