摘要
伴随美国医保发展的全历程,健康维护组织曾被认为是控费模式的典范,其控费理念和机制是专家学者的研究焦点。部分学者和媒体将罗湖医保支付方式改革模式视为"健康维护组织探索先行者"。从控费机制、医保支付方式、居民就医选择权、风险选择和服务内容等方面对2种模式进行对比研究,为同行业借鉴健康维护组织医疗服务模式提供参考意见。
With the development of the American health care and insurance. HMO was considered as the mode of controlling costs in nearly a century. The control costs philosophy and mechanism have been the focus of the experts and scholars. Recently, some scholars and the media will reform of Luohu medical insurance payment mode as ＂HMO exploration pioneer＂, This article compared the two modes in aspects of cost control mechanism, medical insurance payment mode, residents＇ medical treatment option, risk selection and service content to provide reference on applying HMO mode.
作者
宫芳芳
孙喜琢
李文海
GONG Fangfang SUN Xizhuo LI Wenhai(Shenzhen Luobu Hospital Group, No.47, Youyi Road, Luohu District, Shenzhen, 518001, Guangdong Province, PRC)
出处
《中国医院》
2017年第11期7-9,共3页
Chinese Hospitals
关键词
罗湖医改
医疗改革
健康维护组织
医保支付方式
reform of Luohu healthcare mode, healthcare reform, HMO, medical insurance payment mode
