中国防痨杂志2024，Vol.46Issue(5)：502-508,7.DOI:10.19982/j.issn.1000-6621.20240057
肺结核患者全疗程按人头打包付费模式与付费标准构建研究简介
Intrudoction of study on the capitation compensation mechanism among pulmonary tuberculosis patients with a full period of treatment and payment standard
摘要
Abstract
The spread of tuberculosis will bring negative externalities,while medical insurance payment methods can promote hospitals to actively control costs and reduce the burden on patients.Based on domestic and international experience,the author established a full-course capitation compensation bundled payment model that was in line with the characteristics of tuberculosis prevention and control.The full course of treatment was packaged according to disease type,the service package,its payment standard,and the total annual prepaid fund were calculated by the clinical pathways and historical data,to mobilize the enthusiasm of designated hospitals at all levels.The calculation results of the payment standard in Yichang City showed that this model was suitable for tuberculosis,which was conducive to controlling unreasonable medical insurance expenditures,improving fund efficiency,and regulating hospital diagnosis and treatment behavior by leveraging the leverage of medical insurance payments,thereby forming a people-oriented full-course and full-cycle health management model.Above all,this study will provide a valuable reference and reliable basis for the reform of tuberculosis payment methods in other regions and countries.关键词
结核,肺/支付标准制定和审核/预付费卫生计划Key words
Tuberculosis,pulmonary/Rate setting and review/Prepaid health plans分类
医药卫生引用本文复制引用
张婧怡,代珊珊,张礼亮,田佳帅,蔡心雨,高广颖..肺结核患者全疗程按人头打包付费模式与付费标准构建研究简介[J].中国防痨杂志,2024,46(5):502-508,7.基金项目
National Natural Science Foundation of China(71874113)国家自然科学基金(71874113) （71874113）
