第三方购买机制、医疗费用控制与新型农村合作医疗的可持续发展——以云南省玉龙县为例

Third-part Purchasing,Cost Containment and the Sustainable Development of the New Rural Cooperative Medical System——A Case Study of Yulong County of Yunnan Province

新型农村合作医疗能否取得可持续性发展,在很大程度上取决于农村医疗服务费用的上涨是否得到控制。建立第三方购买机制,加强对医疗机构服务的审核和监督,有利于控制医疗费用增长,引导医疗机构的服务行为,但是,新型农村合作医疗在政策实施中并没有充分发挥第三方购买者的职能。以云南省玉龙县新型农村合作医疗为例,重点分析县乡两级医疗机构的收入来源结构,以说明这一问题。

The sustainable development of the New Rural Cooperative Medical System （NRCMS） mainly depends on the containment of medical service costs in rural areas. The thlrd-part purchasing mechanism is conducive to the supervision of medical services and the reduction of distorted service behaviors. However, the NRCMS scheme does not fulfill the function of the third-part purchaser in policy implementation. This paper describes the problem through a case study of Yulong County of Yunnan province.