| 摘要: |
| 目的：通过恶性肿瘤临终期的卫生资源利用情况，探索分级诊疗政策下医疗服务包定价区间的测算方法。方法：以湖北省目前肿瘤患者临终前医疗费用为研究对象，在高等级医院与社区服务中心双向转诊政策下，测算社区姑息照护医疗服务包的价格区间，并设计推行分级诊疗的医保支付衔接政策。结果：在该服务包支付政策下，在医疗服务提供量维持不变情况下，临终患者在社区接受姑息治疗方案，总费用将大量节省。结论：本研究基于临终期费用的精准预算，对推行分级诊疗政策、合理制定医院和社区医疗服务包间的转诊衔接与定价区间具有重要意义。 |
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| The Design and Price Range of Health Service Packages Based on The End-of Life Expenditures in Patients with Advanced Cancer |
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| Abstract: |
| Objective: To investigate the health resources utilization efficiency from a new perspective of the end-of-life medical costs in advanced cancer patients, estimate the method of calculating the price range for medical service package in community health service center. Methods: Based on the medical cost of cancer patients in final year of the end of life, this research designs the payment standards and referral policy of palliative service package, set payment criteria for bi-directional referral between high leveled hospitals and community medical institutions. Results: With the new medical service package policy and its payment criteria, maintained the same level of medical service quantity, the total medical cost will save more than half. Conclusions: This study is based on accuratly budget calculation of end-of-life costs, it has a great significance for the implementation of classified diagnosis and treatment policy. This article makes suggestions for the proper price range of health service package. |
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