论文部分内容阅读
为明确“总额预算+按服务单元付费”组合支付方式对实现医改突破的作用,研究依据支付方式的基本原理推导,并利用医疗卫生服务管理者、组织者、提供者和需方四方意向调查数据,分析论证了该组合支付方式下的6大预期效果:(1)消除看病贵感觉,百姓得到实惠;(2)完善医疗机构补偿机制;(3)消除药品产、销、购、用四方问题;(4)确保医疗费用与社会经济发展同步;(5)为医保收支平衡提供稳定的环境;(6)政府便于监管,易于操作。可以在短期内实现温总理提出的“让老百姓得到实惠,让医务人员受到鼓舞,让监管人员易于掌握”。虽然该组合支付方式也可能带来新问题,但是相对成效,这些问题微不足道并且可通过配套措施得以解决。
In order to clarify the role of the “total budget + pay by service unit” combination payment method to achieve breakthrough in medical reform, the research is based on the basic principles of payment methods and makes use of the medical and health service managers, organizers, providers and buyers’ Survey data, analysis and demonstration of the combined effect of the six expected results under the mode of payment: (1) to eliminate the feeling of the doctor, people get benefits; (2) improve the compensation mechanism of medical institutions; (3) eliminate the production, sale, purchase, use (4) to ensure that medical expenses are synchronized with socio-economic development; (5) to provide a stable environment for medical insurance balance of payments; and (6) to facilitate government regulation and ease of operation. In a short period of time can be achieved Premier Wen put forward “let the people get benefits, so that medical staff encouraged, so regulators easy to grasp ”. Although this combination of payment methods may also bring new problems, they are relatively effective and these problems are negligible and can be solved through matching measures.