Analysis of factors influencing DRG payment system reform based on interpretive structural model
10.3760/cma.j.cn111325-20240418-00299
- VernacularTitle:基于解释结构模型的DRG支付制度改革影响因素分析
- Author:
Tongbin XUE
1
;
Ye WU
;
Dian ZHOU
;
Di TIAN
;
Yuan ZHOU
;
Yu ZHANG
;
Manchen LYU
;
Yuchen ZHANG
;
Xiaohan JING
;
Rui ZHOU
Author Information
1. 安徽医科大学卫生管理学院，合肥 230032
- Publication Type:Journal Article
- Keywords:
Diagnosis-related groups;
Payment system reform;
Interpretive structural model;
Influencing factors;
Hospitals
- From:
Chinese Journal of Hospital Administration
2025;41(3):210-215
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the influencing factors of China′s DRG payment system reform(DRG reform) and its hierarchical relationship, for references for the in-depth promotion of China′s medical insurance payment reform.Methods:Relevant literature on DRG reform in China from databases such as CNKI, Wanfang Database, Pubmed, etc, were obtained. Content analysis method was used to extract the influencing factors of DRG reform. The correlation between each influencing factor was determined through expert discussion. An interpretive structural model(ISM) was constructed to analyze the hierarchical relationship of factors influencing DRG reform.Results:After analysis, the influencing factors(12) of DRG reform in China were included such as medical level, hospital management, and medical staff′s cognition and behavior. Among them, the local situation was the deep-level factor affecting DRG reform, 9 factors such as data quality assurance and policy design/implementation were the middle-level factors, and patients′ interests/needs and disease grouping were the surface-level factors.Conclusions:There were many influencing factors on the reform of China′s DRG payment system. It was suggested that relevant management departments in various regions should focus on the actual situation of the locality, take data quality and policy design and implementation as the key points of reform, formulate a scientific and reasonable DRG grouping scheme, safeguard the interests of patients, so as to promote the deepening of DRG reform.
