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于雪梅,江芹,郎婧婧,等.医疗保险总额预付实施效果的实证分析[J].中国卫生经济,2017,(4):40-42.[点击复制] |
.The effect nalysis of the global budget with medical insurance[J].CHINESE HEALTH ECONOMICS,2017,(4):40-42.[点击复制] |
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| 医疗保险总额预付实施效果的实证分析 |
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| 目的：分析某市一家二级甲等医院医疗保险总额预付的实施效果。方法：采用定性访谈、定量数据收集的方法，对统计资料进行描述和推断性统计分析。结果：医疗工作量增加，医疗工作效率提高；费用控制效果不理想，总费用明显上升，次均费用上升幅度较小；医疗质量下降。结论：医保部门需科学合理制定总额与指标；医院需要进一步完善总额预付制的实施与考核方案；完善监管机制，提高医疗质量。 |
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| The effect nalysis of the global budget with medical insurance |
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| Abstract: |
| Objective: to evaluate the implementation effects of medical insurance scheme by global budget in one secondary A hospital. Methods: to collect the qualitative and quantitative data by interview and field investigation and to analyze the data by descriptive and inferential statistics. Results: medical workload increased, technical efficiency improved, but the cost control effect was not good, the total cost increased significantly, the average cost increased slightly and medical quality decreased. Conclusion: Local medical insurance authority should formulate the total amount and index scientifically and rationally and the hospital should further improve the implementation and evaluation scheme of global budget, improve the supervision mechanism and perfect the medical quality. |
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