文献类型：期刊文献

中文题名：我国DRG支付方式改革对医疗机构服务效率影响的系统评价

英文题名：Systematic Review of the Impact of China's Diagnosis Related Groups Payment Method Reform on the Service Efficiency of Medical In-stitutions

作者：化得良[1];李祉睿[2];宋金霞[3];栗梦婷[2];魏莉莉[2];张曦皞[2];张维[2]

第一作者：化得良

机构：[1]甘肃中医药大学附属医院,甘肃兰州730020;[2]甘肃中医药大学卫生管理学院,甘肃兰州730101;[3]甘肃中医药大学公共卫生学院,甘肃兰州730101

第一机构：甘肃中医药大学第二附属医院

年份：2025

卷号：32

期号：8

起止页码：38

中文期刊名：中国卫生质量管理

外文期刊名：Chinese Health Quality Management

基金：国家中医药管理局监测统计中心2024年度深化医改中医药政策研究项目(编号:YGZXKT2024368);甘肃省自然基金项目(编号:23JRRA1197);甘肃省重点研发科技计划项目(编号:24YFGA060)。

语种：中文

中文关键词：支付方式改革;DRG;服务效率;医疗机构;系统评价

外文关键词：Payment Method Reform;DRG;Service Efficiency;Medical Institutions;Systematic Review

摘要：目的系统评价我国DRG支付方式改革对医疗机构服务效率的影响,为我国医疗体制改革、政策制定及医疗机构管理提供参考。方法检索PubMed、Embase、WebofScience、CNKI、CBM、WanFangData、VIP等数据库,搜集DRG支付方式改革对医疗机构服务效率实施效果的相关文献,检索时间为2009年1月1日至2024年12月31日。采用主题综合法对纳入研究进行分析。结果共纳入13篇研究,形成1个核心主题和3项评价指标。系统评价结果显示,DRG改革实施后,平均住院日缩短,时间消耗指数和费用消耗指数均呈下降趋势,医疗服务效率提高。结论DRG支付方式改革可提升医疗机构服务效率,降低患者住院成本和时间成本。未来还需进一步完善评价体系,探索长效机制,以实现医疗服务效率的持续提升。
Objective To systematically review the impact of the DRG payment method reform on the service efficiency of medical institutions in China,with the aim of providing references for the reform of China's healthcare system,policy formulation,and the management of medical institutions.Methods A comprehensive literature search was conducted across databases including PubMed,Embase,Web of Science,CNKI,CBM,WanFang Data,and VIP to gather relevant studies on the implementation effects of the DRG payment method reform on the service efficiency of medical institutions.The search period spanned from January 1,2009,to December 31,2024.A thematic synthesis approach was employed to analyze the included studies.Results A total of 13 studies were included,which collectively formed one core theme and three evaluation indicators.The systematic review revealed that following the implementation of the DRG reform,the average length of hospital stay was shortened,and both the time consumption index and the cost consumption index exhibited a downward trend,indicating an improvement in the efficiency of medical services.Conclusion The DRG payment method reform can enhance the service efficiency of medical institutions,thereby reducing both the hospitalization costs and time costs for patients.However,there is a need to further refine the evaluation system and explore long-term mechanisms to achieve sustained improvements in the efficiency of medical services.