摘要
对国内外实施分级诊疗的主要措施和实施效果的分析表明,政府在分级诊疗制度实施过程中要承担主体责任,主导对患者(疾病)和医疗机构进行分级,加强基层首诊刚性约束,通过行政和经济手段约束各级医疗机构的诊疗行为,通过医疗保险报销比例等经济手段引导患者的就医行为,通过医疗保险捆绑支付实现医联体内经济利益的捆绑和风险共担。从而,建立起强制性分级诊疗制度,实现就医秩序的有序进行。
The main measures and effect of hierarchical medical system at home and abroad showed that the government should take the main responsibility, and lead to the classification of patients(disease) and medical institutions, strengthen the rigid restraint of primary medical treatment, and restrict the diagnosis and treatment of hospitals at all levels through administrative and economic measures. The patient’s medical behavior was guided by the medical insurance reimbursement ratio. The binding and risk sharing of the economic interests in the Medical Union was realized by the medical insurance bundled payment. Therefore, a mandatory hierarchical medical system was established to keep medical order.
作者
向前
朱宏
吴伟旋
XIANG Qian;ZHU Hong;WU Wei-xuan(Nanfang Hospital,Southern Medical University,Guangzhou,510515,China)
出处
《中国卫生经济》
北大核心
2019年第1期16-18,共3页
Chinese Health Economics
基金
广东省医学科学技术基金项目(A2018226)
关键词
分级诊疗制度
医疗改革
实施路径
实施效果
hierarchical diagnosis
reform
implementpath
implementation effect
