“互联网+”医疗服务纳入医疗保险支付的政策建议  

Policy suggestions on inclusion of“internet+”medical services into medical insurance payment

作　　者：崔文彬[1] 张焜琨 顾松涛 樊信武 寸待丽 胥婷 于广军[1] CUI Wenbin;ZHANG Kunkun;GU Songtao;FAN Xinwu;CUN Daili;XU Ting;YU Guangju(Shanghai Children Hospital,Shanghai Jiao Tong University,Shanghai 200062,China;School of Public Health 9 Shanghai Jiao Tong University,Shanghai 200025,China)

机构地区：[1]上海市儿童医院(上海交通大学附属儿童医院),上海200062 [2]上海交通大学公共卫生学院,上海200025

出　　处：《中国卫生资源》2020年第2期102-105,147,共5页Chinese Health Resources

基　　金：教育部哲学社会科学研究重大课题攻关项目(18JZD044);上海市医疗保险协会研究项目(YBXH-KT201901)。

摘　　要：分析介绍"互联网+"医疗服务的优势作用、发展历程、国际借鉴及纳入医疗保险支付的国内进展情况,并从项目清单、价格制定、支付方式、风险管控、配套措施五方面提出"互联网+"医疗服务纳入医疗保险支付的政策建议,为卫生健康和医疗保障相关部门加快推进"互联网+"医疗服务发展提供决策支持。The advantages,development processes and international references of"internet+"medical services and the domestic progresses of the incorporating"internet+"medical services into medical insurance payment are introduced.The policy suggestions of incorporating"internet+"medical services into medical insurance payment with regard to lists of items,price setting,payment methods,risk control and supporting measures are proposed,which provides decisionmaking supports for the expedite promotion of the development of"internet+"medical services by health and healthcare security departments.

关 键 词：“互联网+”医疗服务 医疗保险 价格制定 风险管控 支付方式 

分 类 号：R197.323[医药卫生—卫生事业管理] F840.684[医药卫生—公共卫生与预防医学]