Proceedings of the 2023 7th International Seminar on Education, Management and Social Sciences (ISEMSS 2023)

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Problems with Diagnosis Related Group in China

Authors
Chenghui He1, *
1Fujian Medical University, Fuzhou, 35022, China
*Corresponding author. Email: hechenghui@stu.fjmu.edu.cn
Corresponding Author
Chenghui He
Available Online 31 October 2023.
DOI
10.2991/978-2-38476-126-5_55How to use a DOI?
Keywords
DRG; Health Care Reform; China
Abstract

Diagnosis Related Group (DRG) has been piloted nationwide since 2018, during the pilot process, the pilot institutions have achieved certain results in controlling the consumption of medical resources and health insurance fund expenditure, reducing the burden of hospitalization on patients and standardizing clinical pathways by adopting the DRG model. However, while achieving certain results, they also encountered a number of problems. In this paper, 20 relevant papers from CNKI 1988-2023 were collected through literature analysis to analyse the problems encountered in the current DRG implementation process. It is found that DRG has problems such as distorted coding, confusing grouping rules and imperfect performance mechanisms, which affect the generation of new technologies. Sound management mechanisms grouping rules should be established to monitor the coding of data so that disease grouping is clinically rational and protects the interests of patients and hospitals, while also facilitating the exploration of new technologies. This study would be beneficial for policymakers to further promote the application of DRG.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 2023 7th International Seminar on Education, Management and Social Sciences (ISEMSS 2023)
Series
Advances in Social Science, Education and Humanities Research
Publication Date
31 October 2023
ISBN
10.2991/978-2-38476-126-5_55
ISSN
2352-5398
DOI
10.2991/978-2-38476-126-5_55How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

risenwbib
TY  - CONF
AU  - Chenghui He
PY  - 2023
DA  - 2023/10/31
TI  - Problems with Diagnosis Related Group in China
BT  - Proceedings of the 2023 7th International Seminar on Education, Management and Social Sciences (ISEMSS 2023)
PB  - Atlantis Press
SP  - 472
EP  - 479
SN  - 2352-5398
UR  - https://doi.org/10.2991/978-2-38476-126-5_55
DO  - 10.2991/978-2-38476-126-5_55
ID  - He2023
ER  -