现代医院2025，Vol.25Issue(8)：1184-1186,1190,4.DOI:10.3969/j.issn.1671-332X.2025.08.011
DRG支付方式改革下开展壮医病历内涵质控的探索与实践
Explorations and practices of connotation quality control of zhuang medical records under the reform of DRG payment method
摘要
Abstract
Objective To explore practical pathways for the connotation quality control of Zhuang medical records by le-veraging the reform of DRG-based medical insurance payment systems as an opportunity,thereby enhancing record quality and fostering the coordinated development of ethnic medicine with modern medical insurance payment systems.Methods By analy-zing the requirements imposed by the DRG-based payment reform on the quality management of Zhuang medical records,a quality control management system focused on the connotation quality control of these records was established.A scoring standard for the connotation quality of Zhuang medical records,supplemented by DRG,was developed.Dynamic quality control was implemented through a combination of information-based intelligent review and expert manual review to ensure rectification.Results Key in-dicators,such as the qualification rate of the first page of medical records,the A-level rate of inpatient records,and the DRG en-rollment rate,showed significant improvements.The documentations of surgical and procedural records were standardized,and the records of ward rounds and case discussions by senior physicians were comprehensive and detailed,accurately reflecting the diagnostic and therapeutic methods and outcomes of Zhuang medicine.Conclusion The DRG-based quality control model for Zhuang medical records effectively aligns medical insurance payment with the unique characteristics of ethnic medicine,offering a replicable model for the quality management of medical records in ethnic medicine institutions under DRG-based reforms.关键词
DRG/壮医病历/内涵质控Key words
DRG/Zhuang medical records/Connotation quality control分类
医药卫生引用本文复制引用
周玲,张帆,韦智,郭雨西,王亚扎,岑艳灵,叶贤凯,朱芳芳..DRG支付方式改革下开展壮医病历内涵质控的探索与实践[J].现代医院,2025,25(8):1184-1186,1190,4.基金项目
广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20220177) （GXZYA20220177）
