总额预付制测算方法比较与分析

Analysis and Comparison of Estimating Methods of Global Budget

总额预付制是控制医疗费用的有效方法之一,其难点在于总额测算。目前测算方法可归纳为成本测算法、点数法、按实际测算法、按服务量测算法和按人头测算法五种。各种测算方法各有其优缺点和适用条件,在实际使用时需选取适合的方法,并配以相应的监督管理制度和考核体系。

Global budget is an effective way to control medical expenditure, the most difficult thing of which is estimating the future medical expenses. The main estimating methods can be summarized as cost estimation, calculation by points, estimation based on actual costs and measurement according to the volume of service or the population. Various estimating methods have their own advantages, disadvantages and application conditions. In practical applications, it is necessary to select an appropriate method with management corresponding and evalu- ation system.