摘要
本文分析了新的医防合作模式下继续坚持"肺结核患者的不住院化疗"策略的必要性。从结核杆菌的持留性和控制传染源的角度分析,普通肺结核患者没有必要进行长期住院治疗。从患者、医保部门、定点医院三个利益相关方分析,不住院化疗能有效减轻患者诊疗负担、降低医保基金风险、优化定点医院诊疗资源配置。有效实施"肺结核患者的不住院化疗"策略需要调整定点医院住院诊疗资源配置,强化患者的全程管理,改变医保费用支付方式,促进医院主动转型。
In this paper, we analyzed the necessity of continuing to adhere to the strategy of tuberculosis without hospitaliza- on the New medical anti-cooperation model. From the point of view of retention of Mycobacterium tuberculosis and controlling the infection source, there was no need for long-term hospitalization. Analysis of the interests of the patients, the medical security institution and the designated hospitals, it could effectively ease the burden of patients, reduce the risk of medical insurance funds and optimize the allocation of medical resources in designated hospitals under the condition without hospitalization. Effective implementation of tuberculosis without hospitalization strategy, it need to adjust the allocation of medical resources in designated hospitals, strengthen the management of patients, change the mode of medical insurance payment to promote active transformation ofdesignated hospitals.
出处
《中国公共卫生管理》
2017年第2期196-198,共3页
Chinese Journal of Public Health Management
关键词
肺结核
医防合作
不住院化疗
策略
tuberculosis
medical and preventive medicine cooperation
non-hospitalization chemotherapy
stralegy
