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对医保定点医疗机构支付方式改革的思考
引用本文:胡月,冷明祥,黄晓光,陶宏滨,胡大洋,唐晓东,万彬.对医保定点医疗机构支付方式改革的思考[J].中国医院管理,2011,31(2):42-44.
作者姓名:胡月  冷明祥  黄晓光  陶宏滨  胡大洋  唐晓东  万彬
作者单位:1. 南京医科大学医政学院,江苏,南京,210029
2. 江苏省卫生厅规划财务处,江苏,南京,210008
3. 江苏省医疗保险基金管理中心,江苏,南京,210003
4. 南京医科大学第一附属医院(江苏省人民医院),江苏,南京,210029
基金项目:中国卫生经济学会第十一批招标课题
摘    要:医保对定点医疗机构支付方式改革势在必行,应由传统的被动支付向管理型支付方向发展。在需方对医疗机构支付方式上.应确定与参保对象承受能力相适应的费用分担比例,同时组合应用多种支付方式:在医保对医疗机构支付方式上,应由后付制转向预付制、由单一的支付方式转向混合型支付方式。支付方式改革要辅之以加强对医疗机构的监管、加快卫生信息化建设、建立医保谈判机制和注重配套政策支撑等。

关 键 词:改革  医保支付方式  医疗机构

Reflections on the Innovation of Medical Insurance Payment Method of Designed Medical Institutions
HU Yue,LENG Ming-xiang,HUANG Xiao-guang,et al..Reflections on the Innovation of Medical Insurance Payment Method of Designed Medical Institutions[J].Chinese Hospital Management,2011,31(2):42-44.
Authors:HU Yue  LENG Ming-xiang  HUANG Xiao-guang  
Institution:HU Yue,LENG Ming-xiang,HUANG Xiao-guang,et al.School of Health Policy and Management,Nanjing Medical University,Nanjing,Jiangsu,210029,China
Abstract:It is necessary to reform the payment method of designed medical institutions by medical insurance.And the payment method should be transformed from the traditional passive payment method management to the direction of payment method management type.In the demand side to the payment method of medical institutions,that the insured object can afford to appropriate cost allocation should be ensured and various payment methods should be combined in the meantime.In the payments method of medical institutions,pos...
Keywords:reform  payment method of medical insurance  medical institutions  
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