【医学PPT课件】 DRG-principles and structure DRG原则和结构.ppt

What does DRG allow?DRG能够做什么 to understand and to describe production of hospitals了解和描述医院的产品 this is a precondition for an assessing of costs of the production of hospitals这是评估医院产品成本的先决条件 How can be DRG system used ?如何运用DRG系统 for a prospective payment of individual hospital cases对于医院个体病例的预期支付 for qualification of global budgets for hospitals对医院整体预算的限制 for assessment of hospital invoices and/or of quality of acute in-patient care对医院账单的评估和/或急诊住院医疗的质量 for managing of hospitals对医院的管理 * 谢 谢 Thanks for attention * * *  DRG-principles and structureDRG原则和结构Changchun, May 2011长春，2011年五月 Dr. Jiri Nemec- key expert, health management吉利—核心专家，健康管理  日程Agenda Case-mix classification systems in general 病例混合分类系统 History of DRG DRG的发展历史 Principles of DRG 原理 Design of DRG 设计 Applications of DRG应用 Case-mix classification systems in general病例混合分类系统 * 医疗服务的分类系统Classification systems for health care 长期的使用的历史-如疾病的国际分类法 long history of usage-e. g. International Classification of Diseases 将对象或现象按照具体的属性分配到几个组（可能是重叠的） allocation of a set of objects or phenomena to several (possible overlapping) groups based on specific attributes of the objects or the phenomena * 什么是病例-混合分类系统What are case-mix classification systems 他们They 是一种提供高质量医疗服务信息的科学方法represent a scientific approach to delivery of quality information on health care, 侧重于建立每个治疗病例的科学分类以及利用此信息进行医疗服务的管理 focus on creation of useful classification of episodes of treatment and on utilization of this information for managing of health care provision 混合案例的分类系统Case-mix classification systems 病例的属性attributes of a case 成本及临床的相似性 Cost clinical similarity 相对权重relative weight 病例cases 病例混合分类系统的应用Utilization of case-mix classification systems 可以对服务的数量、服务的复杂性两个方面测量（考核） suitable measure of volume and complexity of delivered health care 对监控医疗服务质量进行风险校正 risk adjustment for monitoring of quality of health care History of DRG (Diagnosis Related Groups)DRG的发展历史 * 病例混合分类系