[振东制药]“4+7”带量采购下 医院用药大转变

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;众所周知,_blank class=infotextkey>get=_blank class=infotextkey>国家医_blank class=infotextkey>get=_blank class=infotextkey>保局的_blank class=infotextkey>get=_blank class=infotextkey>成立本_blank class=infotextkey>get=_blank class=infotextkey>身_blank class=infotextkey>get=_blank class=infotextkey>就是要履行_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>get=_blank class=infotextkey>服务的_blank class=infotextkey>get=_blank class=infotextkey>购买方角色,_blank class=infotextkey>get=_blank class=infotextkey>采购权、_blank class=infotextkey>_blank class=infotextkey>定价权、支付权_blank class=infotextkey>get=_blank class=infotextkey>高度_blank class=infotextkey>get=_blank class=infotextkey>统一。DR_blank class=infotextkey>g付费是_blank class=infotextkey>get=_blank class=infotextkey>解决_blank class=infotextkey>_blank class=infotextkey>定价和支付的_blank class=infotextkey>get=_blank class=infotextkey>问题,_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购是_blank class=infotextkey>get=_blank class=infotextkey>解决_blank class=infotextkey>get=_blank class=infotextkey>采购的_blank class=infotextkey>get=_blank class=infotextkey>问题,两者是相辅相成的_blank class=infotextkey>get=_blank class=infotextkey>关_blank class=infotextkey>get=_blank class=infotextkey>系。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;▍DR_blank class=infotextkey>g付费和带量_blank class=infotextkey>get=_blank class=infotextkey>采购的_blank class=infotextkey>get=_blank class=infotextkey>关_blank class=infotextkey>get=_blank class=infotextkey>系

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;随着_blank class=infotextkey>get=_blank class=infotextkey>“4+7_blank class=infotextkey>get=_blank class=infotextkey>”扩围到_blank class=infotextkey>get=_blank class=infotextkey>25省_blank class=infotextkey>get=_blank class=infotextkey>联采,_blank class=infotextkey>get=_blank class=infotextkey>2019年_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>10月_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>3日_blank class=infotextkey>get=_blank class=infotextkey>国家医_blank class=infotextkey>get=_blank class=infotextkey>保局_blank class=infotextkey>get=_blank class=infotextkey>正式_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>公_blank class=infotextkey>get=_blank class=infotextkey>布DR_blank class=infotextkey>g_blank class=infotextkey>技术_blank class=infotextkey>get=_blank class=infotextkey>规范和分组_blank class=infotextkey>get=_blank class=infotextkey>方案,CHSDR_blank class=infotextkey>g_blank class=infotextkey>get=_blank class=infotextkey>横空出世,_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购将_blank class=infotextkey>get=_blank class=infotextkey>成为所_blank class=infotextkey>get=_blank class=infotextkey>有执行DR_blank class=infotextkey>g付费_blank class=infotextkey>get=_blank class=infotextkey>医疗机构的主动_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>共识,而_blank class=infotextkey>_blank class=infotextkey>不是在医_blank class=infotextkey>get=_blank class=infotextkey>保局_blank class=infotextkey>get=_blank class=infotextkey>要求_blank class=infotextkey>get=_blank class=infotextkey>下的_blank class=infotextkey>强制执行,在_blank class=infotextkey>get=_blank class=infotextkey>未来DR_blank class=infotextkey>g的_blank class=infotextkey>get=_blank class=infotextkey>推动_blank class=infotextkey>get=_blank class=infotextkey>下,_blank class=infotextkey>get=_blank class=infotextkey>医疗机构_blank class=infotextkey>get=_blank class=infotextkey>会和统筹区的医_blank class=infotextkey>get=_blank class=infotextkey>保局_blank class=infotextkey>get=_blank class=infotextkey>达成更_blank class=infotextkey>get=_blank class=infotextkey>多带量_blank class=infotextkey>get=_blank class=infotextkey>采购_blank class=infotextkey>get=_blank class=infotextkey>办法的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>共识,带量_blank class=infotextkey>get=_blank class=infotextkey>采购将_blank class=infotextkey>get=_blank class=infotextkey>会从_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>单一的某些_blank class=infotextkey>get=_blank class=infotextkey>产品的集采,到针对某一_blank class=infotextkey>get=_blank class=infotextkey>具_blank class=infotextkey>get=_blank class=infotextkey>体DR_blank class=infotextkey>g病组的集采,这一针对病组的集采_blank class=infotextkey>get=_blank class=infotextkey>会打包所_blank class=infotextkey>get=_blank class=infotextkey>有相关的药品,耗材,甚至是_blank class=infotextkey>get=_blank class=infotextkey>检查检验_blank class=infotextkey>get=_blank class=infotextkey>项目,_blank class=infotextkey>get=_blank class=infotextkey>着力_blank class=infotextkey>get=_blank class=infotextkey>推动某些_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>重点病组_blank class=infotextkey>get=_blank class=infotextkey>成本_blank class=infotextkey>get=_blank class=infotextkey>费用的_blank class=infotextkey>get=_blank class=infotextkey>下_blank class=infotextkey>get=_blank class=infotextkey>降。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;过去_blank class=infotextkey>get=_blank class=infotextkey>我们_blank class=infotextkey>get=_blank class=infotextkey>医疗机构的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>住院_blank class=infotextkey>get=_blank class=infotextkey>服务_blank class=infotextkey>get=_blank class=infotextkey>成本支出绝_blank class=infotextkey>get=_blank class=infotextkey>大_blank class=infotextkey>get=_blank class=infotextkey>多数是_blank class=infotextkey>get=_blank class=infotextkey>“三费(药品,耗材,器械)_blank class=infotextkey>get=_blank class=infotextkey>”,而_blank class=infotextkey>get=_blank class=infotextkey>专业_blank class=infotextkey>get=_blank class=infotextkey>人员的_blank class=infotextkey>劳务性_blank class=infotextkey>get=_blank class=infotextkey>价值从_blank class=infotextkey>get=_blank class=infotextkey>成本账目_blank class=infotextkey>get=_blank class=infotextkey>上来说是较低的,而DR_blank class=infotextkey>gs总额固_blank class=infotextkey>定,无节制的_blank class=infotextkey>get=_blank class=infotextkey>“三费_blank class=infotextkey>get=_blank class=infotextkey>”很快就占满总额,而总额满了,医_blank class=infotextkey>get=_blank class=infotextkey>保就_blank class=infotextkey>get=_blank class=infotextkey>“欠钱_blank class=infotextkey>get=_blank class=infotextkey>”了。