[1]吴建)△,周学山),谢双保).县级医院开展综合支付制度改革的创新模式*[J].郑州大学学报(医学版),2011,(06):926.
 WU Jian,ZHOU Xueshan,XIE Shuangbao).Innovative model of comprehensive payment system reform at countylevel hospitals in Henan province[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2011,(06):926.
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县级医院开展综合支付制度改革的创新模式*
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2011年06期
页码:
926
栏目:
研究快报
出版日期:
2011-11-20

文章信息/Info

Title:
Innovative model of comprehensive payment system reform at countylevel hospitals in Henan province
作者:
吴建1)周学山2)谢双保2)
1)郑州大学公共卫生学院社会医学与卫生事业管理学教研室 郑州 450001 2)河南省卫生厅 郑州 450003
Author(s):
WU Jian1)ZHOU Xueshan2)XIE Shuangbao2)
1)Department of Social Medicine and Health Management,College of Public Health,Zhengzhou University,Zhengzhou 450001 2)Henan Provincial Health Bureau, Zhengzhou 450003
关键词:
县级医院支付制度创新模式
Keywords:
countylevel hospital payment system innovationmodel
分类号:
R197
摘要:
目的:介绍河南省在“世行贷款/英国赠款中国农村卫生发展项目(卫Ⅺ项目)”支持下,在县级医院开展基本医疗服务综合支付制度改革试点的创新做法及初步实施效果。方法:通过深度访谈了解制度设计,机构调查收集试点医疗机构服务量、质量及费用等数据,采用时间序列分析法进行分析。结果:该改革模式创造性提出了“四位一体”的县级医院支付制度综合改革新框架,并在部分卫Ⅺ项目县县级医院开展了实践应用,效果明显。结论:该模式的提出和应用为当前深化医药卫生体制改革提出的完善公立医院支付制度改革、推进县级医院综合改革提供了一个良好的思路和案例。
Abstract:
Aim:To introduce the innovative model of comprehensive payment system reform at countylevel hospitals conducted by Henan province, which is supported by “China Rural Development Project(Health Ⅺ Project)”,and also to better understand the initial effect of the reform.Methods:Through the depth interview to understand system design, through the organization investigation to collect quantity, quality,and cost data from pilot hospitals,using time series method for analysis.Results:The innovative model raised creatively the “Quaternity” framework for county hospital payment system reform. This new reform had been implemented in countylevel hospitals in some of “Health Ⅺ Project” counties in Henan province, which had made outstanding achievements.Conclusion:The model is proposed to be a very good idea and case for the public hospital reform, which is one of five priorities of national health system reform.

参考文献/References:

[1]陈伟. 医疗保险机构与定点医院的混合博弈[J].管理科学文摘, 2004(5):34 [2]阮翔. 国外医疗保险制度中的供方控制措施及借鉴[J].消费导刊, 2007(12):19

备注/Memo

备注/Memo:
*河南省卫生厅世行贷款/英国赠款中国农村卫生发展项目咨询课题资助项目HNZX20095A4 △男,1974年6月生,博士,讲师,研究方向:卫生政策与管理;Email:jianwu17@163.com
更新日期/Last Update: 1900-01-01