Reform Challenges and Strategic Recommendations for the Operation and Management of Public Traditional Chinese Medicine Hospitals under the DRG Version 2.0 Payment System
10.3760/cma.j.cn115398-20250225-00326
- VernacularTitle:DRG 2.0版支付体系下公立中医医院运营管理的改革难点和对策建议
- Author:
Minjiao CHEN
1
;
Yingjie SHI
;
Han SHI
;
Zongyou LI
;
Bo ZHANG
;
Jing LIU
;
Shuang LIU
Author Information
1. 中国中医科学院中医药信息研究所2022级博士研究生，北京 100700
- Keywords:
Hospitals, public;
Hospitals (TCM);
Operations management;
DRG 2.0;
Payment reforms
- From:
International Journal of Traditional Chinese Medicine
2025;47(7):881-885
- CountryChina
- Language:Chinese
-
Abstract:
The reform of payment based on disease diagnosis related grouping (DRG) is an important measure to deepen the medical security system. Its implementation will have a profound impact on the operation and management of public TCM hospitals from four aspects: medical service efficiency, cost, quality, and medical resource allocation. At the same time, there are also difficulties in reform, such as the contradiction between personalized diagnosis and treatment in TCM and standardized payment in DRG 2.0, compatibility issues between TCM medical record data and DRG 2.0 grouping system, limitations of special case negotiation mechanism, and difficulty in cost control and accounting. In response, this study formulated targeted strategies and recommendations intended to facilitate the effective implementation of the DRG 2.0 payment system, and bolster the operational and administrative efficacy of public TCM hospitals, culminating in a favorable scenario of tripartite synergy among "healthcare providers, insurers, and patients".
