摘要
上海市是在医疗费用迅猛增长的背景下出台“总量控制、结构调整”政策的。总控的实施确实控制了医疗费用的快速增长,并给整个卫生体系带来了一定的益处,但在政策实施过程中也存在着总控指标的制定、费用转移、支付机制、管理等方面的问题。在全国推广上海经验时,值得首先对上海市的总控政策作进一步深入的分析。
Shanghai introduced the policy for the reason of rapidly increasing the health expenditures before 1994. Initial data showed the annual growth rate of health expenditure was sharply decreased. Some problems were also found during the process of policy, including target made, cost shifting, payment mechanism and management. Although early evidence suggests that the policy in Shanghai has had the effect to control health expenditure and brought certain benefit to the health sector, more comprehensive researches are needed to make the final determination of its strengths and weaknesses. It is likely to expand the experience of Shanghai around the country.
出处
《中国卫生经济》
北大核心
2002年第8期1-4,共4页
Chinese Health Economics
关键词
循证分析
上海
医疗费用
公费医疗
evidenced - based analysis, hospital capping policy
