摘要
医疗保险支付方式是医疗保险制度的核心内容之一,它涉及医、患、保三方,是医疗保险过程中涉及各方经济利益的最直接、最敏感的环节。随着医疗保险制度的普及、医疗费用的快速增长,改革医疗保险支付方式已势在必行。疾病诊断相关组预付法是医疗保险支付方式改革的趋势,其实施将对医院的经营管理有重大影响,涉及到医院管理的重点、医保支付相关科室的结构与职能的调整以及相关人员的培训等方面。
Medical insurance payment mechanism is one of the core of the medical insurance system,which involves doctors,patients and insurance.It is the most immediate and sensitive point involving every party＇s economic benefit.With the expansion of health insurance coverage,medical expenditures are growing rapidly,and it is imperative to reform health insurance payment mechanism.Diagnosis related group medical insurance prepaid payment method is the trend of reform.The reform will have a significant impact on hospital management,involving hospital management strategies,adjustment of functions and sections related to insurance payment,related staff training and so on.
出处
《中国医院管理》
2011年第7期52-54,共3页
Chinese Hospital Management
关键词
医疗保险
支付方式
医院管理
medical insurance
payment mechanism
hospital management
