医学信息2026，Vol.39Issue(14)：54-58,5.DOI:10.3969/j.issn.1006-1959.2026.14.009
整合医学理念优化DRG分组入组的思考
Reflections on Optimizing DRG Grouping and Enrollment Through the Concept of Integrative Medicine
刘硕 1胡雪军 2刘晓雷 3郑实 1樊代明 1杨志平1
作者信息
- 1. 第四军医大学/西京消化病医院国家消化系统疾病临床医学研究中心和消化系肿瘤整合防治全国重点实验室,陕西 西安 710032
- 2. 空军军医大学卫勤训练基地,陕西 西安 710005
- 3. 空军军医大学第一附属医院医保科,陕西 西安 710005
- 折叠
摘要
Abstract
Holistic integrative medicine aims to create a higher-level medical knowledge system by utilizing existing medical knowledge,including reconstructing the disease classification system and rebuilding a new medical knowledge network.DRG takes the similarity between the diagnosis and treatment process and resource consumption as the grouping principle,and conducts"combined"management and payment for ICD-10 diagnosis and surgical codes.In fact,it is an organic integration of the existing disease classification system,and the two are in perfect alignment.This paper first introduces the implementation and research status of CHS-DRG grouping and enrollment,then summarizes the key problems such as the defect of grouping rules,the limitation of individual characteristics,the deviation from clinical practice and the contradiction of cost and expense,and finally puts forward our thoughts and suggestions for optimizing DRG grouping and enrollment by applying the concepts of holistic integrative medicine such as the holistic view,the integration view,the dimensional elevation thinking and the people-oriented approach.关键词
DRG/整合医学/分组Key words
DRG/Holistic integrative medicine/Grouping分类
医药卫生引用本文复制引用
刘硕,胡雪军,刘晓雷,郑实,樊代明,杨志平..整合医学理念优化DRG分组入组的思考[J].医学信息,2026,39(14):54-58,5.
