CAJ | 학술논문

为积极探索医疗服务付费改革,对既往单病种费用限额收费工作推进效果不理想的主要原因进行分析,通过引入第三方议价、全成本核算以及以工作量为基础的绩效考核分配等机制创新措施,实现了74种门诊慢病、18种住院大病的按病种定额付费结算模式,取得了良好效果.医疗服务付费改革本质上是管理革新,必须是个综合协调推进的过程,机制创新对于推进改革是必要条件.
위적겁탐색의료복무부비개혁,대기왕단병충비용한액수비공작추진효과불이상적주요원인진행분석,통과인입제삼방의개、전성본핵산이급이공작량위기출적적효고핵분배등궤제창신조시,실현료74충문진만병、18충주원대병적안병충정액부비결산모식,취득료량호효과.의료복무부비개혁본질상시관리혁신,필수시개종합협조추진적과정,궤제창신대우추진개혁시필요조건.
Analyzes unsatisfactory main cause of charge working in past single disease sort costs in order to explore medial service reform. Through introducing the innovation measures such as the third party bargaining, total cost accounting and performance assessment allocation based on workload. It carries out quota pay model of 74 kinds of chronic and 18 kinds of hospitalization major diseases, gets achieved desirable results. Medical service pay reform is essentially a management innovation. It is the process of comprehensive coordination. Mechanism innovation is the necessary condition for promoting reform.