医学与社会
醫學與社會
의학여사회
MEDICINE AND SOCIETY
2015年
8期
37-39
,共3页
合作医疗%医保费用%医疗服务%监管
閤作醫療%醫保費用%醫療服務%鑑管
합작의료%의보비용%의료복무%감관
Cooperative Medical System%Medical Insurance Cost%Health Service%Supervision
2003年以来，山东省新型农村合作医疗取得了很大成就，但仍存在一些深层次的问题：碎片化的制度设计损害了医保公平和效率，医保统筹层次低、医保超支严重、经办机构服务能力低、医疗行为不规范、医疗服务质量有待提升等影响了医保效果。应该通过城乡医保一体化、建立控制医疗费用干预机制、加强经办机构资源能力建设、加强监督和管理、改善农村卫生服务质量等多种政策和措施来促进这一制度健康发展。
2003年以來，山東省新型農村閤作醫療取得瞭很大成就，但仍存在一些深層次的問題：碎片化的製度設計損害瞭醫保公平和效率，醫保統籌層次低、醫保超支嚴重、經辦機構服務能力低、醫療行為不規範、醫療服務質量有待提升等影響瞭醫保效果。應該通過城鄉醫保一體化、建立控製醫療費用榦預機製、加彊經辦機構資源能力建設、加彊鑑督和管理、改善農村衛生服務質量等多種政策和措施來促進這一製度健康髮展。
2003년이래，산동성신형농촌합작의료취득료흔대성취，단잉존재일사심층차적문제：쇄편화적제도설계손해료의보공평화효솔，의보통주층차저、의보초지엄중、경판궤구복무능력저、의료행위불규범、의료복무질량유대제승등영향료의보효과。응해통과성향의보일체화、건립공제의료비용간예궤제、가강경판궤구자원능력건설、가강감독화관리、개선농촌위생복무질량등다충정책화조시래촉진저일제도건강발전。
Though the new rural cooperative health system in Shandong Province has achieved a lot since 2003, there are still some issues of this system, such as the segmentation of system design, low level of uniform arrangement, serious over cost, low ability of running agencies, non-standard medical behavior and pending improvement of medical service quality.In order to make it develop smoothly, the government should set up a system of urban-rural integration, control the medical expenses, strengthen the construction of agency and resource capacity, strengthen the supervision and administration and improve the quality of rural health service.
