| 摘要: |
| 首都医科大学附属北京友谊医院从2011年开始实施医保总额预付费制度改革、按病种分组（DRGs） 付费试点改革、医药分开改革等一系列支付制度改革，对医院的运行带来较大影响。付费制度改革对医疗质量的提高带来很大的挑战。医院采取了抓基础质量、抓环节质量、抓终末评价等一系列措施提高医疗服务质量和技术水平。在付费制度改革后，医院医疗服务量、DRGs评价、合理用药等数据均优于改革前，在保证医疗质量的前提下完成了付费制度改革，达到了医疗费用可控、医疗质量不降的双向目标。 |
| 关键词: 公立医院 付费制度改革 医疗质量 |
| DOI： |
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| 基金项目: |
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| Effect Exploration of Payment System Reform of Public Hospitals for Medical Quality Management |
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| Abstract: |
| Beijing Friendship Hospital implemented the medical insurance reform of total prepaid system， Diagnosis Related Groups (DRGs)，the reform of medical separation and a series of payment system reform from 2011. It made a greater impact on the running of the hospital. Payment system reform brought great challenges to improve the quality of medical care. Hospital took a series of measures to improve the quality of medical services and technology， including grasping the basic quality, grasping aspects of quality and grasping terminal evaluation. After payment system reform, hospital medical service volume, DRGs evaluation, rational drug use and other data were superior to that before reform. Hospital completed the reform of the payment system in ensuring the quality of medical care provided, got double objectives that medical costs controllable and medical quality did not drop. |
| Key words: public hospital,payment system reform,medical quality |
