我国基层发展整合型医疗卫生服务的收入补偿机制研究

Study on Income Compensation Mechanism of Integrated Healthcare Service Development in Primary Healthcare Institutions

目的:完善基层医疗卫生机构补偿机制,加强基层发展整合型医疗卫生服务能力。方法:采取描述性统计进行数据分析,同时结合文献研究和专家咨询法进行分析。结果:当前,我国基层医疗卫生机构发展整合型医疗卫生服务主要存在补偿水平低、补偿方式不匹配、补偿资金监督机制不完善、机构间补偿机制不健全等问题。结论:整合公共卫生和医保资金,促进整合型医疗卫生服务协同发展;加大财政和医保补偿力度,提高整合型医疗卫生服务保障水平;加强资金监管与满意度评估,实现整合型医疗卫生服务质量提升;发挥基层服务购买职能,探索机构间补偿分配机制。

Objective:Improving the compensation mechanism of primary healtheare institutions and strengthening their ability to develop integrated healtheare services.Methods:Descriptive statistics were used for data analysis,and literature research and expert consultation were also used for analysis.Results:The main problems in developing integrated healtheare services in primary health institutions were low compensation level,unmatched compensation methods,imperfect supervision mechanism and imperfect inter-agency compensation mechanism.Conclusion:Funds for public health and medical insurance should be integrated to promote the synergistic development of integrated medical and health services;financial and medical insurance compensation should be increased to improve the level of protection for integrated medical and health services;funding supervision and satisfaction assessment should be strengthened to achieve quality improvement of integrated medical and health services;the function of purchasing grassroots services should be brought into play to explore the mechanism of compensation distribution among institutions.