摘要
目的了解天津市卫生服务供方、卫生服务需方、相关部门对医疗保险制度改革深层次的看法,探明几年来医疗保险制度改革的效果及影响因素。方法采用专题小组讨论、个别访谈、问卷调查等方法,调查三方对医疗保险制度改革效果、存在问题及影响因素、建议等内容。结果医疗保险制度改革产生了明显的效果,如社会化医疗保险体系初步形成、职工基本医疗得到保障等;同时也带来医患矛盾增多、医疗机构经济效益下滑等问题;影响医疗保险制度改革的主要因素有各方权利与义务、支付方式等;各方提出的建议有立法,以规范各方行为、寻找合理的支付方式等。结论医疗保险制度改革取得了良好的效果,同时存在一些影响因素及问题。
Objective To understand views of health service supplier, receptor and relative institutions about basic medical insurance reform, in order to know the effect of medical insurance system reform and its influencing factors. Methods Group discussion, individual interview questionnaire were conducted to investigate the effect of medical insurance system, problems existing, the influencing factors and proposals. Results The medical insurance system reform achieved considerable effect, however it at the same time brought about more contradictions between physicians and patients, and reduction of economic benefit for the medical institution. The major influencing factors to medical insurance were rights, obligation and mode of defrayment. The proposals were legislation to standardize the behaviors of each aspect, and seek for reasonable mode for payment. Conclusion Basic medical insurance reform has achieved good effect, but there still are some influencing factors and problems.
出处
《中国全科医学》
CAS
CSCD
2006年第7期571-573,共3页
Chinese General Practice
关键词
医疗保险
卫生保健改革
影响因素
Basic medical care insurance
Heahh care reform
Influence factors
