| 引用本文: |
贾梦,管雪帆,孟禹呈,等.我国家庭医生签约服务费筹资与支付现状调查研究*[J].中国卫生经济,2023,42(9):66-69.[点击复制] |
Jia Meng,Guan Xuefan,Meng Yucheng,et al.Study on the Status of Financing and Payment Mechanism of Contracted Family Doctor Service Fee in China[J].CHINESE HEALTH ECONOMICS,2023,42(9):66-69.[点击复制] |
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| 摘要: |
| 目的：分析我国现阶段家庭医生签约服务费政策发布、收费标准、筹资渠道及落实情况，为进一步完善签约服务收付费机制提供科学依据。方法：采用卫生健康行政部门问卷对全国282个城市家庭医生签约服务费实施现状进行调查。结果：241个城市已出台明确签约服务费标准及筹资比例的政策文件，147个城市签约服务费纳入医保支付范围；各地现执行签约服务费标准范围为5~150元 （人·年）；基本公共卫生服务经费、医保基金和个人缴费筹资占比分别为41%、39%和20%。结论：我国签约服务筹资机制已初步建立，针对现阶段筹资水平不高、稳定性不足等问题，应在签约服务包基础上合理制定收费标准并明确付费方式，进一步探索与家庭医生签约服务联动的门诊按人头付费方式。 |
| 关键词: 家庭医生签约服务费 筹资机制 医疗保障 支付方式 |
| DOI： |
| 投稿时间：2023-06-20 |
| 基金项目:北京市自然科学基金青年项目 （9234027）；中国医学科学院医学与健康科技创新工程项目（2021-I2M-1-046） |
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| Study on the Status of Financing and Payment Mechanism of Contracted Family Doctor Service Fee in China |
| Jia Meng,Guan Xuefan,Meng Yucheng,Deng Yan,Lu Haiying,Wang Fang |
| (Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing, 100020 , China) |
| Abstract: |
| Objective: To investigate and analyze the current policies, rates, financing, and implementation of contracted family doctor service fees in China, in order to provide scientific grounds for improving the payment mechanism for contracted service. Meth- ods: Based on a survey addressed to the local health departments, an investigation was conducted on the implementation status of con- tracted service fees in 282 prefecture-level cities nationwide. Results: Currently, 241 cities have introduced policies to clarify the rates and funding shares for contracted service, with 147 cities including contracted service fees in the scope of medical insurance pay- ments. There are significant differences in the rates for contracted services across regions, ranging from 5 to 150 yuan per year per per- son, with basic public health service funding still being the main source of funding (41%), followed by medical insurance (39%) and out-of-pocket payment (20%). Conclusion: In order to address the issues of unstable funding and inadequate payment of medical in- surance, the payment schemes should be further improved, including the demonstration of the formulation of rates on the basis of pack- age of services，also the capitation payment method for outpatients services matched with contracted family doctor service. |
| Key words: contracted family doctor service fee financing mechanism medical insurance payment scheme |
