Application Research Of DRGs Payment Method In The Management Of Public Hospitals In Shenyang

DRGs payment method is a new medical insurance payment method.At the end of 2017,Shenyang Medical Insurance will carry out the pilot work of paying by Digital Raster Graphic(DRGs).The application of DRGs payment in public hospitals can effectively rationalize the medical management system,strengthen the control ability of insurance expenses,and gradually build a scientific and reasonable payment system.At the same time,on the basis of ensuring the accuracy of cost accounting and payment,it can standardize and guide medical service behavior and build a perfect medical service system.Based on the practical value of DRGs,in the process of trying to develop DRGs payment method,Shenyang public hospitals clarify the current application status of DRGs payment method and its future development prospects,aiming at giving full play to the role of DRGs payment method in public hospitals management.Purpose:In this paper,taking g hospital as the research object,through the investigation of the application status of DRGs payment method in G hospital,the existing problems and their causes are analyzed from five aspects,such as policy environment,medical quality management,performance management,cost control and technical support,and relevant countermeasures and suggestions are put forward to provide reference for further improving the application of DRGs payment method and promoting the sustainable development of public hospitals.Material and method : Through literature research,data statistics and comparative analysis,interview and other methods,taking G hospital as the research object,this paper compares the data statistics and data analysis before and after applying DRGs payment method in G hospital,and interviews the heads of relevant departments,and sorts out and analyzes the collected data.Results:After studying the application of DRGs new medical insurance payment method in G hospital,it is considered that there are imperfect laws and regulations and imperfect compensation mechanism;The quality of the first page of medical records is low,and the use of medical resources is insufficient;Unbalanced performance distribution and immature performance management;Cost management consciousness is weak,and cost analysis is not in place;Lack of professional and technical personnel,immature information technology and other issues.Conclusion:In view of the problems existing in the application of DRGs payment method,this paper puts forward to improve the relevant laws and improve the compensation mechanism;Improve clinical pathway and strengthen refined management;Scientifically implement performance management and enhance doctors' participation;Enhance cost management awareness and strengthen financial supervision;Countermeasures and suggestions on training professional and technical personnel and perfecting information system construction.