[1]周杰华,孔旭辉,黄秀芹.总额预付制实施效果及院内控费措施研究[J].卫生经济研究,2019,(11):46-48.
　ZHOU Jie-hua,KONG Xu-hui,HUANG Xiu-qin.Study on the Implementation Effect of the Total Prepayment System and the In-house Fee Control Measures[J].Journal Press of Health Economics Research,2019,(11):46-48.
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总额预付制实施效果及院内控费措施研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2019年11期
页码:
46-48
栏目:
医保天地
出版日期:
2019-11-04

文章信息/Info

Title:
Study on the Implementation Effect of the Total Prepayment System and the In-house Fee Control Measures
作者:
周杰华1; 孔旭辉1; 黄秀芹1
1.江苏省泰州市人民医院，江苏 泰州 225300
Author(s):
ZHOU Jie-hua; KONG Xu-hui; HUANG Xiu-qin
Jiangsu Province Taizhou People's Hospital， Taizhou Jiangsu 225300，China
关键词:
总额预付制; 医保费用; 控费措施
Keywords:
total prepayment system; medical insurance costs; control measures
分类号:
R19
文献标志码:
A
摘要:
某医院实施总额预付制以来，总额预付指标额使用率不断提高并回归合理，总额预付对医疗费用控制和费用结构调整具有积极效果，次均住院费用、药占比有所下降；总额预付患者的获益人数逐年增多，报销比例稳步提升，且高于其他医保患者报销比例。可见，总额预付制平稳运行，初步实现了制度设计的预期目标。
Abstract:
Since the implementation of the total prepayment system in X hospital， the usage rate of the total amount of prepaid indicators has been continuously improved and returned to a reasonable level. The total advance payment has a positive effect on the control of medical expenses and the adjustment of the cost structure. The average hospitalization expenses and the proportion of medicines have decreased. The number of people benefiting has increased year by year， and the proportion of reimbursement has steadily increased， which is higher than the reimbursement rate of other medical insurance patients. It can be seen that the total prepayment system operates smoothly and initially realizes the expected goals of the system design.

参考文献/References:

[1] 杨洁,穆云庆,倪嘉.医保总额付费制度改革的几点思考[J].科技经济与管理科学,2018,26(15):189-191.
[2] 李小菊,毛璐,张梅,等.总额预付制改革对职工医保患者住院服务的影响分析[J].卫生经济研究,2018(11):46-49.
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[2]李小菊,毛 璐,张 梅,等.总额预付制改革对职工医保患者住院服务的影响分析[J].卫生经济研究,2018,(11):46.
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更新日期/Last Update: 2019-11-04