摘要
为贯彻落实自治区医疗保险付费制度,探索医保付费新举措,笔者对宁夏某三甲医院按病种分值付费和按病种收付费的实施现状进行分析,主要从付费制度基本情况、医院主要做法、实施效果三个方面详细介绍,最后从科学制定付费制度、加强部门沟通协作、提升医院内部管理、完善信息化建设深入思考,旨在从医疗机构的视角为国家医保付费政策提供参考意见,提高医保基金的使用效率,控制医保费用不合理增长,提高医疗服务质量,更好地平衡医、保、患三方利益。
In order to implement the medical insurance payment system in the autonomous region and explore new measures for medical insurance payment,the implementation status of payment by disease scores and paying by disease types in grade3A hospital in Ningxia was analyzed,it was mainly introduced from the basic situation of the payment system,the main practices of the hospital,and the implementation effects.Finally,the author thinks deeply about making payment system scientifically,strengthening department communication and cooperation,improving hospital internal management and improving information construction.From the perspective of medical institutions to provide a reference for thecountry medical insurance payment policy,improve the efficiency of using health insurance funds,control the unreasonable growth of medical insurance expenses,improve the quality of medical services,and ensure the tripartite wins of hospitals,healthcare patients and the authorities of medical insurance.
作者
张彦杰
王媛媛
杨淑宏
ZHANG Yanjie;WANG Yuanyuan;YANG Shuhong(People's Hospital of Ningxia Hui Autonomous Region,Yinchuan 750001,China;Teaching Cooperation Hospital of North Ethnic University,Yinchuan 750001,China)
出处
《现代医院》
2018年第12期1764-1768,共5页
Modern Hospitals
关键词
按病种分值付费
按病种收付费
医院管理
Payment by Disease Scores
Paying by Disease Types
Hospital Management
