从医院医保管理的视角看县级公立医院改革

Discussion on the county - level public hospitals reform from the point of medical care management

县级公立医院改革是深化医药卫生体制改革的一项重要举措，医保付费制度改革是公立医院改革的重要组成部分。通过该院取消药品加成及挂号费、诊疗费，设立医事服务费以来，该院在医保总额预付管理方面进行了多元化的管理方式，合理控制医保费用的支出，真正体现了利益格局的改变，在保证了患者利益的前提下，使医务人员的利益也有所提高，医保基金也得到了合理的控制，将公平可及、群众受益作为改革出发点和立足点，为推进公立医院改革进一步发展奠定基础。

County - level public hospitals reform is an important measure of deepening reform of the medical and health system. Medicare payments system reform is therefore an important part of public hospitals reform. By abolishing drugs addition, registration fee, treating fee and setting up medical service fee instead, our hospital carried on a diversified management style in the aspect of medical insurance total prepaid system. The implementation of the reform measures turns out a good result：reasonably keeping a control on the medicare spending and really embodying the transformed of interests patterns. On the premise of ensuring patients interests, medical personnel＇s interests are improved to a new level and medical insurance fund are also brought under a reasonable control. The medicare payments system reform puts equity in access and people benefit as the starting point and footing of county - level public hospitals reform, thus lays a foundation of further development of public hospitals reform.