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Publishing Language: Chinese

Focusing on the Benefits of Patient, Promoting the Sustainable Development of Medical Consortium

Wenting ZHENG1, Yuyu ZHOU1, Qiming JIN2, Yi YUAN3, Yanbin LIU1, Xiaojun MA1( ), Jiong ZHOU1( )
Department of Medical Affairs, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Outpatient Department, Beijing Sixth Hospital, Beijing 100007, China
Department of Medical Affairs, Beijing Sixth Hospital, Beijing 100007, China
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Abstract

As a practical carrier for promoting the tiered diagnosis and treatment model, the medical consor-tium is of great significance for balancing medical resources and boosting medical service efficiency. The construction of medical consortiums not only improves the accessibility of high-quality medical resources for patients, but also enhances the diagnostic and treatment level of member units. Meanwhile, it provides space for the leading hospital to adjust the structure of diseases and improve the level of discipline construction. As the core of medical insurance payment reform, DRG, through indicators such as the case mix index(CMI) and the number of diagnosis related group (DRG), provides objective and quantified data support for case management and disease structure optimization, thus effectively guiding the rational allocation of medical resources and the adjustmentof diseases and surgical types within the medical consortium. Comprehensive use of DRG evaluation indicators can construct a multidimensional medical consortium construction evaluation system, provides a clear direction for medical consortium cooperation, thereby promoting the overall healthy and sustainable development of medical consortiums and achieving a win-win situation for all parties involved. This paper, based on the "1+5+1" medical consortium cooperation model centered around Peking Union Medical College Hospital, utilizes DRG indicators to analyze the benefits for patients, member hospitals, and the leading hospital during the medical consortium construction process, with the hope of providing reference for the construction of a medical consortium evaluation system.

CLC number: R197.3;R-1 Document code: A Article ID: 1674-9081(2024)05-1006-05

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Medical Journal of Peking Union Medical College Hospital
Pages 1006-1010

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Cite this article:
ZHENG W, ZHOU Y, JIN Q, et al. Focusing on the Benefits of Patient, Promoting the Sustainable Development of Medical Consortium. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1006-1010. https://doi.org/10.12290/xhyxzz.2024-0646

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Received: 19 August 2024
Accepted: 26 August 2024
Published: 30 September 2024
© 2024 Medical Journal of Peking Union Medical College Hospital