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Research on Countermeasures of Operation and Management of Private Hospitals Based DRG\DIP Medical Insurance Payment Reform

Received: 4 November 2023     Accepted: 28 November 2023     Published: 29 November 2023
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Abstract

Research background:The efficiency of medical insurance funds is a worldwide problem, and the payment method of medical insurance is the core of determining the efficiency of medical insurance fund, and which has a huge impact on hospital operation and management, especially the survival and development of private hospitals. Objective: To find countermeasures for the operation and management of private hospitals under the medical insurance payment reform by analyzing the changing trend of medical insurance payment reform.Methods: Starting from the principle of DRG\DIP medical insurance payment method, the logical starting point of medical insurance payment method was deeply discussed, to analyze the impact of DRG\DIP reform on the operation and management of private hospitals, and the countermeasures for the operation and management of private hospitals under the DRG\DIP medical insurance payment reform were proposed.Results: The managers of private hospitals should adopt the strategy of abandoning the idea of special care, establishing the concept of compliance operation, improving the basis of detailed evaluation, exploring the world of parole service, and adhering to lean management. Conclusion: Under the DRG\DIP medical insurance payment reform, private hospitals should improve the operation and management quality of private hospitals from the aspects of ideological understanding, infrastructure, discipline composition, and operating principles.

Published in Science Discovery (Volume 11, Issue 6)
DOI 10.11648/j.sd.20231106.15
Page(s) 221-225
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

DRG\DIP, Payment Reform, Private Hospitals, Research on Countermeasures

References
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  • APA Style

    Hongjun, L., Hong, C. (2023). Research on Countermeasures of Operation and Management of Private Hospitals Based DRG\DIP Medical Insurance Payment Reform. Science Discovery, 11(6), 221-225. https://doi.org/10.11648/j.sd.20231106.15

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    ACS Style

    Hongjun, L.; Hong, C. Research on Countermeasures of Operation and Management of Private Hospitals Based DRG\DIP Medical Insurance Payment Reform. Sci. Discov. 2023, 11(6), 221-225. doi: 10.11648/j.sd.20231106.15

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    AMA Style

    Hongjun L, Hong C. Research on Countermeasures of Operation and Management of Private Hospitals Based DRG\DIP Medical Insurance Payment Reform. Sci Discov. 2023;11(6):221-225. doi: 10.11648/j.sd.20231106.15

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  • @article{10.11648/j.sd.20231106.15,
      author = {Li Hongjun and Cao Hong},
      title = {Research on Countermeasures of Operation and Management of Private Hospitals Based DRG\DIP Medical Insurance Payment Reform},
      journal = {Science Discovery},
      volume = {11},
      number = {6},
      pages = {221-225},
      doi = {10.11648/j.sd.20231106.15},
      url = {https://doi.org/10.11648/j.sd.20231106.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20231106.15},
      abstract = {Research background:The efficiency of medical insurance funds is a worldwide problem, and the payment method of medical insurance is the core of determining the efficiency of medical insurance fund, and which has a huge impact on hospital operation and management, especially the survival and development of private hospitals. Objective: To find countermeasures for the operation and management of private hospitals under the medical insurance payment reform by analyzing the changing trend of medical insurance payment reform.Methods: Starting from the principle of DRG\DIP medical insurance payment method, the logical starting point of medical insurance payment method was deeply discussed, to analyze the impact of DRG\DIP reform on the operation and management of private hospitals, and the countermeasures for the operation and management of private hospitals under the DRG\DIP medical insurance payment reform were proposed.Results: The managers of private hospitals should adopt the strategy of abandoning the idea of special care, establishing the concept of compliance operation, improving the basis of detailed evaluation, exploring the world of parole service, and adhering to lean management. Conclusion: Under the DRG\DIP medical insurance payment reform, private hospitals should improve the operation and management quality of private hospitals from the aspects of ideological understanding, infrastructure, discipline composition, and operating principles.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Research on Countermeasures of Operation and Management of Private Hospitals Based DRG\DIP Medical Insurance Payment Reform
    AU  - Li Hongjun
    AU  - Cao Hong
    Y1  - 2023/11/29
    PY  - 2023
    N1  - https://doi.org/10.11648/j.sd.20231106.15
    DO  - 10.11648/j.sd.20231106.15
    T2  - Science Discovery
    JF  - Science Discovery
    JO  - Science Discovery
    SP  - 221
    EP  - 225
    PB  - Science Publishing Group
    SN  - 2331-0650
    UR  - https://doi.org/10.11648/j.sd.20231106.15
    AB  - Research background:The efficiency of medical insurance funds is a worldwide problem, and the payment method of medical insurance is the core of determining the efficiency of medical insurance fund, and which has a huge impact on hospital operation and management, especially the survival and development of private hospitals. Objective: To find countermeasures for the operation and management of private hospitals under the medical insurance payment reform by analyzing the changing trend of medical insurance payment reform.Methods: Starting from the principle of DRG\DIP medical insurance payment method, the logical starting point of medical insurance payment method was deeply discussed, to analyze the impact of DRG\DIP reform on the operation and management of private hospitals, and the countermeasures for the operation and management of private hospitals under the DRG\DIP medical insurance payment reform were proposed.Results: The managers of private hospitals should adopt the strategy of abandoning the idea of special care, establishing the concept of compliance operation, improving the basis of detailed evaluation, exploring the world of parole service, and adhering to lean management. Conclusion: Under the DRG\DIP medical insurance payment reform, private hospitals should improve the operation and management quality of private hospitals from the aspects of ideological understanding, infrastructure, discipline composition, and operating principles.
    
    VL  - 11
    IS  - 6
    ER  - 

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Author Information
  • Chengdu Xinhua Hospital Affiliated to North Sichuan Medical College, Chengdu, China

  • Chengdu Xinhua Hospital Affiliated to North Sichuan Medical College, Chengdu, China

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