医保支付制度改革对医院管理的影响与对策研究

Impact of Payment System Reform on Hospital Management and Relating Countermeasures

从医疗费用、医保基金风险、现行支付制度的困境分析我国医疗保险支付制度改革的必要性和迫切性,以医疗服务提供方的角度,探讨支付制度改革对医院管理的积极和消极影响,并从医疗质量、临床路径、成本管理、信息化管理、谈判机制等5方面提出应对策略和建议。

This paper analyzed the urgency for medical payment system reform in China from the aspect of diffi-culty in medical fee,medical funds＇risk and current payment system.From the perspective of medical health service providers,this paper also discussed the positive and negative impact of reform in payment system on hospital.Countermeasures and suggestion swere put forward in the aspect of medical quality,clinical path,cost control,in-formationization management and negotiating mechanism.