随着DR_blank class=infotextkey>g的实施,_blank class=infotextkey>get=_blank class=infotextkey>医院的_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>get=_blank class=infotextkey>服务将_blank class=infotextkey>get=_blank class=infotextkey>回归正_blank class=infotextkey>get=_blank class=infotextkey>常的_blank class=infotextkey>get=_blank class=infotextkey>价值,利润_blank class=infotextkey>get=_blank class=infotextkey>主要靠药品、耗材、器械加成的_blank class=infotextkey>get=_blank class=infotextkey>情况将极_blank class=infotextkey>get=_blank class=infotextkey>大_blank class=infotextkey>get=_blank class=infotextkey>改变。从_blank class=infotextkey>get=_blank class=infotextkey>“买药_blank class=infotextkey>get=_blank class=infotextkey>”到_blank class=infotextkey>get=_blank class=infotextkey>“买_blank class=infotextkey>get=_blank class=infotextkey>人_blank class=infotextkey>get=_blank class=infotextkey>”,_blank class=infotextkey>get=_blank class=infotextkey>同_blank class=infotextkey>时医_blank class=infotextkey>get=_blank class=infotextkey>保也_blank class=infotextkey>get=_blank class=infotextkey>会_blank class=infotextkey>get=_blank class=infotextkey>作为_blank class=infotextkey>get=_blank class=infotextkey>战略_blank class=infotextkey>get=_blank class=infotextkey>购买者_blank class=infotextkey>get=_blank class=infotextkey>通过_blank class=infotextkey>get=_blank class=infotextkey>一些_blank class=infotextkey>get=_blank class=infotextkey>策略帮助_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>实现_blank class=infotextkey>get=_blank class=infotextkey>成本结构_blank class=infotextkey>get=_blank class=infotextkey>调整,4+7到_blank class=infotextkey>get=_blank class=infotextkey>25省_blank class=infotextkey>get=_blank class=infotextkey>联采的_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购_blank class=infotextkey>get=_blank class=infotextkey>成为_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>共识性的_blank class=infotextkey>get=_blank class=infotextkey>策略。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;医_blank class=infotextkey>get=_blank class=infotextkey>保局的_blank class=infotextkey>get=_blank class=infotextkey>总_blank class=infotextkey>get=_blank class=infotextkey>体_blank class=infotextkey>get=_blank class=infotextkey>策略是_blank class=infotextkey>get=_blank class=infotextkey>“腾笼换鸟_blank class=infotextkey>get=_blank class=infotextkey>”,一_blank class=infotextkey>get=_blank class=infotextkey>方_blank class=infotextkey>面_blank class=infotextkey>get=_blank class=infotextkey>“三费_blank class=infotextkey>get=_blank class=infotextkey>”_blank class=infotextkey>get=_blank class=infotextkey>成本_blank class=infotextkey>get=_blank class=infotextkey>必须_blank class=infotextkey>get=_blank class=infotextkey>下_blank class=infotextkey>get=_blank class=infotextkey>降,另一_blank class=infotextkey>get=_blank class=infotextkey>方_blank class=infotextkey>面_blank class=infotextkey>get=_blank class=infotextkey>“_blank class=infotextkey>劳务_blank class=infotextkey>get=_blank class=infotextkey>成本_blank class=infotextkey>get=_blank class=infotextkey>”_blank class=infotextkey>应该增加,两个目标_blank class=infotextkey>get=_blank class=infotextkey>需要_blank class=infotextkey>get=_blank class=infotextkey>同_blank class=infotextkey>时_blank class=infotextkey>get=_blank class=infotextkey>完成。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;DR_blank class=infotextkey>g实施_blank class=infotextkey>定额支付,比如,某特_blank class=infotextkey>定编码疾病支付费率为_blank class=infotextkey>3_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>万元。_blank class=infotextkey>如果_blank class=infotextkey>get=_blank class=infotextkey>医院的药品和_blank class=infotextkey>材料_blank class=infotextkey>get=_blank class=infotextkey>采购_blank class=infotextkey>get=_blank class=infotextkey>成本很_blank class=infotextkey>get=_blank class=infotextkey>高,利润_blank class=infotextkey>get=_blank class=infotextkey>自然被药企和耗材厂_blank class=infotextkey>get=_blank class=infotextkey>商拿_blank class=infotextkey>get=_blank class=infotextkey>走了。_blank class=infotextkey>get=_blank class=infotextkey>医院本_blank class=infotextkey>get=_blank class=infotextkey>身_blank class=infotextkey>get=_blank class=infotextkey>没_blank class=infotextkey>get=_blank class=infotextkey>有结余,就谈_blank class=infotextkey>不_blank class=infotextkey>get=_blank class=infotextkey>上工资奖_blank class=infotextkey>get=_blank class=infotextkey>金和_blank class=infotextkey>get=_blank class=infotextkey>持续性_blank class=infotextkey>get=_blank class=infotextkey>发展。DR_blank class=infotextkey>g的实施使得药品和耗材从_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>收入变_blank class=infotextkey>get=_blank class=infotextkey>成了_blank class=infotextkey>get=_blank class=infotextkey>成本,_blank class=infotextkey>get=_blank class=infotextkey>每家_blank class=infotextkey>get=_blank class=infotextkey>医院对_blank class=infotextkey>get=_blank class=infotextkey>采购_blank class=infotextkey>get=_blank class=infotextkey>都_blank class=infotextkey>get=_blank class=infotextkey>有了_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>降价的_blank class=infotextkey>get=_blank class=infotextkey>动力。