首页|医保政策促进分级诊疗的路径探析——以深圳市为例

医保政策促进分级诊疗的路径探析——以深圳市为例

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本研究以深圳市的分级诊疗实践为基础,深入分析了医保政策在推动分级诊疗体系改革中的经验及挑战.文章提出,在"三医"协同发展和治理的框架下,医保政策应采取渐进式策略,通过就医管理和差异化报销政策引导基层就医,利用多元化复合支付机制激励医疗机构间的合作与健康管理,并通过异地就医直接结算、电子处方流转等措施增强基层医疗机构的服务能力.
Thie Path of Medical Insurance Policies Promoting Graded Diagnosis and Treatment——Taking Shenzhen City as an Example
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.

graded diagnosis and treatmentmedical insurance policycoordination of medical insurancemedical servicesand pharmaceuticals

彭婧婷

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武汉大学政治与公共管理学院 武汉 430072

分级诊疗 医保政策 "三医"协同

2024

中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
年,卷(期):2024.(10)