DOI: 10.7664/CHE20170206
Discussion on DRGs Health Insurance Cost Control Mode under the Global Budget System
Abstract：Objective:To explore the main problems of hospital health care costs in the use process,evaluate whether the growth of medical expenses was reasonable and finely reach the controlled use of the total amount of health care under the global budget system.Methods:The hospital related factors of total health budget decomposition,workload,period of treatment,and treatment expenses of clinical departments were applied to calculate the proportion of different main diseases of each clinics so as to allocate the medical insurance budget amount of hospitals and elaborate the usage of medical insurance global amount.Results and Conclusion:Through decomposing the total medical insurance expenses,the usage of health insurance expenses could be analyzed and evaluated so as to acquire the usage situation of health insurance expenses and the main factors for the changes of medical insurance amount.Through analyzing the changes of expenses resulted by reasonable factors or unreasonable factors,the existing problems of medical insurance fund usage were explored and solved.
Keywords：hospitalmedical costglobal budgetdiagnosis related groups
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 23-25 )