医保总额预付制对公立医院产生的宏观影响  

Macro effect of global budget payment on public hospitals

作　　者：严琴[1] 马利[1] 彭云红[1] 余玉善 YAN Qin;MA Li;PENG Yun - hong;YU Yu - shan(The First Affiliated Hospital of the Medical College, Shihezi University, Shihezi, Xinjiang 832008, Chin)

机构地区：[1]石河子大学医学院第一附属医院,新疆石河子832008 [2]石河子大学医学院预防医学系,新疆石河子832008

出　　处：《现代预防医学》2018年第11期1996-1997,2008,共3页Modern Preventive Medicine

摘　　要：支付方式改革一直是我国医疗卫生体制改革的重要内容。医保总额预付制这一付费方式打破了以往医疗机构相对垄断的局面,主动参与控费;在遏制医疗费用增长,规范医疗行为,确保基金收支平衡等方面也发挥了很大作用。但制度实施以来也逐渐暴露出此支付方式给公立医院带来的不利影响,本文从宏观层面深度剖析并提出对策,使付费政策更加科学、合理、可行。Payment reform is always an important content of medical and health system reform in China. The global budget scheme has broken the relative monopoly of medical institutions over the past years and forced them to participate in cost control. It plays a key role in curbing the increase in medical costs, in regulating medical behavior and in ensuring the balance of funds payments. But the implementation of the system has also exposed the adverse effects on public hospitals gradually. This paper analyzes the situation and puts forward countermeasures through a macro perspective, so as to make the payment policy more scientific, reasonable and feasible.

关 键 词：总额预付制 公立医院 宏观影响 

分 类 号：R194[医药卫生—卫生事业管理]