摘要
介绍了新疆某三级公立医院医保患者次均住院费用控制的成效,在当前医疗保障部门推进医保基金监管工作的新形势下,对有效控制医保患者次均住院费用的不合理增长或过快增长,进行了全面探索和实践。以各级医疗保障部门的政策为导向,探讨公立医院对医保患者次均住院费用的控制路径,对形成系统的医院医保控费体系提出建议。
The control effect of average hospitalization expense of the medicare patients in a tertiary public hospital in Xinjiang was introduced. With the rigid supervision of medical insurance fund by the medical insurance administration,the paper carried out the comprehensive exploration on the effective control of the unreasonable growth or the excessively rapid growth in the average hospitalization expense of medicare patients. Through the guidance of the policy of the medical insurance administration of all levels,the control pathway of average hospitalization expense of medicare enrollee patients was explored to provide suggestions for medical insurance expense control systematically.
作者
李中凯
姚晓叶
李金叶
LI Zhong-kai;YAO Xiao-ye;LI Jin-ye(School of Economics and Management,Xinjiang University,Urumchi,Xinjiang,830046,China;不详)
出处
《中国医院管理》
北大核心
2020年第9期73-74,81,共3页
Chinese Hospital Management
基金
新疆维吾尔自治区自然科学基金项目(2019D01C101)
新疆维吾尔自治区社会科学基金项目(19GB111)
新疆维吾尔自治区卫生和计划生育委员会青年医学科技人才项目(WJWY—201857)。
关键词
公立医院
医保患者
次均住院费用
public hospital
medicare patients
average hospitalization expense