| 引用本文：姬小荣,王禄生,李润萍.云南省禄丰县新型农村合作医疗门诊总额预付制度研究[J].中国卫生政策研究,2011,4(2):27-33 |
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| 云南省禄丰县新型农村合作医疗门诊总额预付制度研究 |
| 投稿时间：2010-05-28 修订日期：2010-07-11 PDF全文浏览 HTML全文浏览 |
| 姬小荣1, 王禄生1, 李润萍2 |
| 1.卫生部卫生发展研究中心;2.云南省禄丰县新型农村合作医疗管理办公室 |
| 摘要:目的：通过支付方式改革，探索医疗机构的风险共担机制和自我约束机制。方法：对云南省禄丰县进行案例研究。结果：开展门诊总额预付制度改革试点以来，禄丰门诊费用的上涨趋势得到了有效控制，医生的处方行为也得到了明显改善，真正建立起了医疗机构的风险共担机制和自我约束机制。结论：实施门诊总额预付制度，需要以补偿水平的合理确定、各乡镇门诊包干资金总额的科学测算、严格的考核和实施制度的建立为基础。 |
| 关键词:新型农村合作医疗 门诊 总额预付制度 风险共担 自我约束机制 |
| 基金项目:世行贷款/英国赠款中国农村卫生项目资助项目（卫XI C2009 17A 2） |
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| The outpatient prepaying system of total amount in New Rural Cooperative Medical Scheme in Lufeng County Yunnan Province |
| JI Xiao-rong1, WANG Lu-sheng1, LI Run-ping2 |
| 1.China National Health Development Research Center;2.Lufeng New Rural Cooperative Medical Service Mamagement office of Yunnan Province |
| Abstract:Objective: To explore the risk sharing and self controlled system of medical institutions through the payment reform. Method: Case study is analyzed to Lufeng County in Yunnan Province. Results: After the reform of outpatient prepaying system of total amount in Lufeng County, the growth of the clinic cost has slow down, and the doctors’ prescription behavior has been improved, in the meantime, the risk sharing and self controlled system has been settled. Conclusion: The implementation of outpatient prepaying system of total amount is based on reasonable determination of compensation level, scientific measurement of each town’s total amount, establishment of strict assessment and implementation system. |
| Key words:New Rural Cooperative Medical Scheme Outpatient Prepaying system of total amount Risk sharing Self controlled system |
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