中国药房Issue(6)：721-723,3.DOI:10.6039/j.issn.1001-0408.2016.06.01
总额控制下按病种分值付费的实践与思考
Practice and Thinking of Scoring Diseases Payment under the Control of Total Budget
摘要
Abstract
OBJECTIVE:To study the implementation of scoring diseases payment under the control of total budget in some ar-eas of China,and provide reference for the further improvement of the payment. METHODS:Based on the operation process of scoring disease payment in the control of toal budget,the specific practices of Huaian,Nanchang,Zhongshan and Taiwan area, were compared. RESULTS:It showed differences in the control and allocation of total budget,the establishment of scoring diseas-es,the setup of adjustment coefficient,the development of balance methods,the complementary mechanism and the monitor exami-nation setting. CONCLUSIONS:Whether to classify the diseases according to diagnosis and treatment methods,how to setup ad-justment coefficient appropriately,how to reimburse the patients in stages and how to strengthen supervision are worthy of further thinking and exploring.关键词
医疗保险/支付方式/总额/病种/分值Key words
Medical insurance/Payment method/Total budget/Disease/Scoring分类
管理科学引用本文复制引用
徐伟,郝梅,杜珍珍..总额控制下按病种分值付费的实践与思考[J].中国药房,2016,(6):721-723,3.基金项目
国家自然科学基金资助项目（No.71273278）；中国医疗保险支付制度改革政策与标准体系研究项目 （）
