Research on the Construction and Application of DRG-based Medical Insurance Service Quality Evaluation System
Wan Bin
Zhou Yitong
Wang Yingpeng
Pu Yang
Zhan Yiyang
Ding Haixia
Abstract：Jiangsu Provincial People's Hospital takes the reform of DRG payment method as an opportunity,based on the theory of incentive behavior,uses literature research,expert consultation,and key performance indicator methods to develop evaluation indicators,and applies PDCA management tools to establish a continuously improving medical insurance service quality evaluation system.It introduces the process of medical insurance service quality evaluation system construction and its application in medical insurance performance management,and analyzes the implementation effect:DRG operation is improving,disease group structure is optimized,medical quality and efficiency continue to improve,and medical service evaluation scores are improving.
Keywords：DRGmedical insurance service qualityevaluation system
Publication Date：2024-01-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 83-86 )