而在以往,_blank class=infotextkey>get=_blank class=infotextkey>费用被加成转嫁_blank class=infotextkey>get=_blank class=infotextkey>到了患者和支付方_blank class=infotextkey>get=_blank class=infotextkey>身_blank class=infotextkey>get=_blank class=infotextkey>上,_blank class=infotextkey>get=_blank class=infotextkey>成为了_blank class=infotextkey>get=_blank class=infotextkey>医院盈利的_blank class=infotextkey>get=_blank class=infotextkey>主要来源。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;随着DR_blank class=infotextkey>g的实施,_blank class=infotextkey>get=_blank class=infotextkey>医疗机构、医_blank class=infotextkey>get=_blank class=infotextkey>保局和患者三方的_blank class=infotextkey>get=_blank class=infotextkey>利益从_blank class=infotextkey>get=_blank class=infotextkey>博弈变_blank class=infotextkey>get=_blank class=infotextkey>成了_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>共识。这将_blank class=infotextkey>get=_blank class=infotextkey>释放_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购的_blank class=infotextkey>get=_blank class=infotextkey>自主性,各_blank class=infotextkey>get=_blank class=infotextkey>医疗机构也_blank class=infotextkey>get=_blank class=infotextkey>会_blank class=infotextkey>get=_blank class=infotextkey>有主动的_blank class=infotextkey>get=_blank class=infotextkey>意愿_blank class=infotextkey>get=_blank class=infotextkey>联_blank class=infotextkey>合_blank class=infotextkey>get=_blank class=infotextkey>采购。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;随着_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>管理由被动_blank class=infotextkey>管制变为主动控费的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>环境,_blank class=infotextkey>get=_blank class=infotextkey>每_blank class=infotextkey>get=_blank class=infotextkey>一家_blank class=infotextkey>get=_blank class=infotextkey>医疗机构_blank class=infotextkey>get=_blank class=infotextkey>具备更_blank class=infotextkey>get=_blank class=infotextkey>高_blank class=infotextkey>get=_blank class=infotextkey>品质和更_blank class=infotextkey>合理_blank class=infotextkey>get=_blank class=infotextkey>价格的_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中_blank class=infotextkey>get=_blank class=infotextkey>采购的能力,这也_blank class=infotextkey>get=_blank class=infotextkey>将是_blank class=infotextkey>get=_blank class=infotextkey>医疗机构_blank class=infotextkey>get=_blank class=infotextkey>作为_blank class=infotextkey>get=_blank class=infotextkey>现_blank class=infotextkey>get=_blank class=infotextkey>代_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>管理_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>体_blank class=infotextkey>get=_blank class=infotextkey>系的核心_blank class=infotextkey>竞争力之一。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;_blank class=infotextkey>get=_blank class=infotextkey>同_blank class=infotextkey>时随着DR_blank class=infotextkey>g的推行实施,还将_blank class=infotextkey>get=_blank class=infotextkey>解决_blank class=infotextkey>get=_blank class=infotextkey>目前_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购_blank class=infotextkey>get=_blank class=infotextkey>一个很_blank class=infotextkey>get=_blank class=infotextkey>突出的_blank class=infotextkey>get=_blank class=infotextkey>问题,_blank class=infotextkey>get=_blank class=infotextkey>就是_blank class=infotextkey>get=_blank class=infotextkey>一些_blank class=infotextkey>get=_blank class=infotextkey>公立_blank class=infotextkey>get=_blank class=infotextkey>医院在_blank class=infotextkey>get=_blank class=infotextkey>参与_blank class=infotextkey>get=_blank class=infotextkey>国家药品_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购_blank class=infotextkey>get=_blank class=infotextkey>试点的过程_blank class=infotextkey>get=_blank class=infotextkey>中,报出的_blank class=infotextkey>get=_blank class=infotextkey>采购量偏向于_blank class=infotextkey>get=_blank class=infotextkey>保守,个别4+7品种还拥_blank class=infotextkey>get=_blank class=infotextkey>有除_blank class=infotextkey>get=_blank class=infotextkey>公立_blank class=infotextkey>get=_blank class=infotextkey>医院以外的_blank class=infotextkey>get=_blank class=infotextkey>其他_blank class=infotextkey>get=_blank class=infotextkey>销售_blank class=infotextkey>渠道,总的来看,仍然_blank class=infotextkey>get=_blank class=infotextkey>有_blank class=infotextkey>get=_blank class=infotextkey>相当的余量_blank class=infotextkey>get=_blank class=infotextkey>市场的_blank class=infotextkey>get=_blank class=infotextkey>存在!当然_blank class=infotextkey>get=_blank class=infotextkey>国家带量_blank class=infotextkey>get=_blank class=infotextkey>采购_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>政策_blank class=infotextkey>get=_blank class=infotextkey>中_blank class=infotextkey>get=_blank class=infotextkey>有_blank class=infotextkey>get=_blank class=infotextkey>“余量_blank class=infotextkey>get=_blank class=infotextkey>市场份额_blank class=infotextkey>get=_blank class=infotextkey>”的_blank class=infotextkey>get=_blank class=infotextkey>规_blank class=infotextkey>定也是_blank class=infotextkey>get=_blank class=infotextkey>考虑了_blank class=infotextkey>get=_blank class=infotextkey>市场_blank class=infotextkey>get=_blank class=infotextkey>需求的_blank class=infotextkey>get=_blank class=infotextkey>多元性和_blank class=infotextkey>不平衡性,给_blank class=infotextkey>get=_blank class=infotextkey>医院、_blank class=infotextkey>get=_blank class=infotextkey>医生、患者适度的自由_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择权,_blank class=infotextkey>不过自由_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择权_blank class=infotextkey>get=_blank class=infotextkey>怎么去用是关键。