Recently, the National Health Insurance Administration issued a notice that by the end of 2025, the payment method of medical insurance in the second quarter will achieve full coverage. The second quarter of medical insurance, the payment system of Disease Diagnosis-Related Group (DRG), will reasonably control medical expenses. However, after the implementation of DRG in some areas, the number of voices that make it difficult to see a doctor has increased.
The DRG payment system groups disease diagnoses and counts the average medical insurance cost for various diseases. If the actual cost of the patient exceeds the average cost, the excess will be borne by the hospital or doctor. As a result, doctors may pass the buck to avoid overspending, making it difficult to see a doctor.
Although DRG has certain drawbacks, such as difficulty in seeing a doctor and overly strict control of medical expenses, its original intention is to standardize hospital behavior, save medical costs, and reduce the burden on patients. The DRG payment method is expected to curb the rapid growth of medical expenses, change the phenomenon of "medicine for medical care", and promote hospitals to improve service quality and provide patients with more reasonable solutions.
The full implementation of the DRG payment system will help control medical costs and standardize hospital behavior, but in the short term, patients may face the problem of difficulty in seeing a doctor. In this context, the relevant departments should strengthen the supervision of medical institutions to ensure the quality of medical services to achieve the sustainable development of the medical system.