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加拿大医务人员提供医疗服务的医保支付方式及对我国的启示

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文章总结了加拿大的医务人员提供医疗服务的医保支付方式的实践经验,涵盖按医疗服务项目支付方式、替代支付方式的概况.结合我国目前医务人员提供医疗服务的医保支付国情及现状,提出探索开展多元化支付模式、引入医保直接结算、优化支付方式、考虑地区差异和长期可持续性的医保支付方式的政策建议.
The Medical Insurance Payment Method for Medical Services Provided by Canadian Medical Personnel and the Implications for China
It summarizes the practical experience of medical insurance payment methods for medical services provided by Canadian medical staff,covering payment methods for medical services and alternative payment methods.Taking into account the current situation and conditions of the medical insurance payment method for medical services provided by medical personnel in China,it proposes policy recommendations for exploring diversified payment models,introducing direct settlement of health insurance,optimizing payment methods,considering regional differences,and ensuring the long-term sustainability of healthcare personnel health insurance payment methods.

medical insurance payment methodfee-for-servicealternative payment

石瑛、王美凤、罗雅双、刘昕、王海银

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上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所)卫生技术评估研究部 上海 201199

医保支付方式 医疗服务项目支付 替代支付

上海市"科技创新行动计划"自然科学研究项目(2021)

21ZR1458800

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(3)
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