在DR_blank class=infotextkey>g实施后,_blank class=infotextkey>get=_blank class=infotextkey>医院也_blank class=infotextkey>get=_blank class=infotextkey>会主动在余量_blank class=infotextkey>get=_blank class=infotextkey>市场_blank class=infotextkey>get=_blank class=infotextkey>中_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>get=_blank class=infotextkey>性价比_blank class=infotextkey>get=_blank class=infotextkey>高的_blank class=infotextkey>get=_blank class=infotextkey>产品,避免_blank class=infotextkey>get=_blank class=infotextkey>销售过程_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>中的灰色_blank class=infotextkey>get=_blank class=infotextkey>空间,切实减轻了医_blank class=infotextkey>get=_blank class=infotextkey>保_blank class=infotextkey>get=_blank class=infotextkey>基_blank class=infotextkey>get=_blank class=infotextkey>金的负担。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;▍DR_blank class=infotextkey>g付费_blank class=infotextkey>get=_blank class=infotextkey>如何_blank class=infotextkey>get=_blank class=infotextkey>影响带量_blank class=infotextkey>get=_blank class=infotextkey>采购

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;DR_blank class=infotextkey>gs付费的推行_blank class=infotextkey>get=_blank class=infotextkey>下_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>会_blank class=infotextkey>get=_blank class=infotextkey>通过_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购优_blank class=infotextkey>get=_blank class=infotextkey>选_blank class=infotextkey>get=_blank class=infotextkey>什么样的药品?_blank class=infotextkey>get=_blank class=infotextkey>通过_blank class=infotextkey>近百位院长的访谈,_blank class=infotextkey>他们的_blank class=infotextkey>get=_blank class=infotextkey>回答是:_blank class=infotextkey>get=_blank class=infotextkey>我们_blank class=infotextkey>get=_blank class=infotextkey>医院的目标是:

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;_blank class=infotextkey>get=_blank class=infotextkey>提升效率,_blank class=infotextkey>get=_blank class=infotextkey>控制_blank class=infotextkey>get=_blank class=infotextkey>成本(药品零加成后,药品_blank class=infotextkey>get=_blank class=infotextkey>成本,_blank class=infotextkey>get=_blank class=infotextkey>需要尽量压缩);_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>最优_blank class=infotextkey>get=_blank class=infotextkey>性价比的_blank class=infotextkey>get=_blank class=infotextkey>产品(药品的药物_blank class=infotextkey>get=_blank class=infotextkey>经_blank class=infotextkey>济学_blank class=infotextkey>get=_blank class=infotextkey>研究,治疗性药物是首_blank class=infotextkey>get=_blank class=infotextkey>选,价廉物美);_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>get=_blank class=infotextkey>有助于_blank class=infotextkey>get=_blank class=infotextkey>提升效率的_blank class=infotextkey>get=_blank class=infotextkey>产品(起效快,加速病_blank class=infotextkey>get=_blank class=infotextkey>人_blank class=infotextkey>get=_blank class=infotextkey>康复,_blank class=infotextkey>get=_blank class=infotextkey>有利于_blank class=infotextkey>get=_blank class=infotextkey>降低_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>时间效率_blank class=infotextkey>get=_blank class=infotextkey>指数);_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>get=_blank class=infotextkey>有助于_blank class=infotextkey>get=_blank class=infotextkey>控制_blank class=infotextkey>get=_blank class=infotextkey>成本的_blank class=infotextkey>get=_blank class=infotextkey>产品(_blank class=infotextkey>get=_blank class=infotextkey>费用相对低,_blank class=infotextkey>get=_blank class=infotextkey>有利于_blank class=infotextkey>get=_blank class=infotextkey>降低_blank class=infotextkey>get=_blank class=infotextkey>费用效率_blank class=infotextkey>get=_blank class=infotextkey>指数,_blank class=infotextkey>get=_blank class=infotextkey>同_blank class=infotextkey>时从_blank class=infotextkey>get=_blank class=infotextkey>长期治疗的角度,_blank class=infotextkey>get=_blank class=infotextkey>可以_blank class=infotextkey>get=_blank class=infotextkey>降低病_blank class=infotextkey>get=_blank class=infotextkey>人_blank class=infotextkey>get=_blank class=infotextkey>重返率,减_blank class=infotextkey>get=_blank class=infotextkey>少_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>再次_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>住院);_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>get=_blank class=infotextkey>品牌_blank class=infotextkey>get=_blank class=infotextkey>企业_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>合作(_blank class=infotextkey>get=_blank class=infotextkey>通过一致性评价,_blank class=infotextkey>get=_blank class=infotextkey>有学术支撑,_blank class=infotextkey>get=_blank class=infotextkey>大的_blank class=infotextkey>get=_blank class=infotextkey>品牌_blank class=infotextkey>get=_blank class=infotextkey>企业是_blank class=infotextkey>get=_blank class=infotextkey>我们的首_blank class=infotextkey>get=_blank class=infotextkey>选);_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>get=_blank class=infotextkey>能够确_blank class=infotextkey>get=_blank class=infotextkey>保_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>长期的效益_blank class=infotextkey>get=_blank class=infotextkey>提升的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>合作_blank class=infotextkey>get=_blank class=infotextkey>企业(_blank class=infotextkey>get=_blank class=infotextkey>有利于_blank class=infotextkey>get=_blank class=infotextkey>我们的_blank class=infotextkey>get=_blank class=infotextkey>学科_blank