医疗保险定点医院绩效评价体系的研究  

Researches on the performance evaluation system of the designated hospital of medical insurance

作　　者：梁红[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中国医药导报》2008年第30期95-98,共4页China Medical Herald

摘　　要：目的:在社会经济发展变革的大背景下,探索适用于新形势下定点医疗机构管理特性的科学管理手段。方法:对如何构建一套能够科学、客观、公正、全面地反映医疗保险工作特征的综合评价模型进行了研究。结果:确立了指标体系及权重系数。结论:选择外部评价以及费用控制方面的指标,对医疗保险基金的合理使用及解决"看病贵"等问题有积极的现实意义。本研究方法可靠、资料易收集,可为一般定点医院评价相关工作提供借鉴。Objective：To explore the scientific management tools which apply to the characteristics of designated medical institutions under the background of socio-economic development and changes. Methods ： Mathematical methods and statistical analysis were used as the theoretical basis, to study how to build a scientific, objective, impartial and comprehensive evaluation model which could reflect the characteristics of the medical insurance work. Results ： Established a system of indicators and computed the weight factor. Conclusion： Selecting the external evaluations and the indicates of controlling medical expenses is making realistic sense to some problems such as how to use the medical insurance fund and how to solve the difficulty of hospitalizing; The result of this study has many advantages, such as： simple principle, reliable method, and the information is facilitate to collect, which can be the other designated medical institutions for reference.

关 键 词：医疗保险 绩效评价 费用控制 医院管理 

分 类 号：R197.32[医药卫生—卫生事业管理]