医疗保险总额预付制对医院的影响及对策

分析了上海市医疗保险局自2009年在三级医院开始"医疗保险总额预付制"试点工作以来,总额预付制对医院的影响,提出了医院应及时转变观念,从提高医疗质量、加强成本核算、实现医疗保险管理信息化及精细化等方面着手,科学合理地控制费用,主动适应和推进医疗改革的进程.

Abstract：

The paper analyzed the impact of the trial for "lump-sum prepayment practice of medical insurance" on tertiary hospitals in Shanghai initiated by Shanghai Medical Insurance Bureau since 2009. Based on the analysis, the authors recommended that the hospitals should adapt to the changes by raising quality of care, improving cost accounting, informationizing and refining medical insurance information management, as well as controlling expenses on a rational basis. These approaches will help them adapt to and promote the ongoing health reform in China.

Impacts of the lump-sum prepayment practice of medical insurance and the countermeasures

The paper analyzed the impact of the trial for "lump-sum prepayment practice of medical insurance" on tertiary hospitals in Shanghai initiated by Shanghai Medical Insurance Bureau since 2009. Based on the analysis, the authors recommended that the hospitals should adapt to the changes by raising quality of care, improving cost accounting, informationizing and refining medical insurance information management, as well as controlling expenses on a rational basis. These approaches will help them adapt to and promote the ongoing health reform in China.