健康中国行动背景下基层门诊慢性病医保支付方式优化路径的思考

Optimized path of medical insurance payment for chronic diseases in outpatient department of primary medical institutions under the background of Healthy China Initiative

优化基层门诊慢性病医保支付方式是健康中国行动的重要内容之一,当前基层门诊慢性病医保支付方式存在差异性大、作用受限、缺乏监管等亟需解决的问题。文章认为提高基本医保统筹层次,提升基层医疗卫生服务能力,落实基层门诊慢性病医保支付智慧化管理,是优化基层门诊慢性病医保支付方式的重要路径。

Optimization of medical insurance payment for chronic diseases in outpatient department of primary medical institutions is an important part of the Healthy China Initiative.Problems to be solved urgently included great differences in medical insurance payment,its limited function,lack of supervision and so on.The important paths to optimize the payment for chronic diseases in outpatient department of primary medical institution contain improving the overall planning of basic medical insurance,enhancing the capacity of primary health services,and implementing the intelligent management of medical insurance payment for chronic diseases in primary outpatient department.