河北联合大学学报(社会科学版)
河北聯閤大學學報(社會科學版)
하북연합대학학보(사회과학판)
Journal of Hebei Polytechnic University (Social Science Edition)
2014年
5期
58-61
,共4页
民营医院%医疗保险%对策建议
民營醫院%醫療保險%對策建議
민영의원%의료보험%대책건의
Private Hospital%Medical Insurance%Countermeasures and suggestions
截至2013年11月底,唐山市城镇基本医疗保险定点医疗机构共158家,其中民营定点医疗机构49家,所占比例高达31%,主要集中于一级及一级以下医院。通过对这些定点医疗机构进行现场核查并参考市医疗保险系统上传信息,可以看到,民营医院相对于公立医院,运营上仍存在一定的问题,个别医院为了摆脱经营困境、谋取高额经济利益,挂床住院、过度检查等现象依然存在。通过对这些问题进行分析,有针对性的提出建议对策,以更好地保证医保基金的有序、合理支出。
截至2013年11月底,唐山市城鎮基本醫療保險定點醫療機構共158傢,其中民營定點醫療機構49傢,所佔比例高達31%,主要集中于一級及一級以下醫院。通過對這些定點醫療機構進行現場覈查併參攷市醫療保險繫統上傳信息,可以看到,民營醫院相對于公立醫院,運營上仍存在一定的問題,箇彆醫院為瞭襬脫經營睏境、謀取高額經濟利益,掛床住院、過度檢查等現象依然存在。通過對這些問題進行分析,有針對性的提齣建議對策,以更好地保證醫保基金的有序、閤理支齣。
절지2013년11월저,당산시성진기본의료보험정점의료궤구공158가,기중민영정점의료궤구49가,소점비례고체31%,주요집중우일급급일급이하의원。통과대저사정점의료궤구진행현장핵사병삼고시의료보험계통상전신식,가이간도,민영의원상대우공립의원,운영상잉존재일정적문제,개별의원위료파탈경영곤경、모취고액경제이익,괘상주원、과도검사등현상의연존재。통과대저사문제진행분석,유침대성적제출건의대책,이경호지보증의보기금적유서、합리지출。
By the end of November , 2013 ,The number of the designated medical institutions in basic medical in-surance of Tangshan City is 158 , including 49 private medical institutions , the proportion is as high as 31%, Main-ly in first grade and the following one grade .Through site verification of the designated medical institutions and up-loading the information in medical insurance system of the city , We understand that , private hospital compared with public hospitals , some problems still exist in operation , Some hospitals in order to get out of the predicament , seek profits, set false beds in hospital , do excessive examination .Based on the analysis of these problems , put forward suggestions of countermeasures , in order to ensure the orderly ,reasonable expenses of the medical insurance fund .