摘要
随着国家医疗卫生的改革的不断深入,社会医疗保障体系逐步完善,全民医保网络初步形成,也实现了医保支付方式多元化发展。医保制度改革的目的就是促进社会保障体系正常运行,以进一步控制医疗费用的增长幅度,解决人们"看病难""看病贵"的问题。医保支付制度的改革使按服务项目收费、按服务单元收费、按病种付费、按人头付费以及按预算总额付费等多元化医保支付方式与现行医保制度相适应,逐步增强医务人员的管理责任意识,合理调整医院各科室组成部分,进而有效提升公立医院的服务质量及整体管理水平,促使医院发展更规范、更理性。
With the continuous deepening of the national medical and health reform,the social medical security system has gradually improved,and the national medical insurance network has initially formed,which has also realized the diversified development of medical insurance payment methods.The purpose of the reform of the medical insurance system is to promote the normal operation of the social security system in order to further control the increase in medical expenses and solve the problems of“difficult”and“expensive”medical treatment.The reform of the medical insurance payment system has made the multiple medical insurance payment methods such as fee-for-service,fee-for-service unit,fee-for-patient,payper-person,and total budget compatible with the current medical insurance system,and gradually strengthened the sense of management responsibility of medical staff.Reasonably adjust the components of each department of the hospital,and then effectively improve the service quality and overall management level of public hospitals,and promote more standardized and rational hospital development.
作者
温晓刚
WEN Xiaogang(Department of Medical Insurance,Shanxi Children's Hospital,Taiyuan Shanxi 030013,China)
出处
《中国卫生标准管理》
2020年第6期14-17,共4页
China Health Standard Management
关键词
医院管理
多元化支付方式
医保制度
发展趋势
改革
对策
hospital management
diversified payment methods
medical insurance system
developing trend
reform
countermeasure
