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医护人员对按病种付费认知的调查研究
引用本文:罗琪,应可满,翁海晨,褚晓静,庄良金,洪顺攀. 医护人员对按病种付费认知的调查研究[J]. 东南国防医药, 2013, 15(1): 11-13,45
作者姓名:罗琪  应可满  翁海晨  褚晓静  庄良金  洪顺攀
作者单位:1. 安徽医科大学174临床学院,福建厦门,361003
2. 厦门大学附属成功医院/解放174医院,福建厦门,361003
3. 厦门大学附属第一医院,福建厦门,361003
4. 厦门大学附属中山医院,福建厦门,361004
基金项目:南京军区医学科技创新项目(11MB01)
摘    要:目的研究分析医护人员对按病种付费的认知度。方法采用自制问卷对本地区3家三级甲等综合医院按病种付费相关科室医护人员进行调查。结果医生与护士对按病种付费了解程度有明显差异,医护人员对按病种付费实施效果持不肯定、不否定观点,从总体上看大部分医护人员能接受按病种付费的推行。结论提高医护人员认知水平,建立补偿机制保证其积极性,实施临床路径保证医疗质量,以达到按病种付费的最佳实施效果。

关 键 词:医护人员  按病种付费  认知调查  临床路径

Research of the medical staff awareness of disease-based payment
LUO Qi , YING Ke-man , WENG Hai-chen , ZHU Xiao-jing , ZHUANG Liang-jin , HONG Shun-pan. Research of the medical staff awareness of disease-based payment[J]. Journal of Southeast China National Defence Medical Science, 2013, 15(1): 11-13,45
Authors:LUO Qi    YING Ke-man    WENG Hai-chen    ZHU Xiao-jing    ZHUANG Liang-jin    HONG Shun-pan
Affiliation:1.174 Clinical College of Anhui Medical University,Xiamen,Fujian 361003,China;2.174 Hospital of PLA,Xiamen,Fujian 361003,China;3.the First Affiliated Hospital of Xiamen University,Xiamen,Fujian 361003,China;4.Zhongshan Hospital of Xiamen University,Xiamen,Fujian 361004,China
Abstract:Objective To analysis of medical staff awareness of disease-based payment. Methods Using self-designed ques- tionnaire investing three hospitals medical staff in Xiamen. Results The doctors and nurses were significantly different level of under- standing of Disease-based Payment. Medical staff on the implementation of the effect of Disease-based Payment held the point of view "not sure, do not negate". Overall, the majority of health care workers can accept the implementation of Disease-based Payment. Con- cluslon Enhancement of staff awareness and establish a compensation mechanism to ensure a positive and implementation of clinical pathways and to ensure the quality of medical care in order to achieve the best implementation of DRGs effect.
Keywords:medical staff  disease-based payment  awareness research  clinical pathway
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