湖北省14所医院医疗费用控制实践与思考  

Practice and reflection on medical cost control for 14 hospitals in Hubei province

作　　者：危莉[1] 胡豫[1] 张明[1] 丁宁[1] 戴丹云[1] 陈稳[1] 许栋[1] Wei Li;Hu Yu;Zhang Ming;Ding Ning;Dai Danyun;Chen Wen;Xu Dong(Administrative Office of Wuhan Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院院长办公室,武汉430022

出　　处：《中华医院管理杂志》2018年第9期714-716,共3页Chinese Journal of Hospital Administration

基　　金：湖北省科技厅项目（2016ADC050）;湖北省卫生计生委面上项目（2017M109）

摘　　要：简述了湖北省14所部省属医院在医疗费用控制工作中的多项举措，其通过统筹谋划与分类施策相结合、总量控制与结构调整相结合、外部治理与内部管理相结合、系统治理与难点突破相结合，有效控制了医院医疗费用的不合理增长。建议不断完善财政补偿机制、继续推进医保支付方式改革、持续开展医疗费用监测和公示，进一步夯实控费成效。This paper described the practice of medical cost control in Hubei＇s provincial stateowned hospitals. Their measures taken include combinations of overall planning and classification, total volume control and structural adjustment, external governance and internal management, as well as systematical management and difficulties breakthroughs. This paper proposed to further consolidate the outcomes of the abovementioned efforts by improving the fiscal compensation mechanism, furthering medical insurance payment reform, and continuing to monitor and publicize the medical expenses.

关 键 词：医院管理 医疗费用 控制 湖北省 

分 类 号：R197.3[医药卫生—卫生事业管理]