[1]顾雪非,刘小青.从数量到价值：医保支付如何驱动医疗卫生体系整合[J].卫生经济研究,2020,(01):7-10.
　GU Xue-fei,LIU Xiao-qing.From Quantity to Value: How Does Health Insurance Payment Drive the Integration of the Healthcare System?[J].Journal Press of Health Economics Research,2020,(01):7-10.
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从数量到价值：医保支付如何驱动医疗卫生体系整合
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年01期
页码:
7-10
栏目:
本刊特稿
出版日期:
2020-01-06

文章信息/Info

Title:
From Quantity to Value: How Does Health Insurance Payment Drive the Integration of the Healthcare System?
作者:
顾雪非1; 刘小青2
1.国家卫生健康委卫生发展研究中心，北京 100044
2.天津财经大学财税与公共管理学院，天津 300222
Author(s):
GU Xue-fei; LIU Xiao-qing
Health Development Research Center of National Health Commission，Beijing 100044，China
关键词:
价值; 支付方式; 医疗保险; 整合型医疗卫生服务; 健康中国
Keywords:
value; payment methods; medical insurance; integrated health care; Healthy China
分类号:
R19
文献标志码:
A
摘要:
从以数量为基础，到以价值为导向，是医保支付改革的趋势。在“健康中国”大背景下，我国医保支付方式改革应开启以公共利益为先的合作共赢模式，从注重费用控制到关注医疗质量和人群健康，从关注单个医疗机构到关注对整个医疗卫生体系的影响。在已有支付方式改革的基础上，引入按绩效付费、捆绑付费、以人群为基础的付费等新型医保支付方式，驱动整合型医疗卫生服务体系的构建。
Abstract:
From quantity-based to value-oriented，it is the trend of medical insurance payment reform. In the context of “Healthy China”，the reform of China's medical insurance payment method should open a win-win cooperation model that takes the public interest as the first priority，from focusing on cost control to medical quality and population health，from focusing on single medical institution to the impacts of whole healthcare system. Based on the reform of existing payment methods，new medical insurance payment methods such as pay for performance（P4P），bundled payment，and population-based payment should be introduced to drive the construction of an integrated medical and health service system.

参考文献/References:

[1] 顾雪非,向国春,刘小青,等.支付方式改革推动医疗机构转变运行机制的作用和条件分析[J].中国医疗保险,2018(4):22-26.
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[7] 王思敏,徐伟,崔子丹,等.价值医疗导向的医保支付方式初探——以中美典型按价值付费项目为例[J].卫生经济研究,2019,36(2):9-12.
[8] OECD (2016).Better Ways to Pay for Health Care[EB/OL].OECD Health Policy Studies, OECD Publishing, Paris.https://doi.org/10.1787/9789264258211-en.
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更新日期/Last Update: 2020-01-06