医疗保险与卫生服务发展研究

Study on the Medical Safeguard System and Health Care Development

医疗保险与卫生服务是辩证统一的关系。医疗保险的推行,对医疗机构既是挑战也是机遇,要求医疗机构转变观念,增强竞争意识和竞争能力,做好监督控制、审核评价工作。成本核算、定额补偿是医院乃至医疗保险发展的核心问题。医疗保险制度的建立和完善有助于优化卫生资源配置,完善医院内部科学管埋体制,提高医疗质量,促进医院发展。社区卫生服务应纳入医疗保险范畴,医疗保险管理邯门从效率角度出发,也应首先选择社区卫生服务机构承担医疗保险任务。社区卫生服务的发展对医疗保障体系的建立和完善将起到重要的推进作用,而医疗保障体系的建立,必将促进社区卫生服务的深入发展。

There is a relation of dialectical unity between the medical insurance and health care. With the operating of medical insurance, medical setup will face not only challenges but chances. Therefore, we should transfer minds and strengthen the ability of competition It is a central problem ofr hospital to operate cost accounting and compensation based on work quota building and perfecting the medical insurance system will be helpful looptimizing the distribution of health resources and improving medical quality as well as promoting hospital development. Community health care should belong to the catalogue of medical insurance, proceeding from efficiency, management organization of medical insurance should choice firstly community health setup to bear the medical insurance works. The development of community health care will be important to setting up and perfecting medical safeguard system;on the other hand,it will also promote the development of community health care to set up and perfect.