澳大利亚政府对公立医院的以活动为基础的筹资付费方式与启示  

Enlightenment of Australian government′s activity based funding payment mode to public hospitals

作　　者：申鑫 姜恒 冯晶[1] 甘勇[1] 卢祖洵[1] Shen Xin;Jiang Heng;Feng Jing;Gan Yong;Lu Zuxun(School of Public Health,Huazhong University of Science and Technology,Wuhan 430030,China;School of Psychology and Public Health,La Trobe University,Melbourne,Victoria VIC 3000,Australia)

机构地区：[1]华中科技大学同济医学院公共卫生学院,武汉430030 [2]拉筹伯大学心理与公共卫生学院,澳大利亚墨尔本VIC 3000

出　　处：《中华医院管理杂志》2021年第1期78-81,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71804049);中央高校基本科研业务费资助项目(HUST,2020kfyXJJS059)。

摘　　要：基于卫生制度改革的需要,澳大利亚在全国范围内推行以活动为基础的筹资(activity based funding,ABF)付费方式,并于2011年设立独立医院定价管理局作为具体执行机构。ABF付费方式的主要内容包括医疗服务定价、医疗服务分类、临床数据收集和服务成本核算。该方式对我国公立医院资金拨付过程中的支付方式顶层设计、医疗服务分类系统完善、医疗服务项目及价格动态调整、信息化和信息标准化建设等,有一定借鉴意义。Based on the needs of healthcare system reform,Australia has implemented activity based funding(ABF)payment mode nationwide,and established the Independent Hospital Pricing Authority as the specific implementation agency in 2011.The main responsibilities and functions of the ABF payment mode covers pricing of medical services,classification of healthcare services,collection of clinical data and cost accounting of healthcare services.ABF payment mode presents outstanding advantages in promoting the capacity of healthcare service,maintaining fairness of healthcare service supplies and carrying out cooperation across different institutions.These efforts provide important references for China in its top-level design of payment method,pilot project of classification system,medical service items and price dynamic adjustment,informationization and information standardization construction among public hospitals.

关 键 词：支付标准制定和审核 澳大利亚 以活动为基础的筹资 医疗服务分类 

分 类 号：R199[医药卫生—卫生事业管理]