發(fā)布時(shí)間：2018-05-29 00:07

  本文選題：二代健保 + 量能付費(fèi)��； 參考：《中國(guó)衛(wèi)生政策研究》2017年02期

【摘要】：本文對(duì)我國(guó)臺(tái)灣地區(qū)二代全民健保的改革背景、籌資和支付機(jī)制方面的改革措施進(jìn)行分析。結(jié)果發(fā)現(xiàn),二代健保通過調(diào)整費(fèi)率,增收補(bǔ)充保費(fèi),擴(kuò)充籌資來源,采用多元支付方式和輔助手段控制醫(yī)藥費(fèi)用的增長(zhǎng),明確給付項(xiàng)目及標(biāo)準(zhǔn),新增衛(wèi)生技術(shù)評(píng)估作為決策依據(jù)等手段,極大緩解了財(cái)務(wù)赤字,目前已重新實(shí)現(xiàn)財(cái)務(wù)平衡。其多元的籌資方式、總額控費(fèi)和按病種付費(fèi)相結(jié)合的支付制度和為醫(yī)療質(zhì)量和醫(yī)保報(bào)銷項(xiàng)目制定的評(píng)價(jià)標(biāo)準(zhǔn)等都值得大陸地區(qū)借鑒。
[Abstract]:This paper analyzes the reform background, financing and payment mechanism of the second generation national health insurance in Taiwan. The results show that the second generation health insurance system controls the growth of medical expenses by adjusting the rates, increasing the premium, expanding the sources of financing, controlling the growth of medical expenses by means of multiple payment methods and auxiliary means, and defining the items and standards of payment. New assessment of health technology as a basis for decision-making has greatly alleviated the financial deficit, and has now rebalanced the financial system. The multiple ways of raising funds, the payment system based on the combination of total fee control and disease payment, and the evaluation criteria for medical quality and medical insurance reimbursement project are all worthy of reference in mainland China.
【作者單位】： 中國(guó)藥科大學(xué)國(guó)際醫(yī)藥商學(xué)院;
【分類號(hào)】：R197.1;F842.684
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本文編號(hào)：1948722