摘要
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.
作者
孔运生
汤质如
KONG Yunsheng;TANG Zhiru(The First Affiliated Hospital of University of Science and Technology of China/Anhui Provincial Hospital,Hefei,Anhui 230001,China;School of Health Management,Anhui Medical University,Hefei,Anhui 230032,China)
出处
《中国农村卫生事业管理》
2019年第12期853-856,共4页
Chinese Rural Health Service Administration
基金
2017年度安徽高校人文社会科学研究重点项目(SK2017A0178)
关键词
基层医疗卫生机构
门诊慢性病
医保支付方式
健康中国行动
Primary medical institution
Chronic diseases in outpatients
Medical insurance payment
Healthy China Initiative