论文部分内容阅读
系统地论述了建立城镇职工基本医疗保险支付方式时应遵循的一些基本原则。支付方式的建立应该考虑我国的国情;考虑目前医疗服务机构的补偿渠道与费用控制的矛盾;考虑整个社会的经济负担;考虑各种支付方式的特点;考虑预付与后付的平衡;考虑经济风险的合理分担以及管理能力。只有从根本上解决目前医疗服务机构补偿机制的不合理问题,才能创建出科学、有效的城镇职工基本医疗保险的支付方式。
Systematically discusses some basic principles that should be followed when establishing the basic medical insurance payment methods for urban workers. The establishment of payment methods should take into account China’s national conditions; consider the current medical service agencies compensation channels and cost control conflicts; consider the economic burden on society as a whole; consider the characteristics of various payment methods; consider the balance of prepayment and postpay; consider the economic risk Reasonable sharing and management skills. Only by fundamentally solving the unreasonable problems in the compensation mechanism of medical service agencies can we create a scientific and effective payment method for basic medical insurance for urban workers.