医疗保险付费方式改革的方向定位

Strategy of medical insurance payment reform

国内医疗改革是体制机制改革,迫切需要既有强大力量又有正确指向的改革支点。医疗保险预付费方式既是医疗费用的控制机制,更是医疗体制改革的战略支点。通过从力量和指向的角度分析为何以预付费方式推动医疗体制改革,并从手段和目标角度分析如何以预付费方式推动医疗体制改革的问题,以此为付费方式改革和医疗体制改革提供理论参考。

Healthcare reform in China is a system and mechanism reform which needs a strong and correct breakthrough point.Medical insurance prospective payment system is both an expense control mechanism and a strategy point of healthcare reform.Why medical insurance payment reform is the strategy point is analyzed by stakeholders analysis and how to promote reform is analyzed in aspects of methods and goals to provide a theoretical reference for the payment method reform and medical system reform.