| 引用本文：周学山,谢双保,吴建,等.医疗服务供方支付制度改革的挑战与建议[J].中国卫生政策研究,2012,5(6):26-29 |
|
| 医疗服务供方支付制度改革的挑战与建议 |
| 投稿时间：2012-03-11 修订日期：2012-05-22 PDF全文浏览 HTML全文浏览 |
| 周学山1, 谢双保1, 吴建2, 赵要军3, 张敏1 |
| 1.河南省卫生厅;2.郑州大学公共卫生学院;3.华中科技大学同济医学院医药卫生管理学院 |
| 摘要:简要回顾了我国医疗服务供方支付方式改革进展，分析了目前医疗服务支付体系面临的主要挑战，包括：医疗服务各方职责关系不明确、缺乏系统的质量标准和质量改进机制以及缺乏对供方的有效激励与引导等。指出单一的支付方式改革无法解决系统问题，必须通过开展系统、综合性改革才能在支付改革领域取得突破；建议推动经办机构成为战略服务购买者，通过需方筹资改善服务绩效，完善支付制度作为医疗保险战略采购政策工具的功能。 |
| 关键词:医疗服务 供方支付 挑战 政策建议 |
| 基金项目:河南省世行贷款和英国赠款中国农村卫生发展项目咨询课题（HN ZX 2009 5A 4） |
|
| Challenges and suggestions on reform of provider payment system of medical services |
|
|
| Abstract:This paper reviewed the progress and results of provider payment reform of medical service in China and analyzed the main challenges of payment system, including unclear role of various stakeholders in medical services, lack of quality standards and quality improvement mechanisms, insufficient incentive and guidance on the supply side. This paper clearly points out that reform on payment method alone cannot solve the systematic problems. Breakthroughs in the reform can only be achieved through systematic and overall reform. The paper also proposes encouraging health insurance agencies to become strategic purchasers of health services, improving service performance by demand side oriented financing, and improving payment system’s function as the policy tool of strategic purchase of medical services. |
| Key words:Medical services Supplier payment Challenges Policy suggestions |
| 摘要点击次数: 3364 全文下载次数: 2267 |
|
|
