Medical insurance drg is the English abbreviation of the medical insurance disease diagnosis-related grouping scheme. A simple understanding is to group a case into groups, which can make management easier. Our country's medical insurance coverage is very large, and there are many people paying for medical insurance. In order to strengthen the management of medical insurance, the medical insurance drg was launched.
1. Medical insurance DRG actually groups medical records, and then the sick patients can be grouped and classified. After being divided into multiple groups, each group can be treated and managed.
2. Because the cases will be grouped according to the patient’s age, complications and treatment methods, the disease conditions of the patients in each group are basically the same, which allows for better management. It can also provide patients with treatment plans faster.
For example, Xiao Ming and Xiao Hong caught a cold and both had symptoms of runny noses. But Xiaohua and Xiaoqiang have fevers, so these four people can be divided into two groups for management, and treatment plans can be provided at the same time. Because the symptoms of Xiao Ming and Xiao Hong's colds are almost the same, the treatment plans are not very different. In addition, Xiaohua and Xiaoqiang also had fevers at the same time, so they could better prescribe the right medicine.
The medical insurance DRG has been piloted in many cities, such as Beijing, Wuhan, Tianjin, Shenyang and other cities, and has achieved good results.
Scope of application of medical insurance drg: medical insurance drf essentially uses a set of management tools, with the goal of dividing medical service output. Medical insurance drg is more suitable for acute hospitalization cases and can achieve faster management and better treatments.
Inapplicable scope of medical insurance drg: outpatient medical records, because outpatient medical records are more complicated, there are many reasons for illness, and the symptoms are also different; rehabilitation medical records, because everyone’s recovery situation is different; it takes a long time Hospitalized cases; cases where the diagnosis and treatment are the same, but the results vary greatly.
The above is the relevant content of medical insurance drg, which refers to the disease diagnosis grouping plan. Grouping and classifying according to the patient's medical history can provide better management and provide patients with treatment plans faster.
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