| 引用本文: |
张立强,李欣芳,李响,等.DRG、DIP付费改革下结余留用政策逻辑与思考*[J].中国卫生经济,2023,42(5):13-16.[点击复制] |
ZHANG Li-qiang,LI Xin-fang,LI Xiang,et al.Research and Reflection on the Balance Retention Policy under DRG or DIP Payment Methods[J].CHINESE HEALTH ECONOMICS,2023,42(5):13-16.[点击复制] |
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| 摘要: |
| 支付方式改革是医保改革中的“牛鼻子”，是调节医疗服务行为、引导医疗资源配置的重要杠杆，而结余留用政策就是这个杠杆的支点。文章立足于“结余留用”政策导向，围绕“结余”如何确定、结余如何留如何用、“结余留用” 如何发挥作用进行了阐释，以及医疗机构如何积极应对提供一些思考和借鉴。 |
| 关键词: 按疾病诊断分组 按病种分值付费 医保基金 结余留用 |
| DOI： |
| 投稿时间：2023-03-05 |
| 基金项目:中华中医药学会青年求实项目(2022-QNQSJGL01-02) |
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| Research and Reflection on the Balance Retention Policy under DRG or DIP Payment Methods |
| ZHANG Li-qiang,LI Xin-fang,LI Xiang,ZHU Ming,QU Hai-long |
| (National Institute of Healthcare Security,Capital Medical University,Beijing 100037 ,China) |
| Abstract: |
| The reform of payment method is the "nose of an ox" in the reform of health insurance，and is an important lever to regulate health service behaviors and guide the allocation of health resources. The "Balance Retention Policy" is the fulcrum of the lever. Based on the policy guidance of balance retention policy，it explains how to determine it，how to use it，how to play a role in balance retention，and provide some suggestions about how to actively respond for medical institutions. |
| Key words: Diagnosis Related Group Diagnosis-Intervention Packet medical insurance fund Balance Retention Policy |
