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南京医科大学学报（社会科学版）京医科大学学报（社会科学版） 第1期 总第126期
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Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2025年2月
Journal
径和趋势［J］. 中国卫生经济，2017，36（12）：22-24 ［16］郭珉江，刘阳，陆春吉，等. 我国跨省异地就医直接结
［14］ 徐强，张智勇，巩玉强，等. 关于省内异地就医纳入 算信息化建设历程与展望［J］. 医学信息学杂志，2021，
DRG付费的必要性及可行性研究［J］. 中国医疗保险， 42（8）：8-13
2022（10）：58-62 ［17］ 左昕卉，康正，程菲儿，等. 跨省异地就医直接结算数
［15］ 张智勇，姜伟，范其鹏，等. 省内异地就医 DRG/DIP 付 字监管问题及对策研究［J］. 中国医院管理，2024，44
费改革探析——以山东省为例［J］. 中国医疗保险， （4）：29-33
2024（8）：87-92 （本文编辑：姜 鑫）

Research on the influence of off⁃site medical treatment on DRG / DIP
payment method and corresponding strategies

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REN Pingping ，CHEN Yong ，ZHAO Yunwu ，JIANG Xinmei ，WANG Heng 1，4
1. School of Health Management，Anhui Medical University，Hefei 230032；2. Department of Post⁃Graduate Education，3. Medical
Insurance Department，4. Dean’s Office，the First Affiliated Hospital of Anhui Medical University，Hefei 230022，China
Abstract：Off⁃site medical treatment is a beneficial policy arrangement under China’s medical insurance
system. However，in the operation process，off ⁃ site medical treatment is facing problems such as chaotic
treatment order，frequent switching costs risks，difficulties in medical insurance fund cost control，major
regulatory challenges，and fragmentation of management. There are many inconsistencies with the reform of
DRG / DIP payment methods. By systematically analyzing the problems existing in the implementation of off⁃site
medical treatment，this paper discusses the potential influencing factors of existing problems on the reform of
DRG / DIP payment methods and puts forward strategies and suggestions to address these challenges to provide
a practical reference for accelerating the implementation of DRG / DIP payment in off⁃site medical treatment.
Key words：DRG/DIP payment reform；off⁃site medical treatment；medical insurance fund