我国医保支付改革下按病种分值付费的探讨与建议

医保支付方式作为引导医疗服务行为、调节资源配置的杠杆，对实现医保基金可持续发展，提升医院精细化管理水平具有重要作用。近年来，我国积极探索医保支付改革，以DRG和DIP为代表的支付方式已成为主要方向。文章从改革的现实出发，对DIP相较于DRG的实施优势、问题与挑战进行比较分析，并提出政策建议。

Exploration and Suggestions of Implementing Diagnosis Intervention Packet under the Reform of Medical Insurance Payment in China

Medical insurance payment is an important lever to regulate medical service behavior and guide the allocation of medical resources. It plays a significant role in realizing the sustainable development of medical insurance fund and improving fine management level of hospitals. In recent years, China has actively explored the reform of medical insurance payment, and DRG and DIP have become the main directions of the payment reform. The study discussed the advantages, problems and challenges of DIP compared with DRG based on the reality of reform, together with some suggestions for policy.