Research on constructing an evaluation index system for the implementation effect of DRG payment based on Delphi method
CHU Xiaohong
CHENG Yumin
WANG Lidan
CAO Leqin
CHEN Bo
Abstract：Objective To establish an indicator system for evaluating the implementation effectiveness of Diagnosis Related Groups(DRG)payment,and to effectively evaluate the effects of the DRG payment reform.Methods Through literature research and expert discussions,a preliminary evaluation indicator system was constructed.Two rounds of expert consultations were conducted using the Delphi method,and the weight method was used to determine the weight of each indicator.Results The response rates of the two Delphi consultations were 100.00％and 95.20％,respectively,and the authority coefficient of the experts was 0.92.Finally,a multi-level evaluation indicator system for the implementation effectiveness of DRG payment was established,including four dimensions:medical institutions,medical insurance departments,medical insurance patients,and overall evaluation,with a total of four primary indicators,11 secondary indicators,and 50 tertiary indicators.Conclusion The experts involved in the study were representative,academically authoritative,and highly attentive and proactive,indicating that the DRG payment implementation effectiveness evaluation indicator system constructed in the study is scientific,systematic,and operable,but further verification is needed in practical work.
Keywords：DRGimplementation effectevaluation index system
Publication Date：2024-04-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 210-213,218 )