南京医科大学学报（社会科学版）2025，Vol.25Issue(1)：16-20,5.DOI:10.7655/NYDXBSSS240401
异地就医对DRG/DIP支付方式的影响及对策分析
Research on the influence of off-site medical treatment on DRG/DIP payment method and corresponding strategies
摘要
Abstract
Off-site medical treatment is a beneficial policy arrangement under China's medical insurance system.However,in the operation process,off-site medical treatment is facing problems such as chaotic treatment order,frequent switching costs risks,difficulties in medical insurance fund cost control,major regulatory challenges,and fragmentation of management.There are many inconsistencies with the reform of DRG/DIP payment methods.By systematically analyzing the problems existing in the implementation of off-site medical treatment,this paper discusses the potential influencing factors of existing problems on the reform of DRG/DIP payment methods and puts forward strategies and suggestions to address these challenges to provide a practical reference for accelerating the implementation of DRG/DIP payment in off-site medical treatment.关键词
DRG/DIP支付方式改革/异地就医/医保基金Key words
DRG/DIP payment reform/off-site medical treatment/medical insurance fund分类
医药卫生引用本文复制引用
任平平,陈勇,赵允伍,蒋心梅,王珩..异地就医对DRG/DIP支付方式的影响及对策分析[J].南京医科大学学报（社会科学版）,2025,25(1):16-20,5.基金项目
国家自然科学基金面上项目"DRG支付方式下的医保—医疗协同机制研究"(72374004) （72374004）
国家卫生健康委医院管理研究医疗质量(循证)管理研究项目"DRG支付下的医保—医疗质量协同管理路径研究"(YLZLXZ23K013) （循证）
