中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2014年
6期
37-39
,共3页
医保付费%总额控制%医保制度
醫保付費%總額控製%醫保製度
의보부비%총액공제%의보제도
medical insurance payment%total budget management%medical insurance system
本文回顾了上海医保付费制度改革历程，对推进医保总额预算管理、建立医保预付机制、探索多种医保支付方式等取得的主要成效和面临的发展形势进行了深入分析；并从完善医保付费管理体系、推进医保总额预算精细化管理、强化对医保费用支出的监管、探索适应医改发展要求的医保付费管理制度等方面，对医保付费制度改革的前景进行展望。
本文迴顧瞭上海醫保付費製度改革歷程，對推進醫保總額預算管理、建立醫保預付機製、探索多種醫保支付方式等取得的主要成效和麵臨的髮展形勢進行瞭深入分析；併從完善醫保付費管理體繫、推進醫保總額預算精細化管理、彊化對醫保費用支齣的鑑管、探索適應醫改髮展要求的醫保付費管理製度等方麵，對醫保付費製度改革的前景進行展望。
본문회고료상해의보부비제도개혁역정，대추진의보총액예산관리、건립의보예부궤제、탐색다충의보지부방식등취득적주요성효화면림적발전형세진행료심입분석；병종완선의보부비관리체계、추진의보총액예산정세화관리、강화대의보비용지출적감관、탐색괄응의개발전요구적의보부비관리제도등방면，대의보부비제도개혁적전경진행전망。
This paper reviewed the history of medical insurance payment system reform in Shanghai, analyzed the achievements and development situation in the promotion of the total budget management, the establishment of medical insurance payment mechanism and the exploration of different medical insurance payment methods. The author also prospect the medical insurance payment system reform in Shanghai from the perspectives of improving the management of medical insurance payment system, promoting the delicacy management of total health care budget, strengthening the supervision of medical care expense and making it suitable for the requirements of health care reform.
