CAJ | 학술논문

次均费用反映了当今社会普遍关注的看病贵难题，体现医疗保险制度效率。次均费用受多种因素影响，经济、人口结构和质量、医药卫生体制和新诊疗技术的使用是主要影响因素。增加过度治疗的机会成本，当边际成本超过边际收益时定点机构才会加强自律，规范治疗。引导就医流向可以降低来自参保人行为导致的费用增长。医保管理者在控制次均费用增长问题上责任重大，并大有作为。实行按病种支付、对三级医院重点检查、增加平均住院日指标、规定大型设备阳性检查率、充分利用信息平台加强管理等有利于控制次均费用不合理增长。
차균비용반영료당금사회보편관주적간병귀난제，체현의료보험제도효솔。차균비용수다충인소영향，경제、인구결구화질량、의약위생체제화신진료기술적사용시주요영향인소。증가과도치료적궤회성본，당변제성본초과변제수익시정점궤구재회가강자률，규범치료。인도취의류향가이강저래자삼보인행위도치적비용증장。의보관리자재공제차균비용증장문제상책임중대，병대유작위。실행안병충지부、대삼급의원중점검사、증가평균주원일지표、규정대형설비양성검사솔、충분이용신식평태가강관리등유리우공제차균비용불합리증장。
Both times the cost reflects the expensive problem of common concern in today’s society, reflecting the efficiency of the health care system of insurance. Times are affected by many factors cost, the use of economic, demographic and quality of medical and health system, and new medical technology is a major factor. Increase the opportunity cost of overtreatment, when the marginal cost exceeds the marginal revenue designated institutions will strengthen self-discipline, standardize treatment. Guide the flow can reduce the cost of medical treatment resulting from the growth behavior of the insured person. Medicare administrators to control both times on the issue of cost increases responsibility and accomplish much. Implemented by the kinds of paid sick for three hospitals focus on examination, increase in the average length of stay targets, requiring large equipment positive test rate, full use of the information platform to strengthen management will help control costs are unreasonable times growth.