城市医疗救助费用控制模式的比较分析与适宜选择  

The Comparative Analysis and Feasible Choice of Expenditure Control Model of Urban Medical Assistance

作　　者：徐雪艳[1] 尹文强[2] 张宜民[3] 高文凤 黄冬梅[2] 于倩倩[2] 

机构地区：[1]潍坊市人民医院,山东潍坊261042 [2]潍坊医学院卫生管理学院,山东潍坊261042 [3]复旦大学公共卫生学院,上海200032

出　　处：《中国初级卫生保健》2010年第8期15-18,共4页Chinese Primary Health Care

基　　金：中英城市社区卫生与贫困救助项目(UHPP)资助课题(NPMO08)

摘　　要：从宏观角度阐述了当前我国城市医疗救助主流模式的框架,即"并轨"模式、"惠民济困医院"模式、"社区卫生服务"模式,论证了各种模式运作的可行性及其利弊之处,并在此基础上对3种医疗救助模式费用控制的实施现状与效果进行了比较分析。认为:在现实国情下,加快建立分工合理、双向转诊的新型城市医疗服务体系,构建以基层社区卫生服务机构为基础的利用平台,依托城市医疗救助和社区卫生服务管理信息技术系统,并合理借鉴国际先进支付理念的医疗救助费用控制模式视为一种理性的选择。The article expatiated the frameworks of several mainstream patterns of urban medical assistance in China from the macroscopical view, which include ＂ incorporate pattern＂ , ＂ benefit -people hospital pattern＂ and ＂ community health service pattern＂ , simultaneously analysed the feasibility, merit and demerit and implementation effectiveness of three different expenditure control patterns of medical assistance. Through mutual comparison we could conclude that it is a rational choice to fabricate the feasible expenditure control pattern of medical assistance which is based on the institutions of community health service, depends on the information system of urban medical assistance and community health service management, and refers to advanced international payment measures.

关 键 词：城市 医疗救助 费用控制 适宜模式 

分 类 号：R842.684[医药卫生—航空、航天与航海医学]