关键词: 按病种分值付费, 医务人员, 认知

Abstract: Objective To analyze the current status of the implementation development of the payment reform of the disease share payment (DIP), and to investigate the knowledge and attitude of medical personnel in Baotou city towards the DIP policy, so as to provide reference for further promotion of the medical insurance payment method. Methods A random sampling method was used to survey medical personnel in Baotou, and 311 valid questionnaires were obtained. Descriptive statistics, chi-square test and binary logistic regression analysis were used in SPSS 26.0 to make an empirical analysis of the influencing factors. Results Awareness of the DIP policy among medical staff in Baotou is low, with only 32% familiar with the policy. Differences in medical staff's departments and job levels, the availability of training on the policy and medical staff's satisfaction with the DIP and attitude towards its implementation are factors that influence medical staff's awareness of the DIP policy. Conclusion Medical staff in Baotou do not have a high level of awareness of DIP policy, DIP policy training covers a larger number of people, but the training is not effective and the quality of training needs to be improved, the hospital needs to strengthen policy training for medical staff, targeted and enhanced training can be provided to key departments and key personnel; motivate medical staff to work, guide medical staff to continuously strengthen their learning, adjust the hospital system at the right time, improve medical staff's awareness of payment by value by increasing DIP policy publicity, so that medical staff can adapt to the work of DIP payment as soon as possible and comply with the development of medical reform.

Key words: diagnosis-intervention packet, medical staff, awareness