This article takes the practice of hierarchical diagnosis and treatment in Shenzhen City as an example to analyze the experience and challenge of medical insurance policies in promoting the reform of the hierarchical diagnosis and treatment system.This article believes that medical insurance policy should gradually guide grassroots medical treatment through medical management and differentiated reimbursement policies in the context of the coordinated development and governance of medical insurance,medical services,and pharmaceuticals.Multiple composite payment methods should be used to incentivize cooperation and health management among medical institutions,and methods such as direct settlement of medical expenses in different regions and electronic prescription circulation should be used to help improve the service capabilities of grassroots medical institutions.
关键词
分级诊疗/医保政策/"三医"协同
Key words
graded diagnosis and treatment/medical insurance policy/coordination of medical insurance/medical services/and pharmaceuticals
万方数据