發(fā)布時(shí)間：2018-06-01 17:30

  本文選題：醫(yī)療保險(xiǎn) + 支付方式��； 參考：《中南大學(xué)》2014年碩士論文

【摘要】：在我國(guó),醫(yī)療費(fèi)用面臨著快速上漲的趨勢(shì),醫(yī)療保險(xiǎn)制度的穩(wěn)定運(yùn)行受到醫(yī)療費(fèi)用增長(zhǎng)的嚴(yán)重威脅。在醫(yī)療保險(xiǎn)制度的運(yùn)行過程中,醫(yī)療保險(xiǎn)支付是其中第二大重要環(huán)節(jié),而且是非常關(guān)鍵的一個(gè)環(huán)節(jié)。保障醫(yī)療保險(xiǎn)制度平穩(wěn)運(yùn)行和可持續(xù)發(fā)展的關(guān)鍵基礎(chǔ)是醫(yī)療保險(xiǎn)基金的支付管理,醫(yī)療保險(xiǎn)管理工作的另外一個(gè)重點(diǎn)是防范支付過程帶來的風(fēng)險(xiǎn)。深入的研究醫(yī)療保險(xiǎn)支付方式,對(duì)各種支付方式的實(shí)際運(yùn)作效果和利弊得失進(jìn)行分析,對(duì)于防范在醫(yī)療保險(xiǎn)支付過程中出現(xiàn)風(fēng)險(xiǎn)、有效的對(duì)醫(yī)藥費(fèi)用進(jìn)行控制、滿足參保者的實(shí)際和基本的醫(yī)療需求、并保證醫(yī)療制度的平穩(wěn)性是非常重要的。 本研究在探討我國(guó)醫(yī)療保險(xiǎn)發(fā)展過程的基礎(chǔ)上,采用博弈模型分析的方法探討湖南省醫(yī)療保險(xiǎn)支付方式的選擇問題。另外,本研究還提出了在探討醫(yī)療保險(xiǎn)支付方式時(shí)應(yīng)當(dāng)展開研究的外部環(huán)境因素,這些外部環(huán)境因素主要包括人文環(huán)境和經(jīng)濟(jì)環(huán)境,目的在于對(duì)供方進(jìn)行管理強(qiáng)化,對(duì)供方能夠提供更為優(yōu)質(zhì)的服務(wù)起到引導(dǎo)的作用,為支付方式提供根據(jù)情況的動(dòng)態(tài)變化進(jìn)行調(diào)整以及進(jìn)行精細(xì)化、多樣化管理的建議和對(duì)策,促進(jìn)其加強(qiáng)創(chuàng)新。
[Abstract]:In our country, the medical cost is rising rapidly, and the steady operation of the medical insurance system is seriously threatened by the increase of the medical cost. In the running process of medical insurance system, medical insurance payment is the second important link, and is a very key link. The key to ensure the smooth operation and sustainable development of the medical insurance system is the payment management of the medical insurance fund, and the other key point of the medical insurance management is to guard against the risks brought by the payment process. Deeply study the medical insurance payment method, analyze the actual operation effect, advantages and disadvantages of various payment methods, to prevent the risk in the process of medical insurance payment, and effectively control the medical expenses. It is important to meet the actual and basic medical needs of the insured and to ensure the smoothness of the health care system. On the basis of discussing the development process of medical insurance in China, this study uses the game model analysis method to discuss the choice of medical insurance payment mode in Hunan Province. In addition, this study also puts forward the external environmental factors that should be studied when discussing the payment mode of medical insurance. These external environmental factors mainly include the humanistic environment and the economic environment, in order to strengthen the management of the supplier. It can guide the supplier to provide better service and provide suggestions and countermeasures to adjust the payment mode according to the dynamic changes of the situation and to manage it finely and diversified so as to promote its innovation.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：F842.684;R197.1

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本文編號(hào)：1965051