Preliminary investigation of regional global per capita budget for medical payment system of countywide medical service community in Anhui province
Preliminary investigation of regional global per capita budget for medical payment system of countywide medical service community in Anhui province
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DOI：
10.3760/cma.j.issn.1000-6672.2017.07.003
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发表时间：
2017-07
期刊：
影响因子：
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通讯作者：
Liqun Shi;Ying-chun Chen;Hongxia Gao;B. Xia;Shi-han Lei;Haomiao Li;Luhua Liu;Jing-jing Chang;Dai Su;Hui Zhang
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文献类型：
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作者：
Liqun Shi;Ying-chun Chen;Hongxia Gao;B. Xia;Shi-han Lei;Haomiao Li;Luhua Liu;Jing-jing Chang;Dai Su;Hui Zhang
本文分析总结了安徽省自2015年以来实施区域全球人均预算的成功经验和机制，包括形成相互激励约束机制、自发控制费用机制和资源高效配置机制。改革后，住院患者流向更加合理，患者经济负担减轻，试点县医疗机构能力明显提高。安徽省的成功经验可以对其他地区今后的工作提出相应的建议。关键词：县域医疗服务共同体;支付制度;人均总预算;机制;安徽省
This paper analyzed and concluded successful experience and mechanisms of regional global per capita budget implemented since 2015 in Anhui province, including the formation of mutual incentive and restraint mechanism, the mechanism of controlling expenses spontaneously and resource allocation efficiently. After the reform, flow of hospitalized patients was more rational, and the financial burden of patients was alleviated, while the capacity of medical institutions was improved notably in pilot counties. The successful experience of Anhui province can put forward corresponding suggestions to guide the future work in other areas. Key words: Countywide medical service community; Payment system; Global per capita budget; Mechanisms; Anhui province