北京市基本医疗保险付费改革效果评估

Evaluation on Effect of Basic Medical Insurance Payment Reform in Beijing

北京市基本医疗保险付费改革效果如何,为社会各界所关注。通过采集样本数据,以"投入产出"为线索,以医院的"工作数量、工作质量和医疗行为"为评估维度,建立相关评估指标,对北京市基本医疗保险付费改革效果进行评估。总体认为,北京市基本医疗保险付费改革效果良好,总体运行平稳,也存在一些需要重视的问题。建议北京市进一步完善基本医疗保险付费预算与决算方法,以确保基本医疗保险事业的持续健康发展。

The effect of basic medical insurance payment reform in Beijing is concerned by people from different social levels. It can be assessed by relative indexes established with the clue of ＂input and output＂ and from dimensions like amount of work, quality of work and medical behaviors in hospitals based on sam- ple data collected. Generally, it shows that the reform has sound effect and stable operation in spite of some problems to be considered. It is suggested that the ways of calculating payment budget and financial accounts should be further perfected to ensure sustainable and healthy development of basic medical insur- ance in Bei]ing.