论文部分内容阅读
目的:基于保险视角,结合按病种定额付费思想,通过改变住院分娩费用支付方式,影响医疗服务供需双方行为,进而实现有效控制剖宫产率的目的。方法:通过理论研究与试点实践,检验干预思路与方法的可行性和可操作性。结果:与对照地区相比,试点地区农村产妇剖宫产率呈下降趋势,定点医疗机构服务提供行为发生了明显改变。结论:试点结果表明,此干预方法是科学的、有效的,可作为剖宫产率控制方法之一,可以与其他措施配套使用。
OBJECTIVE: To improve the control of cesarean section rate by changing the payment method of hospital delivery in combination with the idea of fixed payment according to the type of insurance and the behavior of supply and demand of medical services. Methods: Through theoretical research and pilot practice, to test the feasibility and operability of intervention ideas and methods. Results: Compared with the control area, the cesarean section rate of rural males in the pilot areas showed a downward trend, and the service delivery of designated medical institutions changed significantly. Conclusion: The pilot results show that this intervention method is scientific and effective and can be used as one of the methods for controlling cesarean section rate. It can be used in combination with other measures.