对“四一三”医保模式破解双向转诊困境的思考

Thinking on "413" Medical Insurance Pattern Solving the Difficult Position of Two-way Examine Revolution

双向转诊困境成为制约社区卫生服务和医疗保障体系发展的关键问题。引入"四一三"医保模式,分析了该模式破解双向转诊困境的可能性,有助于优化城市卫生资源配置、调整医疗机构利益分配格局,有助于双向转诊制度的建立,有助于医疗信息的交流,以及风险分析。建议鼓励包括"四一三"医保模式在内的各种保障制度的发展。

A difficult position of Two--way Examine Revolution has been a key problem of Community Health Services and Medical Security System. It leads into a ＂413＂ medical insurance pattern, analyses possibility of the pattern solving the difficult position of Two--way Examine Revolution, the pattern is good to optimizing city health resources, adjusting medical establishments benefit assignation, building Two--way Examine Revolution system, exchanging medical information and risk analysis. It suggests developing some kinds of medical insurance system besides ＂413＂ medical insurance pattern.