DRG付费全球应用情况及实施效果的经验和启示OA

Diagnosis-Related Group(DRG)-based payment is a is a payment system reform being accel-erated in China.This study systematically reviews the global implementation of DRG payment systems,with a par-ticular focus on OECD member countries and Asian nations.It summarizes the underlying patterns and practical experiences.Findings indicate that OECD countries typically underwent extended pilot phases before full-scale a-doption of DRG systems.During these phases,they addressed significant technical challenges such as ensuring high-quality clinical data and maintaining dynamic group classification systems,while also overcoming resistance from key stakeholders.Ultimately,34 out of 38 OECD member countries adopted DRG-based payment,achieving substantial systemic benefits including enhanced healthcare efficiency,cost containment and strengthened govern-ance capabilities.Drawing on international experience,this paper proposes several policy recommendations,inclu-ding fostering a correct understanding of DRG mechanisms among hospitals,enhancing the quality of medical re-cord data,and optimizing medical quality supervision frameworks.Furthermore,the study underscores the need for continuous attention to emerging challenges,such as those posed by region-specific mechanisms like the regional point-scoring method,within the broader context of ongoing medical insurance reform.