本文为健康界看健日报原创文章，更多深度好文请点击：看健日报
for the health community to read the original article of the daily newspaper, and for more in-depth and good text click: to see the daily newspaper /em>
医保支付方式改革是激励医疗机构控制成本、提高医疗服务质量的内生动力，也是优化医疗资源配置的重要杠杆。在全球医药卫生体制改革中，筹资、支付、组织、规制和行为已经成为世界各国医药卫生体制改革的关键性抓手。尤其是医保支付方式，从20世纪70年代开始，成为世界各国医药卫生体制改革的重要内容。
Reforming the way health care is paid is an in-house incentive for health-care institutions to control costs and improve the quality of health services, as well as an important lever for optimizing the allocation of health-care resources. In the context of global health-care reform, financing, payment, organization, regulation, and behaviour have become key players in health-care reform around the world.
目前，我国基本医疗保险覆盖率已经达到95%以上，医保机构成为医疗服务的最大购买方。医保支付方式改革对于保障和促进全民健康，实现健康中国战略目标具有重要意义。
At present, our basic health insurance coverage has reached more than 95%, and health-care institutions have become the largest purchasers of medical services. Reforms in the way health-care payments are paid are important in order to guarantee and promote health care for all and to achieve the strategic objectives of a healthy China.
2017年6月，国务院办公厅印发的《关于进一步深化基本医疗保险支付方式改革的指导意见》明确支付方式改革的主要内容：实行多元复合式医保支付方式，重点推行按病种付费，开展按疾病诊断相关分组付费试点，完善按人头付费、按床日付费等支付方式，强化医保对医疗行为的监管。
In June 2017, the Office of the State Council issued a Guidance for the Further Development of the Reform of the Method of Payment of Basic Health Insurance, which identifies the main elements of the reform of payment modalities: the introduction of multiple and complex health insurance payments, with a focus on the introduction of patient-based payments, the implementation of a pilot fee-related sub-groups for disease diagnosis, the improvement of the payment-based and bed-day payments, etc., and the strengthening of health-care supervision of health-care behaviour.
疾病诊断相关分组（DRG）是用于衡量医疗服务质量和效率，以及进行医保支付的一个重要工具，其实质上是一种病例组合分类方案，即根据年龄、疾病诊断、合并症、并发症、治疗方式、病症严重程度及转归和资源消耗等因素，将患者分入若干诊断组进行管理的体系。
区块链是一个信息技术领域的术语。从本质上讲，区块链是一个分布式的共享账本和数据库，具有去中心化、全程留痕、可以追溯等特点。区块链的特点保证了区块链的“诚实”与“透明”，为区块链创造信任奠定了基础。因此，区块链在解决信息不对称问题，实现多个主体之间的协作信任与一致行动具有重要作用，在很多领域具有丰富的应用场景。
Block chains are a term for information technology. By their very nature, blocks chains are a distributed and shared book and database, characterized by decentralisation, whole-way traces, traceability, etc. The characteristics of blocks chains
2019年10月，中共中央政治局就区块链技术发展现状和趋势进行集体学习，习近平总书记强调要把区块链作为核心技术自主创新的重要突破口，加快推动区块链技术和产业创新发展。要探索“区块链+”在民生领域的运用，积极推动区块链技术在教育、养老、精准脱贫、医疗健康、食品安全、公益、社会救助等领域的应用，为人民群众提供更加智能、更加便捷、更加优质的公共服务。
In October 2019, the Central Political Office of the Communist Party of China undertook a collective study on the current state of and trends in the technological development of the block chain. General Secretary Xi Jinping stressed the importance of the block chain as an important entry point for core technological autonomy and accelerated the development of technology and industrial innovation.
长期以来，医疗数据的存储和管理都局限于医院本身，社会公众对医疗数据的真实性一直持怀疑态度。目前，区块链技术在医疗领域的应用已经受到了国内外的广泛关注。区块链本身具备不可篡改的特性，使用区块链对医疗数据进行固化、防止数据篡改成为一个切实可行的解决方案。区块链技术应用于疾病诊断相关分组和按病种分值付费改革，可规避人为有意或无意的干预，保证付费过程的公正与透明。因此，区块链技术如何应用于疾病诊断相关分组和按病种分值付费改革是一个值得深入探索的问题。
has long been confined to hospitals themselves, and the public in society has been sceptical about the authenticity of medical data. now has widespread domestic and foreign interest in the application of block-chain technology in the medical field.
注册有任何问题请添加 微信：MVIP619 拉你进入群
打开微信扫一扫
添加客服
进入交流群
发表评论