虽然按病种分值的付费方式在越来越多的地区得到应用,但实践中也存在一些问题,需要进一步完善。细化病种分组受疾病分组技术的制约,探索实行“点数法”的地区普遍以第一诊断来确定病种,但由于目前病种分类较粗,部分复杂疾病的第一诊断无法体现患者病情的危重程度,会导致部分疾病的诊疗费用无法得到医保基金合理的补偿。因此,应该借鉴疾病分组(DRGs)的做法,在疾病诊断的基础上,再根据严重程度、治疗手段、患者年龄等因素对病 Although payment by disease score is applied in more and more areas, there are still some problems in practice that need to be further improved. The detailed classification of disease groups by the disease grouping technology to explore the implementation of “point method ” areas generally identified by the first diagnosis of disease, but due to the current coarse-grained classification, the first diagnosis of some complex diseases can not be reflected The severity of the patient’s condition, will result in the treatment of some diseases can not get the medical insurance fund reasonable compensation. Therefore, we should learn from the practice of disease grouping (DRGs), on the basis of disease diagnosis, and then according to the severity, treatment, patient age and other factors on the disease