现代医院管理
現代醫院管理
현대의원관리
MODERN HOSPITAL MANAGEMENT
2015年
2期
30-31,32
,共3页
医疗保险%总额预付%医疗机构%医院经营
醫療保險%總額預付%醫療機構%醫院經營
의료보험%총액예부%의료궤구%의원경영
medical insurance%overallp repaymen%tmedicalni stiut tion%hospital operation
当前医疗费用快速增长,患者“看病难、看病贵”的问题依然突出。为控制医疗费用,2012年起徐州市医疗保险结算实行医保总额预付,面对医保支付方式的变化,各医疗机构纷纷采取相应的应对措施应对医保支付方式变化带来的挑战。笔者就总额预付实施对医院的影响、医院运行出现的新变化进行阐述,并提出建议,以期为医院管理者和医保部门提供启示。
噹前醫療費用快速增長,患者“看病難、看病貴”的問題依然突齣。為控製醫療費用,2012年起徐州市醫療保險結算實行醫保總額預付,麵對醫保支付方式的變化,各醫療機構紛紛採取相應的應對措施應對醫保支付方式變化帶來的挑戰。筆者就總額預付實施對醫院的影響、醫院運行齣現的新變化進行闡述,併提齣建議,以期為醫院管理者和醫保部門提供啟示。
당전의료비용쾌속증장,환자“간병난、간병귀”적문제의연돌출。위공제의료비용,2012년기서주시의료보험결산실행의보총액예부,면대의보지부방식적변화,각의료궤구분분채취상응적응대조시응대의보지부방식변화대래적도전。필자취총액예부실시대의원적영향、의원운행출현적신변화진행천술,병제출건의,이기위의원관리자화의보부문제공계시。
Currently,expenses for medical treatment grow very fast na d the por blem of“di fficulty in seeing a doc-tor and costliness in seeking mde ical treatment” is still extruding.Since 2012,t o control medical xe pensse ,the overall pre-payment of medical insurance has been carried out in settling medical insurance in Xvzhou City.Facing the changes in pay-ing medical insurance,all medical institutions take corresponding methods to meet the challenge.The authors exponu d the influence of the overall prepayment on hospitals and the new changes in hospital operation,and put forward suggestions as revelation for hospital maan gemnet and medical insuranec department.