为控制门诊及住院费用不合理增长,提高参合居民受益和补偿水平,溧阳市充分利用“世行贷款/英国政府赠款江苏农村卫生发展项目”机遇,从2009年开始将新农合支付方式改革引入项目活动内容。最初进行门诊统筹管理和门诊总额预付,随后实施住院单病种定额结算,后又实行住院按床日付费等支付方式改革。近年来,采取混合支付方式改革,以期达到支付方式改革机构和病种全覆盖,定点医疗机构费用控制意识增强,努力实现“参合农民得实惠,医疗机 In order to control the unreasonable increase of outpatient and inpatient expenses and increase the participation and compensation level of residents, Liyang City fully utilized the opportunity of ”World Bank Loan / Grant from UK Government Rural Health Development Project in Jiangsu Province“ to start payment of NCMS from 2009 Reform introduced the project activity content. Initially outpatient co-ordination and out-patient management of the total prepaid, and then the implementation of fixed-rate hospitalization of settlements, and then the implementation of hospitalized by bed and other payment methods such as payment reform. In recent years, the reform of hybrid payment methods, with a view to reaching the reform of payment methods and the full coverage of diseases, fixed-point medical institutions to increase awareness of cost control, and strive to achieve ”affordable farmers, medical machines