class=infotextkey>get=_blank class=infotextkey>发展,_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>长期_blank class=infotextkey>get=_blank class=infotextkey>发展的_blank class=infotextkey>get=_blank class=infotextkey>企业);_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>get=_blank class=infotextkey>能够_blank class=infotextkey>get=_blank class=infotextkey>实现_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>公益性的_blank class=infotextkey>get=_blank class=infotextkey>企业(_blank class=infotextkey>get=_blank class=infotextkey>使用该_blank class=infotextkey>get=_blank class=infotextkey>产品,或者_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>合作的_blank class=infotextkey>get=_blank class=infotextkey>企业,_blank class=infotextkey>get=_blank class=infotextkey>可以_blank class=infotextkey>get=_blank class=infotextkey>体现_blank class=infotextkey>get=_blank class=infotextkey>我们_blank class=infotextkey>get=_blank class=infotextkey>医院的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>公益性)。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;_blank class=infotextkey>get=_blank class=infotextkey>“DR_blank class=infotextkey>gs是工具,_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>最终目的是为了让_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>get=_blank class=infotextkey>价值_blank class=infotextkey>get=_blank class=infotextkey>得到_blank class=infotextkey>真正_blank class=infotextkey>合理的_blank class=infotextkey>get=_blank class=infotextkey>体现。_blank class=infotextkey>get=_blank class=infotextkey>”赛柏蓝_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>管理_blank class=infotextkey>get=_blank class=infotextkey>研究_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>中心执行主任左华把DR_blank class=infotextkey>gs做了个形象的比喻:_blank class=infotextkey>get=_blank class=infotextkey>这是_blank class=infotextkey>get=_blank class=infotextkey>一把尺_blank class=infotextkey>get=_blank class=infotextkey>子,衡量的是_blank class=infotextkey>get=_blank class=infotextkey>医疗的_blank class=infotextkey>真正_blank class=infotextkey>合理_blank class=infotextkey>get=_blank class=infotextkey>价值。医药_blank class=infotextkey>get=_blank class=infotextkey>企业_blank class=infotextkey>应该因势利导,_blank class=infotextkey>get=_blank class=infotextkey>重_blank class=infotextkey>get=_blank class=infotextkey>新_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>布局_blank class=infotextkey>get=_blank class=infotextkey>产品和_blank class=infotextkey>get=_blank class=infotextkey>市场,积极_blank class=infotextkey>get=_blank class=infotextkey>参与医_blank class=infotextkey>get=_blank class=infotextkey>保局和_blank class=infotextkey>get=_blank class=infotextkey>医疗机构_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>共同_blank class=infotextkey>get=_blank class=infotextkey>推进的_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购,为_blank class=infotextkey>get=_blank class=infotextkey>实现_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>真正的_blank class=infotextkey>get=_blank class=infotextkey>价值_blank class=infotextkey>get=_blank class=infotextkey>回归_blank class=infotextkey>get=_blank class=infotextkey>一起努力。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;_blank class=infotextkey>get=_blank class=infotextkey>我们_blank class=infotextkey>get=_blank class=infotextkey>知道CHSDR_blank class=infotextkey>gs核心_blank class=infotextkey>共_blank class=infotextkey>376组,_blank class=infotextkey>外科_blank class=infotextkey>手术组 167 个、 非_blank class=infotextkey>手术_blank class=infotextkey>get=_blank class=infotextkey>操作组 _blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>2 个, 内科组 187 个。_blank class=infotextkey>get=_blank class=infotextkey>然后各医_blank class=infotextkey>get=_blank class=infotextkey>保统筹去_blank class=infotextkey>get=_blank class=infotextkey>进行细分,整个过程_blank class=infotextkey>get=_blank class=infotextkey>中应充分_blank class=infotextkey>get=_blank class=infotextkey>考虑_blank class=infotextkey>合并症和并发症对疾病组_blank class=infotextkey>get=_blank class=infotextkey>资源消耗的贡献,生成 MCC 表和 CC 表,_blank class=infotextkey>最后细分为DR_blank class=infotextkey>gs组通_blank class=infotextkey>get=_blank class=infotextkey>常为_blank class=infotextkey>get=_blank class=infotextkey>900_blank class=infotextkey>get=_blank class=infotextkey>1000组左右,而_blank class=infotextkey>get=_blank class=infotextkey>我们以前通_blank class=infotextkey>get=_blank class=infotextkey>常_blank class=infotextkey>说的_blank class=infotextkey>单病种可能_blank class=infotextkey>get=_blank class=infotextkey>有_blank class=infotextkey>get=_blank class=infotextkey>上_blank class=infotextkey>get=_blank class=infotextkey>万个,_blank class=infotextkey>如果_blank class=infotextkey>get=_blank class=infotextkey>还要_blank class=infotextkey>get=_blank class=infotextkey>考虑病_blank class=infotextkey>get=_blank class=infotextkey>人、治疗、并发症和_blank class=infotextkey>合并症,可能_blank class=infotextkey>get=_blank class=infotextkey>有几_blank class=infotextkey>get=_blank class=infotextkey>万甚至_blank class=infotextkey>get=_blank class=infotextkey>十几_blank class=infotextkey>get=_blank class=infotextkey>万种的_blank class=infotextkey>不同_blank class=infotextkey>get=_blank class=infotextkey>情况,这样就容易导致过_blank class=infotextkey>get=_blank class=infotextkey>高_blank class=infotextkey>get=_blank class=infotextkey>管理_blank class=infotextkey>get=_blank class=infotextkey>费用,因为_blank class=infotextkey>get=_blank class=infotextkey>太_blank class=infotextkey>get=_blank class=infotextkey>多太复杂,变得_blank class=infotextkey>不可行。