摘要
本文在总结我国医院结算方式改革和医院"先诊疗,后结算"付费模式进展的基础上,剖析了医院结算方式改革的4个难点,即医院结算方式改革路径选择、结算方式改革所涉及的利益相关者、结算方式如何逐步系统推进、实现结算方式的多样化。由此提出优化结算方式改革试点,积累经验;基于利益相关者角度,多角度考量医院结算政策;因院而异,结合成本核算,推进结算方式多样化;统筹兼顾,部门协调,整体推进医院结算改革。
This paper summarizes reform development of settlement methods and also the development of "first treatment and then charge" method, analyzes the four most difficult problems we facing of this method : first is that the reform of settlement method must suit for the social en- vironment of the country, second is that the reform must take every potential stakeholder into consideration; third is that there is no single settlement method that is suitable for the whole country ; fourth is that the reform of settlement method must be systematically developed. With the analysis the paper also gives four suggestions to solve these problems: first is to optimize the pilot program of settlement reform to accumulate experi- ences ; second is try to implement policies take every stakeholder and situations of different hospitals into consideration ; third is to implement different kinds of settlement methods which are suitable for different kinds of hospitals ; fourth is that different departments must coordinate with each other to promote the reform of hospital settlement.
出处
《医学与社会》
2013年第10期69-72,共4页
Medicine and Society
关键词
医院结算方式
改革进展
Hospital settlement method
Reform progress