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军队医疗机构实行医保总额预付制的卫生经济学分析
引用本文:晏晨阳,鲍楚楚,张殿勇.军队医疗机构实行医保总额预付制的卫生经济学分析[J].解放军医院管理杂志,2012,19(2):161-162.
作者姓名:晏晨阳  鲍楚楚  张殿勇
作者单位:第二军医大学长征医院医教部,上海,200003
基金项目:2011年上海医院协会医院管理研究项目,2011年上海申康中心临床管理优化项目
摘    要:2009年上海市医保局在三级医院开始试行"医保总额预付制"。本文从卫生经济学角度,分析施行总额预付制后医院对卫生服务提供进行的调整,分析军队医疗机构实行总额预付制面临的挑战,提出医院应及时转变观念,从提高医疗质量,加强成本核算,实现医保管理信息化、精细化等方面着手,科学合理控费,主动适应和推进医疗改革的进程。

关 键 词:医保  总额预付制  卫生经济

Medicare Economic Analysis of Implementing the Total Medical Insurance Prepaid System
YAN Chen-yang , BAO Chu-chu , ZHANG Dian-yong.Medicare Economic Analysis of Implementing the Total Medical Insurance Prepaid System[J].Hospital Administration Journal of Chinese People's Liberation Army,2012,19(2):161-162.
Authors:YAN Chen-yang  BAO Chu-chu  ZHANG Dian-yong
Institution:(Department of Medical Affairs and Education,Changzheng Hospital,Second Military Medical University,Shanghai 200003)
Abstract:Shanghai Medical Insurance Bureau started "total Medicare prepaid system"(TMPS) pilot project in general hospitals in 2009.From the perspective of health economics,the article analyzed the adjustment of health services supplying TMPS and the challenges of its implementing.It also indicated that hospitals should change concepts promptly and promote the process of health reform by improving the quality of healthcare,strengthening cost accounting,achieving medical insurance information management and controlling expense scientifically.
Keywords:medical insurance  Total Medicare Prepaid System  health economics
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