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基本医疗保险费用结算办法对医疗机构和参保患者行为的影响
引用本文:韩凤.基本医疗保险费用结算办法对医疗机构和参保患者行为的影响[J].中国医院,2001,5(7):3-6.
作者姓名:韩凤
作者单位:劳动和保障部社会保险事业管理中心,100716,北京市和平里中街12号
摘    要:强调了医疗费用支付方式是调节医疗资源流向的重要手段,并对医疗机构和参保人员的行为产生明显影响.概述了目前医疗费用支付方式的分类及发展趋势,要求医疗机构从更新观念、改善服务态度、提高医疗水平,加强病种质量控制等方面努力做好工作,积极适应医疗保险制度的实施及医疗费用支付方式的改革.

关 键 词:医疗保险  医疗费用控制  医疗机构  患者行为
修稿时间:2001年7月6日

INFLUENCE OF THE BASIC HEALTH PLANS PAYMENT METHODS ON THE BEHAVIORS OF MEDICAL INSTITUTIONS AND THE INSURED
Han FengCenter for Social Affairs Administration,Ministry of Labor and Social Security, Hepingli Middle Street,Beijing ,P. R. C.INFLUENCE OF THE BASIC HEALTH PLANS PAYMENT METHODS ON THE BEHAVIORS OF MEDICAL INSTITUTIONS AND THE INSURED[J].Chinese Hospitals,2001,5(7):3-6.
Authors:Han FengCenter for Social Affairs Administration  Ministry of Labor and Social Security  Hepingli Middle Street  Beijing  P R C
Institution:Han FengCenter for Social Affairs Administration,Ministry of Labor and Social Security,12 Hepingli Middle Street,Beijing 100736,P. R. C
Abstract:This article emphasizes that the reimbursement method of medical cost is an important approach to regulate the flow of medical resources and will cause obvious influence on the behaviors of health care institutions and patients who participate in the health plans. It briefly introduces the payment methods currently in use and their development trends, and suggests that health care institutions renew minds, improve serving attitudes , upgrade medical service level and strengthen disease - specific quality control, and then actively keep pace with the implementation of health insurance reform and reimbursement reform.
Keywords:Medical insurance  medical cost control  health care institutions  patient behavior  
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