| 摘要: |
| 本文以淮安市和南昌市两地的按病种分值付费方案设计为例，分析其构成和内容。按病种分值付费将总额控制、点数法和按病种付费三种结算方式巧妙结合起来，既能控制费用，又能促进激励，在实践地区收到了效果。通过调研分析了其实际实施中仍存在不足，提出其推广的前提条件是具备较高的医保经办能力，建立与医疗机构的谈判机制，有智能化的信息系统做技术支撑。 |
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| Enlightens from Practice of Disease –Based Score Payment in China |
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| Abstract: |
| This article analysis structure and details of disease-based score payment, taking payment policy scheme in Huai An City and Nan Chang City for example. Disease-based score payment skillfully combine globe budget control, payment of disease and point system. This payment not only helps controlling cost, but also helps to incentive mechanism. Some problems have been found in practice. So this article put forward some suggestion for further promotion |
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