CAJ | 학술논문

在世界医疗费用持续增长的情况下,英国医疗费用维持在一个较为平稳的水平,这与其支付体系构建有关.英国构建了独立的PCT,对医疗管理、对全科医生采取按人头支付的付费方式,选择了合适的支付范围,形成了清晰的支付流程,运用了科学的费用计算方法,完善了第三方监管系统.这些对我国医疗支付体系的构建和监管体系的完善有着借鉴意义.
재세계의료비용지속증장적정황하,영국의료비용유지재일개교위평은적수평,저여기지부체계구건유관.영국구건료독립적PCT,대의료관리、대전과의생채취안인두지부적부비방식,선택료합괄적지부범위,형성료청석적지부류정,운용료과학적비용계산방법,완선료제삼방감관계통.저사대아국의료지부체계적구건화감관체계적완선유착차감의의.
As the medical cost in the world increase persistently, England medical expenses stay in a relatively stable level, it is depend on a well established medical payment system. Firstly, England construct an independent primary clinical trust (PCT) to manage total medical expenses in a region so that the money can be used effectively. Secondly, England GPs are paced by capitation;Thirdly, the system have clearly payment process and appropriate medical coverage;Fourthly, NHS calculates medical cost in a very scientific way. And lastly, third-party media supervision in England is systematically. The experiences can be used in Chinese medical reformations in payment method, essential medicine list, negotiation mechanism and supervision system.