中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2015年
10期
11-14
,共4页
分级诊疗%自由执业%医疗保险
分級診療%自由執業%醫療保險
분급진료%자유집업%의료보험
classified diagnosis and treatment%private health care%medical insurance
本文认为,分级诊疗不是一项单独的制度,而是良好的医疗制度运行的结果,是医疗服务体系的一种良性状态,是医疗服务在功能上的连续.其前提是有一个医师资源合理分级配置的状态,要以良好的医师管理制度和医疗机构开业制度为基础.对此,医保应该着眼于可持续,强化管理,尽量减少基金和患者费用的损失,强力逼迫医疗管理体制改革回到正确的方向.
本文認為,分級診療不是一項單獨的製度,而是良好的醫療製度運行的結果,是醫療服務體繫的一種良性狀態,是醫療服務在功能上的連續.其前提是有一箇醫師資源閤理分級配置的狀態,要以良好的醫師管理製度和醫療機構開業製度為基礎.對此,醫保應該著眼于可持續,彊化管理,儘量減少基金和患者費用的損失,彊力逼迫醫療管理體製改革迴到正確的方嚮.
본문인위,분급진료불시일항단독적제도,이시량호적의료제도운행적결과,시의료복무체계적일충량성상태,시의료복무재공능상적련속.기전제시유일개의사자원합리분급배치적상태,요이량호적의사관리제도화의료궤구개업제도위기출.대차,의보응해착안우가지속,강화관리,진량감소기금화환자비용적손실,강력핍박의료관리체제개혁회도정학적방향.
The classified diagnosis and treatment is not single a system, but a good operating effect of medical service and a succession of medical service function. To achieve this goal, a rational classified allocation of doctor resource is required, and a favorable doctor management system and private health care practice should be taken as the basis. For this, health insurance system should focus on its sustainability, intensify management, minimize cost from insurance fund and patients as much as possible, and push the reform of medical management system back to a correct direction.
