临床路径与补偿机制改革同步推进效应——安康市汉滨区第一医院的实践探索  

Introduction to Clinical Pathways and Compensation Mechanism Reform in Hanbin District, Shanxi Province

作　　者：齐雪然[1] 隋宾艳[2] 赵琨[2] 

机构地区：[1]哈尔滨医科大学,哈尔滨150081 [2]卫生部卫生发展研究中心,北京100191

出　　处：《中国医疗保险》2012年第4期48-50,共3页China Health Insurance

摘　　要：2010年10月,卫Ⅺ项目农村医疗机构诊治技术优化与补偿机制改革在陕西省安康市汉滨区第一医院开始推行临床路径与单病种定额支付方式相结合的试点。该项试点主要探索解决目前医疗服务行为不规范、医疗费用不合理增长问题,并同步推进信息化监管,将临床路径作为保证医疗质量的手段,将单病种定额支付方式作为医院的激励措施,将电子化临床路径信息系统作为监管工具。试点由社保、新农合、卫生管理部门和医院等相关部门共同参与,且已取得一定成效,为二级医院开展临床路径工作提供了经验参考。To regulate medical behaviors, control unreasonable medical costs and explore information- based supervision, a comprehensive reform of clinical pathways and case-payment was established in the firsthospital in Hanbin district, Shaanxi province in October 2010, which is a part of health XI project pilot research on health technology optimization and compensation mechanism in rural health facility. Clinical pathway wasused to improve the medical quality, and case-payment as the incentive measures to hospital in this reform, a clinical pathway information system was also developed as the regulatory tool. Multiple sectors of governments participated in this pilot work, including the local social security department, NCMS management department,administrative department of health and hospitals, the pilot work was proved to be effective and can provide experience to other grade two hospitals.

关 键 词：临床路径 补偿机制 

分 类 号：R197.3[医药卫生—卫生事业管理]