中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2014年
4期
37-39
,共3页
支付制度改革%病种分值结算%预算管理%激励约束
支付製度改革%病種分值結算%預算管理%激勵約束
지부제도개혁%병충분치결산%예산관리%격려약속
reform of payment system%disease-scored payment%budget management%inspiration and restriction
把握医患保三方利益均衡的平衡点，既能保证医保基金预算科学编制和顺畅执行，又可营造医疗机构公平竞争的环境，对医疗服务行为形成激励约束，妥善处理医疗费用严重偏离均值的情况，在支付制度设计上着力维护了参保患者的利益。
把握醫患保三方利益均衡的平衡點，既能保證醫保基金預算科學編製和順暢執行，又可營造醫療機構公平競爭的環境，對醫療服務行為形成激勵約束，妥善處理醫療費用嚴重偏離均值的情況，在支付製度設計上著力維護瞭參保患者的利益。
파악의환보삼방이익균형적평형점，기능보증의보기금예산과학편제화순창집행，우가영조의료궤구공평경쟁적배경，대의료복무행위형성격려약속，타선처리의료비용엄중편리균치적정황，재지부제도설계상착력유호료삼보환자적이익。
To balance the interests of hospitals, patients and institution of basic medical insurance system, a new approach is created not only to guarantee that the social medical insurance fund budget can be scientifically prepared and smoothly implemented, but also to create a fair competitive environment for medical institutions, to encourage medical services, to deal with the situation when medical costs has serious deviation from the average value and to maintain the interests of insured patients through the design of payment system.
