[1]伍 琳,陈永法.医保支付激励整合医疗服务的逻辑与实现路径[J].卫生经济研究,2022,39(1):31-35,39.
　WU Lin,CHEN Yong-fa.The Logic and Pathway of Medical Insurance Payment Incentivizing Integrated Medical Service[J].Journal Press of Health Economics Research,2022,39(1):31-35,39.
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医保支付激励整合医疗服务的逻辑与实现路径
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年1期
页码:
31-35,39
栏目:
筹资与支付
出版日期:
2022-01-07

文章信息/Info

Title:
The Logic and Pathway of Medical Insurance Payment Incentivizing Integrated Medical Service
作者:
伍 琳1; 陈永法1
1.中国药科大学国际医药商学院，江苏 南京 211198
Author(s):
WU Lin;  CHEN Yong-fa
School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing Jiangsu 211198, China
关键词:
医保支付; 整合医疗服务; 经济激励; 供方合作; 混合支付
Keywords:
medical insurance payment;  integrated medical services;  economic incentive;  supplier cooperation;  mixed payments
分类号:
R197
文献标志码:
A
摘要:
近年来，欧洲国家广泛实施的按协调付费、按绩效付费和捆绑付费等支付机制，在促进供方合作、提供高质量和连续性服务等方面有积极作用。在我国，按项目付费为主的医保支付机制尚未完全改变，支持整合医疗服务的政策环境也不成熟，需要加快推进混合预付制改革，强化医保支付的经济激励功能，建立联通共享的患者信息数据库，完善整合医疗服务的政策环境，充分发挥医保支付激励整合医疗服务的效能。
Abstract:
In recent years, European countries have widely implemented several payment schemes such as pay-for-coordination, pay-for-performance, and bundled payment. These schemes have played a positive role in promoting supplier cooperation and providing high-quality and continuous services. In our country, fee-for-service payment has not yet been completely changed, and the policy environment to support integrated medical services is not mature. It is necessary to accelerate the reform of mixed prospective payment, strengthen the economic incentive function of medical insurance payment, establish interconnected and shared patient information database, and improve the policy environment for integrated medical services, so that the incentive effect of medical insurance payment on integrated medical services can be fully utilized.

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更新日期/Last Update: 2022-01-07