[筹资与支付1卫生经济研究2023年10月第40卷第10期总第438期广安市DRG点点数法改革成效与策略研究李锦渊,彭美华1,郑丹2,何丹²,李希1,廖芳1[摘要】目的：总结四川省广安市DRG点数法改革实践经验与成效,提出政策建议。方法：将18家试点医疗机构住院病例结算数据分为四个时间阶段，从服务能力、费用控制、服务效率和质量安全四个维度对DRG点数法改革运行情况进行分析。结果：实行DRG点数法改革后，医疗机构服务能力增强，控费减负效果明显，服务质量未发生明显变化。建议：完善医保协商谈判机制，优化病例分组，丰富差异系数参数，完善监管体系，构建多元医保支付方式。[关键词】医保支付方式;DRG点数法;医疗机构;广安市中图分类号：F840.684文献标识码：B文章编号：1004-7778(2023)10-0070-04StudyontheEffectivenessandStrategiesofDRGScoringMethodReformLIJinyuan,PENGMeihua,ZHENGDan,HEDan,LIXi,LIAOFangAbstract:ObjectiveTosummarizethepracticalexperienceandeffectivenessofreformDRGscoringmethodreforminGuang'an,Sichuanprovince,andtoputforwardcountermeasuresandsuggestions,MethodsThesettlementdataofinpatientcasesin18pilotmedicalinstitutionsweredividedintofourtimestages.TheoperationofDRGscoringmethodreformwasanalyzedfromfourdimensionsofservicecapacity,costcontrol,serviceefficiency,andqualitysafety.ResultsAftertheimplementationoftheDRGscoringmethodreform,theser-vicecapacityofmedicalinstitutionshasbeenenhanced,theeffectofcostcontrolandburdenreductionhasbeensignificant,andtherehasbeennosignificantchangeinservicequality.ConclusionItisrecommendedtoimprovethenegotiationmechanismformedicalinsurance,optimizecasegrouping,enrichthecoefficientofdifferenceparameters,improvethesupervisionsystem,andbuildadiversifiedmedicalin-surancepaymentmethod.Keywords:medicalinsurancepaymentmethod;DRGscoringmethod;medicalinstitutions;Guang'anCityFirst-author'saddress:SchoolofManagement,ChengduUniversityofTraditionalChineseMedicine,ChengduSichuan611137,ChinaCorrespondingauthor:PENGMeihua,E-mail:1275941809@qq.com2017年，国务院办公厅发布《关于进一步深化基本医疗保险支付方式改革的指导意见》，明确提出在全国范围内开展DRG付费试点。医保支付方式改革作为深化医药卫生体制...
