德国按疾病诊断相关分组付费制度改革经验及启示

摘要

在澳大利亚版疾病诊断相关分组(diagnosis-related group,DRG)的基础上,德国研发了适合德国的付费制度,并于2003年开始应用.德国已经有多年的改革经验,并取得了良好的改革效果.文章通过对德国DRG付费制度实施过程、核心内容的全面介绍及其实施效果的深入探讨,为我国DRG付费制度改革设计与实施提供借鉴与参考.%Based on Australian refined diagnosis-related group,Germany developed German diagnosis-related group payment system and put it into practice in 2003. Germany has accumulated a lot of experience during generalizing this new reimbursement system,and has acquired some achievements. This article gave a general view on its reforming process and key content,analyzed its impact and concluded some enlightenment for the designing and implementation for China's diagnosis-related group payment system.