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“DRGs—PPS”乃是以诊断相关分组为基础的一种预先付款制度。美国于1983年在全国范围内实施,随后西方各国也相继效仿,它较好地控制了医疗费用的上涨。本文依据DRGs标准,严格选择了10个病种进行住院日和住院费用的调查、分析、评判,结果表明,发展病种质量管理,完善承包制,深化医疗制度改革,调控老年人的医疗费用等方面引入DRGs—PPS机制是适合的。它对促进我国医疗保健制度改革,充分、合理地利用现有卫生资源具有一定的理论价值和实用价值。本文通过对河南省豫北地区新乡、鹤壁二市市级医院10个病种住院时间及住院费用的调查,试图探讨DRGs—PPS在我国医院管理改革中应用的适合度。
“DRGs-PPS” is an advance payment system based on diagnostic-related groups. The United States implemented it nationwide in 1983. Western countries have followed suit. It has better control over the rise in medical expenses. Based on the criteria of DRGs, this article strictly selects 10 types of diseases for the investigation, analysis and evaluation of hospitalization days and hospitalization costs. The results show that development of disease quality management, improvement of the contracting system, deepening the reform of the medical system, and regulating the medical expenses of the elderly, etc. The introduction of the DRGs-PPS mechanism is appropriate. It has certain theoretical value and practical value for promoting the reform of China’s health care system and fully and reasonably utilizing existing health resources. This article attempts to investigate the suitability of DRGs-PPS in hospital management reforms in China by investigating the length of hospital stay and hospitalization expenses for 10 diseases in Xinxiang and Hebi City Hospitals in the northern part of Henan Province.