社会保障研究
社會保障研究
사회보장연구
Social Security Studies
2015年
2期
48~53
,共null页
医院 医保管理 满意度分析 需求
醫院 醫保管理 滿意度分析 需求
의원 의보관리 만의도분석 수구
hospital; the management of medical insurance; satisfaction analyze; demand
全民医保背景下，如何通过完善医院医保管理来提升医保基金使用的质量和效率，是医保基金有效供给和费用控制中急需解决的现实问题。完善医院医保管理应以现状和需求为基础。本文以成都市温江区31家定点医院为样本，对各类医院的医保管理满意度进行了实地调查，得出整体满意度较高和各类医院间和不同指标间存在差异的结论。在此基础上，对参保人进行了医保管理政策认知和需求的调查，分析了参保人的政策认知程度和需求偏好，提出增强对基层医院的扶持、实施医疗保险政策有针对性的宣传、完善定点医疗机构的服务管理和加强对医疗服务机构的监管的建议。
全民醫保揹景下，如何通過完善醫院醫保管理來提升醫保基金使用的質量和效率，是醫保基金有效供給和費用控製中急需解決的現實問題。完善醫院醫保管理應以現狀和需求為基礎。本文以成都市溫江區31傢定點醫院為樣本，對各類醫院的醫保管理滿意度進行瞭實地調查，得齣整體滿意度較高和各類醫院間和不同指標間存在差異的結論。在此基礎上，對參保人進行瞭醫保管理政策認知和需求的調查，分析瞭參保人的政策認知程度和需求偏好，提齣增彊對基層醫院的扶持、實施醫療保險政策有針對性的宣傳、完善定點醫療機構的服務管理和加彊對醫療服務機構的鑑管的建議。
전민의보배경하，여하통과완선의원의보관리래제승의보기금사용적질량화효솔，시의보기금유효공급화비용공제중급수해결적현실문제。완선의원의보관리응이현상화수구위기출。본문이성도시온강구31가정점의원위양본，대각류의원적의보관리만의도진행료실지조사，득출정체만의도교고화각류의원간화불동지표간존재차이적결론。재차기출상，대삼보인진행료의보관리정책인지화수구적조사，분석료삼보인적정책인지정도화수구편호，제출증강대기층의원적부지、실시의료보험정책유침대성적선전、완선정점의료궤구적복무관리화가강대의료복무궤구적감관적건의。
What is urgently to be solved in effective supply and cost control of medical insurance funds is how to improve the quality and efficiency of medical insurance funds by way of perfecting the management of medical insurance in hospital under the background of universal medical insurance. It should be status and needs- based to improve the management of medical insurance in hospital. Using the data from 31 hospitals in Wen Jiang district of Cheng Du city,the paper described a attitude towards the management of medical insurance in various hospitals,obtained a conclusion higher satisfaction and differences in different type hospitals and indexes. On this basis,the paper surveyed policy cognition and demand of the management of medical insurance of ginseng protect people,analyzed cognitive deficiency and the differences of the needs of various people. Finally,the author put forward some concrete proposals to promote and improve the management of medical insurance in hospital base on the practical experiences.
