| 引用本文：张朝阳, 潘伟, 朱坤, 池延花.医保支付方式改革实践与启示——基于卫十一项目探索[J].中国卫生政策研究,2017,10(9):1-7 |
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| 医保支付方式改革实践与启示——基于卫十一项目探索 |
| 投稿时间：2016-12-21 修订日期：2017-02-21 PDF全文浏览 HTML全文浏览 |
| 张朝阳1, 潘伟1, 朱坤2, 池延花1 |
1. 国家卫生计生委项目资金监管服务中心 北京 100044;
2. 中国医学科学院医学信息研究所 北京 100020 |
| 摘要:医保支付方式改革是我国医疗卫生体制改革的重要内容。本文基于世行贷款/英国赠款中国农村卫生发展项目（卫十一项目）2009—2014年在8个省40个项目县所开展的医保支付方式改革相关研究与探索实践，通过回顾医保支付方式政策演变、系统总结项目地区所经历的“单一支付方式改革—混合支付方式改革—支付制度综合改革”过程，分析了支付方式改革的优劣势和作用。在此基础上，提出了我国深化医保支付方式综合协同发展的改革原则和可行的政策路径。 |
| 关键词:医疗保障 支付方式改革 卫十一项目 |
| 基金项目:世行贷款/英国赠款中国农村卫生发展项目（IBRD-75510TF-92893） |
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| Practice and implications of the medical insurance payment system reform: Exploration based on Health XI Project |
| ZHANG Zhao-yang1, PAN Wei1, ZHU Kun2, CHI Yan-hua1 |
1. Center for Project Supervision and Management, National Health and Family Planning Commission, Beijing 100044, China;
2. Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
| Abstract:Medical insurance payment reform is an important part of healthcare reform in China. Based on the practice and research of China Rural Health Project (hereinafter referred as “Health XI” Project) financed by World Bank (WB) and UK Department for International Development (DFID) implemented in 40 counties of 8 Chinese provinces between 2009 and 2014, this thesis analyses the principle and feasible policy route of medical payment reform for the country, by ways of reviewing the policy evolution, and summarizing the process of project pilot from single mode of payment-a simple mixed payment-to the comprehensive payment system reform and analyzing the advantages and disadvantages of medical insurance payment methods. |
| Key words:Medical insurance Payment reform Health XI Project |
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