摘要
医疗体制改革的核心在于走向全民医保,而全民医保制度建设的重点在于付费机制改革,这一点业已成为我国医保体制改革的共识。以更为先进的疾病诊断相关分组(diagnosis related groups,DRGs)预付费机制为主导的多元付费方式组合逐渐取代传统单一的按项目付费方式,是有效抑制医保费用急速增长的治本措施之一。按DRGs付费不仅能有效减轻患者就医负担,更可以促进医疗服务提供方加强成本意识、增强成本管理以及提高卫生资源利用率。
The core of health care reform is towards universal health care and the focus of the construction of uni- versal health care system is the reform of the payment mechanism, which has become the consensus of the health care system reform in China. Multi-payment portfolio dominated by more advanced DRGs （diagnosis related groups） diagnosis-related grouping prepaid mechanisms gradually replaced the traditional single-item payment meth- od, which can not only effectively reduce the patient＇s medical burden, but also improve medical service providers to enhance cost awareness to cost management, improve the utilization of health resources, and is one of the funda- mental measures to effectively inhibit the rapid growth of health care costs.
出处
《中国社会医学杂志》
2013年第1期8-10,共3页
Chinese Journal of Social Medicine
关键词
医疗保险
DRGs预付费机制
病种结算
临床路径
Health insurance
DRGs pre-payment mechanisms
Disease settlement
Clinical path
