泸州推行新型农村合作医疗门诊统筹的困难和对策

文章分析了泸州启动新型农村合作医疗门诊统筹后家庭账户运行中存在的突出问题。认为推行门诊统筹的潜在问题,包括资金分配比例的划分、补偿方案的制定、门诊服务需求释放、经办管理服务水平较低四个方面。提出完善基线资料、健全门诊统筹基金测算管理,强化对定点医疗机构的监管,配套改革等是现阶段推行门诊统筹的工作重点。

Difficulties and measures in operating outpatient service's risk-pooling-fund context with New Rural Cooperative Medical System in Luzhou

The main problems of conducting family account for outpatient service context with New Rural Cooperative Medical System are analyzed.The potential threats of the implementation of outpatient service’s risk-pooling-fund are put forwarded,involving division of the fund allocation,frame of reimbursement plan,wide coverage of outpatient service needs,and the poor management and service capacities.It points out the emphasis in improvements,including baseline datas,calculation management of outpatient service funds and supervision of designated medical institution and matched reforms.