| 摘要: |
| 目的：对比分析哈尔滨市在全面实施医保费用年度总额预付制支付方式前后的相关指标变化，评价总额预付制支付方式的实施效果，对医保支付政策的更好实施提出合理化建议。方法：运用SPSS软件进行数据汇总统计，描述性分析比较市医保在医保总额预付制实施前后医保住院患者相关指标的情况。结果：该市在医保总额预付制实施两年后，医保住院患者量，患者的住院次均费用等指标均有明显变化。整体市医保次均住院费用及医保次均支付费用呈负增长。结论：实施医保总额预付制后，患者的次均费用的控制效果显著，但也暴露出了一些问题，需要在政策及方式和方法上有相应的调整，以便适应国家医疗改革的深入开展，缓解人民群众“看病难、看病贵”的现状。 |
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| Analysis on the effect of pre payment system of medical insurance expenditure |
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| Abstract: |
| To compare the changes of Harbin city in the full implementation of relevant indicators before and after the payment of medical insurance expenses in the total prepaid amount, total prepaid amount payment effect evaluation method, put forward reasonable suggestions to the Medicare payment policy better. Methods: using SPSS software for data collection, statistics, descriptive analysis, compare the city medical insurance before and after the implementation of the total medical insurance system before and after the implementation of the relevant indicators of health care inpatient. Results: two years after the implementation of the prepaid medical insurance system, there were significant changes in the amount of medical insurance, the amount of inpatient care, and the average hospitalization expenses of patients. The overall city health insurance, the average hospitalization expenses and the medical insurance payment were negative growth. Conclusion: the implementation of the total amount of prepaid health care system, the control effect with the cost of all time significantly, but also exposed some problems, need to have the appropriate adjustments in the policy and the way and the method, in order to adapt to the national health care reform in depth, to alleviate the current situation of people’’s "difficult and expensive". |
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