康复理疗领域医保监管实务浅析

Analysis of Medical Insurance Supervision Practice in the Field of Rehabilitation Physiotherapy

近年来,部分医疗机构为追求高收益而逐渐转向康复理疗领域发展,并由此滋生各类违规问题。解决康复理疗领域乱象,应在综合治理的同时,充分发挥监管在价格与临床间的桥梁作用,通过支付方式改革约束公立医疗机构逐利行为,让临床回归医疗本质。

In recent years,some medical institutions gradually shift to the field of rehabilitation physiotherapy in pursuit of high profit,which leads to various violations of regulations.In order to solve the disorder in the field of rehabilitation physiotherapy,we should give full play to the role of supervision as a bridge between price and clinical treatment as well as comprehensive governance.By means of payment reform,public medical institutions are constrained from profit-seeking behavior,which encourages the clinical practice return to the nature of medical treatment.