摘要
1978年改革后的我国实行的是按服务项目付费为主、政府预算为辅的支付方式。“总量控制、结构调整”起到了一定的控制医疗费用上涨的作用。公费、劳保医疗受到按服务项目付费方式的冲击。城镇职工医疗保险制度和农村的合作医疗制度都对供方支付方式进行了一些有益的探讨。结合国内外经验,混合支付系统是供方支付方式在未来的发展趋势。
The main provider payment was Glohal budget before the reform in China in 1978,and the fee-for-services was not important. After that, the government budget was cut, and fee-for-serviees became dominant. ' Controlling the total quantities, adjusting the construction' played its role in cost containment. The provider payment of fee-for-services also effected the Government Insurance Scheme and the Labor Insurance Scheme. Both the medical insurance scheme for urban employees and the rural cooperating medical scheme have done some researches on provider payment. Based on the experience of China and other countries,we think the mixed method of variovs provider payment is the best.
出处
《中国卫生经济》
北大核心
2000年第1期8-10,共3页
Chinese Health Economics
关键词
供方支付方式
按服务项目付费
医疗费用
provider payment,fee-for-services,global budget,pre admission,Capitation,DRGs
