摘要
金华市自2016年7月1日起在市区7家主要医疗机构实施"病组点数法"多元复合式医保支付方式改革,取得了显著成效,医疗机构质控管理绩效全面提升,群众就医保障获得感有效提升,医保精准治理能力大幅提升,分级诊疗工作有效推进,达到了精控基金、精准付费、精细管理的改革目标。第三方评估认为,金华的病组点数法医保付费改革,符合国务院办公厅《关于进一步深化基本医疗保险支付方式改革的指导意见》的改革方向,可在本市全面推开,值得其他城市和地区借鉴。
Since July 1,2016,7 major medical institutions in Jinhua have implemented the reform of multiple compound medical insurance payment by the"DRGs-based point count system".The measures have achieved notable results.The performance of quality control management in medical institutions has been improved.The sense of medical insurance of the patiences has been eff ectively promoted,the precision governance ability of medical insurance has been greatly improved,and the medical reform classifi cation and diagnosis work has been eff ectively promoted.The reform has achieved the goal.It is suitable for the whole city of Jinhua to be pushed open in an all-round way,and it is worth learning from other cities and regions.
作者
邵宁军
严欣
Shao Ningjun;Yan Xin(Social Insurance Administration Bureau of Jinhua,Jinhua,321000)
出处
《中国医疗保险》
2018年第4期41-43,共3页
China Health Insurance
关键词
疾病组
点数法
复合式
总额预算
做法
成效
金华
DRG
point number method
combined type
total budget
practice
effect
Jinhua
