Dilemmas,Typical Experiences and Policy Suggestions of TCM Medical Insurance Payment Reform under DRG/DIP Payment
Traditional Chinese medicine(TCM)is a traditional treasure of Chinese nation,which has the unique diagnostic and therapeutic advantages of simplicity,low cost,and efficacy.The reform of medical insurance payment methods should be concurrent and inclusive with the development of TCM.Based on the diagnosis related group(DRG)/diagnosis-intervention packet(DIP)payment methodology in healthcare reform proposals currently being promoted by China,this paper analyzed the difficulties and challenges faced by TCM medical insurance payment.Binzhou,Liuzhou,Nanjing,and Hangzhou,which have introduced TCM preferential payment policies,were taken as typical cases.Comparative analysis of their respective policy characteristics and reform experience was conducted from three aspects:disease selection scope,medical institution management system and preferential fee settlement mechanism.The mere adoption of DRG/DIP payment methods does not adequately address the complex challenges associated with the advancement and preservation of TCM.It is requived that regions tailor a comprehensive and context-specific combination of preferential payment policies that favor the development of TCM,reflecting the unique characteristics of their local TCM landscape.
traditional Chinese medicinemedical insuranceDRG/DIP paymentdominant diseases
万方数据
维普
