进一步加快医疗保险制度改革进程

进一步加强对各地的指导和督促力度。一是要针对各地具体情况制定分类指导计划,通过抓两头带中间,引导和督促做好实施方案制定、组织实施准备、操作运行管理等工作。二是在抓重点联系城市时,要多抓几个省会城市、计划单列市,要针对这些城市人员复杂、矛盾集中、管理难度大等问题进行重点指导。三是建立和规范信息统计指标体系。四是通过各种形式加强信息沟通,并及时总结和交流各地经验。抓住地方机构改革的有利时机。

The Initial Exploration of The Catastrophic Medical Insurance in Shanghai

Developing the catastrophic medical insurance for urban and rural residents positively is the key action to keep the new round of reform for medical system into deep. However this insurance is the ＇shortage＇ of the national health system, so the Shanghai government carries out The Trial Measures for Catastrophic Medical Insurance of urban and rural residents in 2014. In this thesis, we will describe the current situation of the catastrophic medical insurance in Shanghai from aspects of financing, level of compensation, the way to undertake and regulatory. What＇s more, we expect to explore the weakness of catastrophic medical insurance in actual motion, and offer proposals for progressively realizing the integration of urban and rural in medical insurance, improving the basic health care directory, enhancing cooperation with commercial medical insurance.

对医院实行按绩效付费的国际经验

按绩效付费(PFP)机制于21世纪初被提出,并在美国和英围开始实践。PFP机制的内容主要是:医疗保险方(或者政府)通过一系列的经济激励机制改善医疗服务质量。本文介绍了PFP机制的历史、实施中的主要动力和阻力、以及在国际实践中遇到的挑战,并提出建议:PFP机制有助于解决中国目前存在的医疗服务质量问题。