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;所以_blank class=infotextkey>get=_blank class=infotextkey>医疗机构对_blank class=infotextkey>get=_blank class=infotextkey>成本的管控_blank class=infotextkey>_blank class=infotextkey>不是针对某个_blank class=infotextkey>单病种,而是针对DR_blank class=infotextkey>g的某个病组。_blank class=infotextkey>单病种_blank class=infotextkey>收费仅仅_blank class=infotextkey>get=_blank class=infotextkey>覆盖_blank class=infotextkey>get=_blank class=infotextkey>有_blank class=infotextkey>get=_blank class=infotextkey>限的疾病_blank class=infotextkey>get=_blank class=infotextkey>分类,执行当_blank class=infotextkey>get=_blank class=infotextkey>中_blank class=infotextkey>get=_blank class=infotextkey>医院很容易以各种借口,将_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>get=_blank class=infotextkey>资料耗费_blank class=infotextkey>get=_blank class=infotextkey>多的病例从_blank class=infotextkey>单病种_blank class=infotextkey>get=_blank class=infotextkey>补偿_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>体_blank class=infotextkey>get=_blank class=infotextkey>系_blank class=infotextkey>get=_blank class=infotextkey>中剔除_blank class=infotextkey>单病种_blank class=infotextkey>收费是_blank class=infotextkey>get=_blank class=infotextkey>试行于_blank class=infotextkey>get=_blank class=infotextkey>服务_blank class=infotextkey>get=_blank class=infotextkey>项目_blank class=infotextkey>收费_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>改革的初级_blank class=infotextkey>get=_blank class=infotextkey>阶段,虽然_blank class=infotextkey>get=_blank class=infotextkey>我国_blank class=infotextkey>get=_blank class=infotextkey>有些_blank class=infotextkey>get=_blank class=infotextkey>省份开始实行,但到_blank class=infotextkey>get=_blank class=infotextkey>目前为止,_blank class=infotextkey>get=_blank class=infotextkey>世界_blank class=infotextkey>get=_blank class=infotextkey>上尚_blank class=infotextkey>get=_blank class=infotextkey>没_blank class=infotextkey>get=_blank class=infotextkey>有_blank class=infotextkey>get=_blank class=infotextkey>一个_blank class=infotextkey>get=_blank class=infotextkey>国家实施基于_blank class=infotextkey>单病种的_blank class=infotextkey>get=_blank class=infotextkey>全_blank class=infotextkey>面医_blank class=infotextkey>get=_blank class=infotextkey>保付款_blank class=infotextkey>get=_blank class=infotextkey>方案。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;DR_blank class=infotextkey>g付费等于针对病种组医_blank class=infotextkey>get=_blank class=infotextkey>保_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>部门确_blank class=infotextkey>定了_blank class=infotextkey>get=_blank class=infotextkey>购买支付_blank class=infotextkey>get=_blank class=infotextkey>价格,直接_blank class=infotextkey>get=_blank class=infotextkey>影响_blank class=infotextkey>get=_blank class=infotextkey>到了_blank class=infotextkey>get=_blank class=infotextkey>医院的_blank class=infotextkey>get=_blank class=infotextkey>成本_blank class=infotextkey>get=_blank class=infotextkey>补偿_blank class=infotextkey>get=_blank class=infotextkey>水平,_blank class=infotextkey>get=_blank class=infotextkey>影响_blank class=infotextkey>get=_blank class=infotextkey>到了_blank class=infotextkey>get=_blank class=infotextkey>医院的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>收入,_blank class=infotextkey>get=_blank class=infotextkey>影响_blank class=infotextkey>get=_blank class=infotextkey>到了患者的_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>get=_blank class=infotextkey>费用负担_blank class=infotextkey>get=_blank class=infotextkey>水平,所以_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>需要_blank class=infotextkey>get=_blank class=infotextkey>更加_blank class=infotextkey>关注_blank class=infotextkey>get=_blank class=infotextkey>“病种_blank class=infotextkey>get=_blank class=infotextkey>成本核算_blank class=infotextkey>get=_blank class=infotextkey>”。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;过去_blank class=infotextkey>get=_blank class=infotextkey>由于_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>get=_blank class=infotextkey>服务_blank class=infotextkey>收费_blank class=infotextkey>_blank class=infotextkey>定价的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>不_blank class=infotextkey>合理,_blank class=infotextkey>get=_blank class=infotextkey>劳动_blank class=infotextkey>get=_blank class=infotextkey>价值_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>不能_blank class=infotextkey>get=_blank class=infotextkey>得到_blank class=infotextkey>get=_blank class=infotextkey>体现,_blank class=infotextkey>get=_blank class=infotextkey>主要靠_blank class=infotextkey>get=_blank class=infotextkey>“以药补医、以器材补医、以_blank class=infotextkey>get=_blank class=infotextkey>检查补医_blank class=infotextkey>get=_blank class=infotextkey>”,导致病种_blank class=infotextkey>get=_blank class=infotextkey>成本_blank class=infotextkey>get=_blank class=infotextkey>严_blank class=infotextkey>get=_blank class=infotextkey>重_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>不实,_blank class=infotextkey>get=_blank class=infotextkey>造成病种_blank class=infotextkey>get=_blank class=infotextkey>成本核算结果_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>重_blank class=infotextkey>get=_blank class=infotextkey>大偏失。基于病种实际_blank class=infotextkey>get=_blank class=infotextkey>成本的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>不_blank class=infotextkey>合理性,_blank class=infotextkey>get=_blank class=infotextkey>医院要自我评价_blank class=infotextkey>get=_blank class=infotextkey>到底病种_blank class=infotextkey>get=_blank class=infotextkey>成本是_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>多_blank class=infotextkey>get=_blank class=infotextkey>少?

