北京市三甲医院为实施诊断相关分组(DRGs)制度应做的准备工作

摘要

通过回顾北京市实施DRGs的历程和国内其他地区的经验,归纳DRGs的临床适用范围,讨论三甲医院在DRGs实施过程中会遇到的困难.进一步结合工作实际,提出三甲医院应在医院信息化,积累DRGs相关的病历收费数据,标准化诊断和操作编码,推广临床路径等领域做好准备.%By reviewing practice and experience of implementation DRGs in Beijing and other provinces and inducing applicable scope of DRGs, difficulties of implementing DRGs in tertiary hospital will be discussed. Combined with hospital practice, preparatory work such as strengthening information system, collecting relative medical record, expense data, standardizing diagnosis and operation code and implementing clinical pathway are considered to be done.