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目的 梳理上海市按疾病诊断相关分组(diagnosis-related groups, DRG) 付费权重调整方案的形成过程和主 要内容, 明确其理论和实证依据, 为其他按DRG付费试点城市提供参考与借鉴。方法 查阅国内外相关文献、调研 典型试点城市经验、开展专家及医疗机构访谈, 并基于2020 年上海34 家三级医院城镇职工基本医疗保险住院人 群数据, 进行权重调整相关模拟测算。结果 从权重调整的必要性和导向性出发, 上海市拟在鼓励收治重症患者、 支持新技术和新项目开展、保障老年患者权益、保障重大疾病和慢性病患者权益、支持中医药特色服务发展的6 个方面开展权重调整, 具体调整幅度基于数据测算结果确定。结论 上海市按DRG付费权重调整中遵循"必要性、 导向性、科学性"的工作思路可为其他试点城市提供参考, 同时也为后续按DRG付费中的监测与管理工作提供了 方向性建议. [ABSTRACT FROM AUTHOR]

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Copyright of Chinese Health Resources is the property of Health Development & Policy Research Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Health Resources is the property of Health Development & Policy Research Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Health Resources is the property of Health Development & Policy Research Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Health Resources is the property of Health Development & Policy Research Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)