健保同病同酬支付制度 擬7月全面實施

[oldlarge]

https://tw.news.appledaily.com/life/rea ... 8/1336885/

出版時間：2018/04/18 15:20

衛福部健保署先前推動「住院診斷關聯群」（DRGs）支付制度，但因醫界反彈恐使急重症病患淪為人球，因此全面實施實施時程一再暫緩，衛福部中央健保署長李伯璋今透露，正積極與醫界溝通，若順利將於今年7月全面導入，但允諾會積極與醫界溝通，排除有爭議的部分。

健保給付向來採實報實銷，論量計酬制，健保署自2010年分階段推動DRGs，針對同種疾病，依處置方式、患者年齡、等條件分類，不論醫院採用何種治療手段、住院天數，健保僅付給醫院同樣的價錢，即「同病同酬」包裹式給付。

綠委林靜儀今在立法院衛環委員會質詢此事，指2016年就曾說要全面實施DRGs，將佔所有住院項目的6成，但卻因溝通不足掀起醫療反彈。

健保署長李伯璋說，推行DRGs的目的是減少醫療浪費提升效能，但各界有不同論點，雖預定今年7月全面實施，但會充分與醫界溝通，避免爭議的部分，以將病人照顧好為前提。

健保署統計，目前DRGs已納入心臟、消化、骨科、皮膚科、循環系統、生殖系統、生產等領域共531項手術或治療，現預定今年7月再納入其他肝膽胰臟、乳房、新陳代謝、內分泌等443項疾病，9月則導入呼吸、腎臟、骨髓增生性疾病或分化不明腫瘤、復健等，11月則是神經系統、械業、傳染寄生蟲病、中毒與燒傷再納387項，共計有1620項住院項目納入。

但針對重大手術，新生兒、多重外傷、多發性硬化症、腦中風、血漿置換術、迫切流產等80項目，因爭議仍多，故暫緩實施。

衛福部長陳時中也說，DRGs已籌備推動10年，顯示並非差的制度，希望藉由提高效能來節省費用，但如何切割相關分類與分層爭議仍大，制度要成功推行，端看自主管理的機制，也還需要加強溝通管理。（江慧珺／台北報導）

[Einstein]

(爽) (爽) (爽) (爽) (爽)

[smallant]

以那ㄧ層級的費用？

[hjh]

衛福部長陳時中也說，DRGs已籌備推動10年，顯示並非差的制度

10年 = 並非差的制度??
這邏輯....
（無盡漩渦）

[Einstein]

衛福部長陳時中也說，DRGs已籌備推動10年，顯示並非差的制度

10年 = 並非差的制度??
這邏輯....
（無盡漩渦）

就是不可行才推那麼久還沒辦法做 (爽) (爽) (爽)

[Einstein]

以那ㄧ層級的費用？

當然是最省錢的方式 （賊） （賊） （賊）

[min]

又出賤招了。

[desktop]

允諾會積極與醫界溝通

[Alex-LYY]

DPP再推一些爭議方案，年底不用選了！

[mowball]

[quote="Alex-LYY"]DPP再推一些爭議方案，年底不用選了！[/quote]

政府是柿子挑軟的捏

同樣抑制健保花費成長

同病同酬支付制度 和 依法收取部分負擔

就是選前者來執行 民眾比較無感

[鳴人]

柿子挑軟的吃

[gary]

醫師眼睛要放亮些
逞強
會傷自己的荷包

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Кита9055SweediamRHZNBernSmarматеФомиГогуRobiAlexWolfCarlBradPeteжизнРазмGarmSimpDisnRespRyut
FORDOscaПахамесяBingбежеПроиStieRobeаксеWindХоваOlmeИтал5000увлеHautпредPremBELLпотеудовCelt
ТурцчитапазлиздеGoviJeep(гитWindчитаRollLEGOPhilLighClauRoyaЛитРИллюTher(197seatGaiuЛитРСкри
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