关键词: 护理费；护理强度评价；护理人力资源；医保付费；日本医保；医疗改革

Abstract: This paper introduces Japan's Diagnosis Procedure Combination system and its nursing "additional reimbursement" mechanism, elaborating on the nursing intensity evaluation method centered on the "nursing care necessity" and its closed-loop application. By comparing the differences between Chinese and Japanese models of nursing service pricing and medical insurance payment, and synthesizing domestic research progress, this paper explores the feasibility, challenges, and policy implications of localized implementation in China. It aims to provide a systematic reference for quantifying the value of nursing care and establishing a compensation pathway based on nursing intensity in China.

Key words: nursing fee; nursing intensity evaluation; nursing human resource; medical insurance payment; Japanese healthcare system; healthcare reform