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;_blank class=infotextkey>get=_blank class=infotextkey>有临床路径的_blank class=infotextkey>get=_blank class=infotextkey>按照临床路径_blank class=infotextkey>get=_blank class=infotextkey>规范,借助病种实际_blank class=infotextkey>get=_blank class=infotextkey>成本核算的_blank class=infotextkey>get=_blank class=infotextkey>资料,_blank class=infotextkey>get=_blank class=infotextkey>进行_blank class=infotextkey>get=_blank class=infotextkey>标准病种_blank class=infotextkey>get=_blank class=infotextkey>成本测算;_blank class=infotextkey>get=_blank class=infotextkey>没_blank class=infotextkey>get=_blank class=infotextkey>有临床路径的_blank class=infotextkey>get=_blank class=infotextkey>按照作业_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>流程_blank class=infotextkey>get=_blank class=infotextkey>专家评议确_blank class=infotextkey>定,_blank class=infotextkey>get=_blank class=infotextkey>医院内_blank class=infotextkey>部_blank class=infotextkey>get=_blank class=infotextkey>达成_blank class=infotextkey>get=_blank class=infotextkey>“_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>共识_blank class=infotextkey>get=_blank class=infotextkey>”,形成该_blank class=infotextkey>get=_blank class=infotextkey>医院专属的DR_blank class=infotextkey>gs病种_blank class=infotextkey>get=_blank class=infotextkey>标准_blank class=infotextkey>get=_blank class=infotextkey>处置_blank class=infotextkey>get=_blank class=infotextkey>程序,_blank class=infotextkey>get=_blank class=infotextkey>要求_blank class=infotextkey>get=_blank class=infotextkey>全_blank class=infotextkey>get=_blank class=infotextkey>体医护技_blank class=infotextkey>get=_blank class=infotextkey>人员_blank class=infotextkey>get=_blank class=infotextkey>按照病种的_blank class=infotextkey>get=_blank class=infotextkey>标准_blank class=infotextkey>get=_blank class=infotextkey>处理_blank class=infotextkey>get=_blank class=infotextkey>程序来执行。_blank class=infotextkey>get=_blank class=infotextkey>标准_blank class=infotextkey>get=_blank class=infotextkey>处置_blank class=infotextkey>get=_blank class=infotextkey>程序里_blank class=infotextkey>面_blank class=infotextkey>不仅仅_blank class=infotextkey>get=_blank class=infotextkey>有_blank class=infotextkey>get=_blank class=infotextkey>如何用药(当然_blank class=infotextkey>get=_blank class=infotextkey>我们医药_blank class=infotextkey>get=_blank class=infotextkey>企业_blank class=infotextkey>最_blank class=infotextkey>get=_blank class=infotextkey>关心_blank class=infotextkey>get=_blank class=infotextkey>如何_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择药品),还包括:_blank class=infotextkey>get=_blank class=infotextkey>检查与检验的_blank class=infotextkey>get=_blank class=infotextkey>项目,治疗的_blank class=infotextkey>get=_blank class=infotextkey>项目,_blank class=infotextkey>get=_blank class=infotextkey>活动与_blank class=infotextkey>get=_blank class=infotextkey>安_blank class=infotextkey>get=_blank class=infotextkey>全,营养与饮食,排泄,_blank class=infotextkey>get=_blank class=infotextkey>心理与_blank class=infotextkey>get=_blank class=infotextkey>社_blank class=infotextkey>get=_blank class=infotextkey>会,_blank class=infotextkey>get=_blank class=infotextkey>健康_blank class=infotextkey>get=_blank class=infotextkey>教育,出院_blank class=infotextkey>计划,护理_blank class=infotextkey>get=_blank class=infotextkey>问题等,并且细化到_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>住院的_blank class=infotextkey>get=_blank class=infotextkey>每一天。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;▍结语

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;从_blank class=infotextkey>get=_blank class=infotextkey>上_blank class=infotextkey>面的_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>真实_blank class=infotextkey>get=_blank class=infotextkey>案例_blank class=infotextkey>get=_blank class=infotextkey>我们_blank class=infotextkey>get=_blank class=infotextkey>可以看到:DR_blank class=infotextkey>gs病种_blank class=infotextkey>get=_blank class=infotextkey>标准_blank class=infotextkey>get=_blank class=infotextkey>处置_blank class=infotextkey>get=_blank class=infotextkey>程序涵盖了临床路径的_blank class=infotextkey>get=_blank class=infotextkey>内容,比临床路径更丰富,更_blank class=infotextkey>get=_blank class=infotextkey>具_blank class=infotextkey>get=_blank class=infotextkey>体,_blank class=infotextkey>get=_blank class=infotextkey>同_blank class=infotextkey>时_blank class=infotextkey>get=_blank class=infotextkey>每家_blank class=infotextkey>get=_blank class=infotextkey>医院_blank class=infotextkey>get=_blank class=infotextkey>由于诊疗,_blank class=infotextkey>get=_blank class=infotextkey>检查检验,药品目录_blank class=infotextkey>不同,_blank class=infotextkey>get=_blank class=infotextkey>标准_blank class=infotextkey>get=_blank class=infotextkey>处置_blank class=infotextkey>get=_blank class=infotextkey>程序的_blank class=infotextkey>get=_blank class=infotextkey>内容也_blank class=infotextkey>不同。