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平台经济学视角下“互联网+”医保支付参与机制的探讨 被引量:7

Investigation on Participation Mechanism of “Internet+” Medical Insurance Reimbursement Based on the Platform Economics Perspective
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摘要 互联网支付的兴起带动了医疗领域移动支付的发展,医保直接结算的互联网化成为医院结算场景下的迫切需求。通过互联网手段实现医院费用与医保费用的快捷、移动支付,是新时期医保服务现代化的重要方向,对于提升医保支付效率,促进医保、医疗信息化协同发展具有重要意义。文章在分析国内主要"互联网+"医保支付四类模式的基础上,以平台经济学为理论基础,以互联网+医保支付为切入点探讨医、患、保三方参与"互联网+"医保支付的形成条件,为推动"互联网+"医保支付有效应用提出应用建议。 The rise of Internet payment has driven the development of mobile payment in healthcare environment,thus the internalization of direct reimbursement of medical insurance has become an urgent requirement in the hospital payment scenario.Realizing fast and mobile payment for hospital expenses and medical insurance reimbursement through Internet is an important direction for the modernization of medical insurance services in the new era.It has great significance for improving the efficiency of medical insurance management and promoting the coordinated development of medical insurance and medical information.Based on the analysis of the major models of "Internet+" medical insurance reimbursement in China,it uses platform economics as the theoretical basis and "Intemet+" medical insurance reimbursement as the starting point to discuss the formation of medical,patient and insurance parties to participate in the "Intemet+" medical insurance reimbursement,in order to promote the application of“Intemet+”medical insurance reimbursement model effective application.
作者 郭珉江 李亚子 张芳源 陆春吉 刘阳 GUO Min-jiang;LI Ya-zi;ZHANG Fang-yuan(Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing,100020,China)
出处 《中国卫生经济》 北大核心 2020年第1期30-33,共4页 Chinese Health Economics
基金 “协和青年科研基金资助”项目(2017330007)
关键词 互联网+ 医疗保险 平台经济学 Intemet+ medical insurance platform economy
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