瑞典的患者保险体制初探

瑞典的患者保险体制,通过补偿体制与惩戒体制的脱钩,释放了医患之间的对抗情绪、降低了交易成本、提高了赔付效率;再加上侵权法与社会保障之间的缺口不大,减轻了新体制的运营成本,得将庇护范围扩张到侵权法的领域之外。但这套体制的成功运转,离不开诸多特殊条件,故在比较法上,于局部领域引入类似制度的尝试较多,一般性的医疗伤害无过失补偿体制却难以推广开来。

浙江试点肝移植术纳入基本医保起码五分之一患者受益

浙江省人力资源和社会保障厅发布消息称：从2018年1月1日起,浙江将在全国率先开展肝移植术基本医疗保险按绩效支付试点。肝移植术将按＂乙类＂项目纳入基本医疗保险支付范围,个人自理比例30%。保障对象为参加浙江省基本医疗保险的浙江省户籍患者,或在接受肝移植术前参加浙江省基本医疗保险连续缴费满1年的患者。以杭州市医保患者为例,

Analysis of the effect of medical insurance on cancer inpatients: A 10-year retrospective study on a large hospital in Northeast China

Objective The aim of the study was to analyze hospital costs for cancer inpatients availing different methods of payment and the influencing factors, to provide inputs to improve the medical insurance payment policy. Methods We analyzed the information related to length of hospital stay, hospitalization cost, and self-pay cost, collected from one large-scale, Grade A, Class Three hospital in Shenyang, China, during 2004–2013.Results The number of cancer inpatients with different payment types(medical insurance group and non-medical insurance group) presented a rising trend. Further, the ratio of medical insurance inpatients increased rapidly(from 22.2% to 48.7%); however, this group was still a minority. The length of hospital stay became shorter(21 d vs. 17 d; P = 0.000) while the gap got narrower; the hospitalized expense showed an upward trend and the difference was remarkable($24048.6 ± $4376.28 vs. $20544.36 ± $4057.01; P = 0.000). Conclusion Along with normalization of cancer therapy, the influence of payment on treatment has been getting weak, the policy has impact on controlling hospitalization cost, lightening burden of cancer patient, as well as allocating medical resources in a reasonable way, becoming an important defray pattern of hospitalization cost.

全省18家医院组建联盟：家门口带孩子看生长发育

日前，浙江省“医联体”建设又有新突破，由浙江大学医学院附属儿童医院牵头的浙江省儿童生长发育专科联盟正式成立，意味着覆盖全省11个地市的18家医院都能为孩子提供与生长发育疾病相关的诊疗服务。

儿童遗传病精准医学峰会在杭举办

日前，由星迈科技、杭州高新区（滨江）管委会、浙江大学医学院附属儿童医院共同主办的儿童遗传疾病精准医学峰会在杭州举办。

瑞典医疗伤害无过失补偿制度研究

瑞典的患者保险,系无过失补偿制度的典型,是世界范围内对医患纠纷解决路径的有益探索。其将补偿体制与惩戒体制脱钩,以释放医患间的对抗情绪、降低交易成本、提高赔付效率。无过失体制的成功运转,离不开诸多特殊条件,故比较法上,局部领域引入类似制度的尝试较多,一般性的无过失补偿体制却难推广。

论医患之间的经济对立与化解对策

当下医疗服务中以及医疗损害处理中都存在医患的严重经济对立。医患之间始终存在的严重经济对立导致患者对医方信任度降低,医患关系日益紧张,甚至冲突恶化。实行全民疾病医疗保险与患者医疗损害保险能够有效化解当下医患之间的严重经济对立,是恢复医患信任,重构和谐医患关系的有效途径。

论我国医疗损害责任制度的完善

我国医疗损害责任制度经多次修改但无一例外适用过错责任原则,始终没有超出"要么损害由加害人承担,要么由受害人承担"的狭窄眼界。完善医疗损害责任制度,应建立医疗损害社会分担机制,但现实的医疗责任保险并没有真正实现医疗损害的社会分担。因此,我们建议应当建立以患者医疗损害强制保险为基础、医务人员职业责任强制保险为补充、现行医疗损害责任制度为核心的多层次社会分担机制构成的医疗损害责任制度,真正实现医疗损害的社会分担,使患者医疗损害得到合理有效救济,"妥善解决紧张的医患纠纷、促进医患关系和谐"。