英国以支付方式改革推动医疗卫生精细化管理的经验与启示  

UK′s experiences and inspirations in application of refined management in healthcare sector via payment reform

作　　者：吕兰婷 刘文凤 Lyu Lanting;Liu Wenfeng(Health Technology Assessment and Policy Evaluation Group,School of Public Administration and Policy,Renmin University of China,Beijing 100872,China)

机构地区：[1]中国人民大学卫生技术评估与医药政策研究中心,北京100872

出　　处：《中华医院管理杂志》2020年第11期966-968,共3页Chinese Journal of Hospital Administration

基　　金：中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助项目)(20XNA004)。

摘　　要：英国自2014年开始对其国家卫生体系(NHS)进行了新一轮更注重资源下沉到社区的医疗领域改革,且对其各类创新诊疗模式探索配套了不同的支付方式改革,以推动更加精细化的管理,保证医疗卫生领域各项改革的顺利开展。作者介绍了英国支付方式改革的历史演进与最新动态,对基层诊所主要支付方式,即基础医疗服务合同质量与结果框架的审查与更新进行了重点分析,以期为我国医疗卫生领域的支付方式改革提供有益借鉴。UK has initiated since 2014 a new round of healthcare reform of its National Healthcare System(NHS),featuring more resources to the primary level,and made supportive reform method reforms for a variety of innovative mods of diagnosis and treatment.These efforts aim at promoting further refined management and ensure smooth progress of healthcare sector reforms.The authors introduced the historical evolution and latest trends of payment methods reform in the UK,and analyzed the review and update of the Quality and Outcomes Framework of basic medical service contracts for GP practices,which can hopefully provide useful references for the reform of payment methods in China.

关 键 词：卫生服务体系 医疗保险 支付方式 精细化管理 英国 

分 类 号：R197.1[医药卫生—卫生事业管理]