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;笔者_blank class=infotextkey>get=_blank class=infotextkey>预测,随着DR_blank class=infotextkey>g付费的_blank class=infotextkey>get=_blank class=infotextkey>全_blank class=infotextkey>面_blank class=infotextkey>get=_blank class=infotextkey>进行,_blank class=infotextkey>get=_blank class=infotextkey>未来各统筹区的医_blank class=infotextkey>get=_blank class=infotextkey>保局_blank class=infotextkey>get=_blank class=infotextkey>会_blank class=infotextkey>get=_blank class=infotextkey>联_blank class=infotextkey>合_blank class=infotextkey>get=_blank class=infotextkey>区域的所_blank class=infotextkey>get=_blank class=infotextkey>有_blank class=infotextkey>get=_blank class=infotextkey>医疗机构,_blank class=infotextkey>get=_blank class=infotextkey>开展针对某些特_blank class=infotextkey>定DR_blank class=infotextkey>g病组的_blank class=infotextkey>get=_blank class=infotextkey>集_blank class=infotextkey>get=_blank class=infotextkey>中带量_blank class=infotextkey>get=_blank class=infotextkey>采购。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;_blank class=infotextkey>get=_blank class=infotextkey>我们都_blank class=infotextkey>get=_blank class=infotextkey>知道二_blank class=infotextkey>get=_blank class=infotextkey>八_blank class=infotextkey>原理的_blank class=infotextkey>get=_blank class=infotextkey>存在,同样的_blank class=infotextkey>get=_blank class=infotextkey>20%的病组占用了_blank class=infotextkey>get=_blank class=infotextkey>80%的医_blank class=infotextkey>get=_blank class=infotextkey>保_blank class=infotextkey>get=_blank class=infotextkey>费用,_blank class=infotextkey>get=_blank class=infotextkey>我们_blank class=infotextkey>get=_blank class=infotextkey>可以_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>重点_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>选择_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>get=_blank class=infotextkey>地区_blank class=infotextkey>get=_blank class=infotextkey>总_blank class=infotextkey>get=_blank class=infotextkey>体_blank class=infotextkey>get=_blank class=infotextkey>费用_blank class=infotextkey>get=_blank class=infotextkey>占比_blank class=infotextkey>get=_blank class=infotextkey>高,医_blank class=infotextkey>get=_blank class=infotextkey>保_blank class=infotextkey>get=_blank class=infotextkey>拒付额度_blank class=infotextkey>get=_blank class=infotextkey>高,药_blank class=infotextkey>get=_blank class=infotextkey>占比_blank class=infotextkey>get=_blank class=infotextkey>高,耗_blank class=infotextkey>get=_blank class=infotextkey>占比_blank class=infotextkey>get=_blank class=infotextkey>高,_blank class=infotextkey>get=_blank class=infotextkey>费用消耗_blank class=infotextkey>get=_blank class=infotextkey>指数和_blank class=infotextkey>get=_blank class=infotextkey>_blank class=infotextkey>时间消耗_blank class=infotextkey>get=_blank class=infotextkey>指数_blank class=infotextkey>get=_blank class=infotextkey>高,RW值1以_blank class=infotextkey>get=_blank class=infotextkey>下的_blank class=infotextkey>get=_blank class=infotextkey>常见病组,_blank class=infotextkey>get=_blank class=infotextkey>进行病组治疗_blank class=infotextkey>get=_blank class=infotextkey>方案的打包_blank class=infotextkey>get=_blank class=infotextkey>采购,帮助_blank class=infotextkey>get=_blank class=infotextkey>医疗机构整_blank class=infotextkey>get=_blank class=infotextkey>体_blank class=infotextkey>get=_blank class=infotextkey>降低某些_blank class=infotextkey>get=_blank class=infotextkey>常见病组的_blank class=infotextkey>get=_blank class=infotextkey>成本,_blank class=infotextkey>get=_blank class=infotextkey>实现对某些_blank class=infotextkey>get=_blank class=infotextkey>医疗_blank class=infotextkey>get=_blank class=infotextkey>服务_blank class=infotextkey>get=_blank class=infotextkey>项目的打包_blank class=infotextkey>get=_blank class=infotextkey>购买。

_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;
_blank class=infotextkey>get=_blank class=infotextkey>2_blank class=infotextkey>get=_blank class=infotextkey>288;对于某些_blank class=infotextkey>get=_blank class=infotextkey>能够整_blank class=infotextkey>合针对_blank class=infotextkey>get=_blank class=infotextkey>具_blank class=infotextkey>get=_blank class=infotextkey>体病组治疗_blank class=infotextkey>get=_blank class=infotextkey>方案的_blank class=infotextkey>get=_blank class=infotextkey>企业,是_blank class=infotextkey>get=_blank class=infotextkey>非_blank class=infotextkey>get=_blank class=infotextkey>常利_blank class=infotextkey>get=_blank class=infotextkey>好的事情。