中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2015年
11期
54-56
,共3页
持续性改进%质量管理%效果
持續性改進%質量管理%效果
지속성개진%질량관리%효과
long-enduring improvement%quality management%effect
要有效控制医院医保总费用的增长，依靠医保政策的同时，关键是按照医院具体情况采取持续性改进管理措施。本文通过回顾性分析2013年至2014年措施改进前后的住院、门急诊次均费用和药品使用等情况，认为医院实施医保总量和质量相结合的系统管理，并对管理过程中遇到的问题进行持续性改进，取得较好成效。
要有效控製醫院醫保總費用的增長，依靠醫保政策的同時，關鍵是按照醫院具體情況採取持續性改進管理措施。本文通過迴顧性分析2013年至2014年措施改進前後的住院、門急診次均費用和藥品使用等情況，認為醫院實施醫保總量和質量相結閤的繫統管理，併對管理過程中遇到的問題進行持續性改進，取得較好成效。
요유효공제의원의보총비용적증장，의고의보정책적동시，관건시안조의원구체정황채취지속성개진관리조시。본문통과회고성분석2013년지2014년조시개진전후적주원、문급진차균비용화약품사용등정황，인위의원실시의보총량화질량상결합적계통관리，병대관리과정중우도적문제진행지속성개진，취득교호성효。
To effectively control the total costs growth of medical insurance, it not only depends on the medical insurance policy, but also on persistently improving management measures according to every hospital’s specific situation. After retrospectively analyzing the average costs of in-patients, out-patient and emergency department, and the situation of medicine usage before and after the implementation of this management measures during the year of 2013 to 2014, the author found that the systematic management of combining total health insurance cost with service quality and the persistently improving management measures when meeting problems have effectively controlled the total cost growth of medical insurance in hospitals.
