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Impact of an innovative tuberculosis financing and payment model on health service utilization by tuberculosis patients in China:do the poor fare better than the rich? 被引量:8
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作者 Di Dong Wei-Xi Jiang +7 位作者 Qian Long Fei Huang Hui Zhang Jia-Ying Chen Li Xiang Qiang Li Sheng-Lan Tang Henry Lucas 《Infectious Diseases of Poverty》 SCIE 2019年第3期101-101,共1页
Background:Tuberculosis(TB)prevalence is closely associated with poverty in China,and poor patients face more barriers to treatment.Using an insurance-based approach,the China-Gates TB program Phase II was implemented... Background:Tuberculosis(TB)prevalence is closely associated with poverty in China,and poor patients face more barriers to treatment.Using an insurance-based approach,the China-Gates TB program Phase II was implemented between 2012 and 2014 in three cities in China to improve access to TB care and reduce the financial burden on patients,particularly among the poor.This study aims to assess the program effects on service use,and its equity impact across different income groups.Methods:Data from 788 and 775 patients at baseline and final evaluation were available for analysis respectively.Inpatient and outpatient service utilization,treatment adherence,and patient satisfaction were assessed before and after the program,across different income groups(extreme poverty,moderate poverty and non-poverty),and in various program cities,using descriptive statistics and multi-variate regression models.Key stakeholder interviews were conducted to qualitatively evaluate program implementation and impacts.Results:After program implementation,the hospital admission rate increased more for the extreme poverty group(48.5 to 70.7%)and moderate poverty group(45.0 to 68.1%),compared to the non-poverty group(52.9 to 643%).The largest increase in the number of outpatient visits was also for the extreme poverty group(4.6 to 5.7).The proportion of patients with good medication adherence increased by 15 percentage points in the extreme poverty group and by ten percentage points in the other groups.Satisfaction rates were high in all groups.Qualitative feedback from stakeholders also suggested that increased reimbursement rates,easier reimbursement procedures,and allowance improved patients'service utilization.Implementation of case-based payment made service provision more compliant to clinical pathways.Conclusion:Patients in extreme or moderate poverty benefited more from the program compared to a non-poverty group,indicating improved equity in TB service access.The pro-poor design of the program provides important丨essons to other TB programs in China and other countries to better address TB care for the poor. 展开更多
关键词 Health service use TUBERCULOSIS Financing and payment model Case-based payment
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An EPQ-Based Inventory Model for Deteriorating Items under Stock-Dependent Demand with Immediate Part Payment 被引量:1
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作者 P. Majumder U. K. Bera 《Journal of Applied Mathematics and Physics》 2013年第4期25-30,共6页
In this paper, an EPQ-based inventory policy for an item is presented with stock-dependent demand during two trade credit periods. In addition, there is a provision for 1) an immediate part payment to the wholesaler, ... In this paper, an EPQ-based inventory policy for an item is presented with stock-dependent demand during two trade credit periods. In addition, there is a provision for 1) an immediate part payment to the wholesaler, 2) borrowing some money from money lending source for the immediate part payment, 3) here supplier or wholesaler offers a trade credit period to his retailer and retailer also offers a trade credit period to his customer. Against the above conjectures inventory model has been formulated with respect to the retailer’s point of view for minimizing the total inventory cost. The non-linear optimization method-Generalized Reduced Gradient (GRG) method is used to find the optimal solutions. Lastly Numerical examples are set to illustrate this model. Finally we use LINGO software to solve this model. 展开更多
关键词 EPQ model IMMEDIATE PART payment
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The Expected Discounted Tax Payments on Dual Risk Model under a Dividend Threshold 被引量:1
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作者 Zhang Liu Aili Zhang Canhua Li 《Open Journal of Statistics》 2013年第2期136-144,共9页
In this paper, we consider the dual risk model in which periodic taxation are paid according to a loss-carry-forward system and dividends are paid under a threshold strategy. We give an analytical approach to derive t... In this paper, we consider the dual risk model in which periodic taxation are paid according to a loss-carry-forward system and dividends are paid under a threshold strategy. We give an analytical approach to derive the expression of gδ(u) (i.e. the Laplace transform of the first upper exit time). We discuss the expected discounted tax payments for this model and obtain its corresponding integro-differential equations. Finally, for Erlang (2) inter-innovation distribution, closedform expressions for the expected discounted tax payments are given. 展开更多
关键词 DUAL Risk model EXPECTED Discounted TAX payments DIVIDEND THRESHOLD Strategy
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A Diffusion Model for Optimal Dividend Payment and Risk Control for a Firm under Consideration of the Time Value of Ruin
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作者 LIU Wei HU Yijun 《Wuhan University Journal of Natural Sciences》 CAS 2010年第5期369-374,共6页
In this paper,we investigate a model for an insurance company with constraint on risk control.The objective of the insurer is to find a business policy and a dividend payment scheme so as to maximize the expected disc... In this paper,we investigate a model for an insurance company with constraint on risk control.The objective of the insurer is to find a business policy and a dividend payment scheme so as to maximize the expected discounted value of dividend payment,and the expected present value of an amount which the insurer earns until the time of ruin.By solving the constrained Hamilton-Jacobi-Bellman equation,we obtain the explicit expression for value function and the corresponding optimal strategies. 展开更多
关键词 diffusion model risk control dividend payment Hamilton-Jacobi-Bellman(HJB) equation optimal policy
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Exploration of Hospital Financial Internal Control Management Based on Multiple Payment Modes
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作者 GULing 《外文科技期刊数据库(文摘版)经济管理》 2022年第3期121-125,共5页
Financial internal control management is an effective means for enterprises to control internal funds. With the rapid development of Internet information technology, hospital payment patterns gradually tend to be dive... Financial internal control management is an effective means for enterprises to control internal funds. With the rapid development of Internet information technology, hospital payment patterns gradually tend to be diversified, which provides a basis for reform of hospital financial internal control management. Strengthening hospital financial internal control management can improve the quality of hospital operation. This article will analyze the functions and characteristics of different payment modes, discuss the necessity of hospital financial internal control management and the problems in hospital financial internal control management based on various payment modes, and put forward effective countermeasures for hospital financial internal control management. 展开更多
关键词 payment model hospitals financial internal control management
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Consumer choices under new payment methods 被引量:1
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作者 Jaemin Son Mehmet Huseyin Bilgin Doojin Ryu 《Financial Innovation》 2022年第1期2238-2259,共22页
This study suggests a payment portfolio model that includes new payment methods that have emerged from the development of cryptocurrency markets and central bank digital currencies(CBDCs).Our model analyzes the optima... This study suggests a payment portfolio model that includes new payment methods that have emerged from the development of cryptocurrency markets and central bank digital currencies(CBDCs).Our model analyzes the optimal payment choice for consumers under various macroeconomic conditions.We determine that an individual economic agent chooses payment methods under specific conditions by incorporating policy interest rates on CBDCs and stablecoins used on cryptocurrency exchanges.We analyze the impacts of CBDCs and stablecoins on the choice of whether to use cash or deposits.We also examine how the agent changes her portfolio compositions in response to exogenous macroeconomic policies.If a government replaces cash with a CBDC,the convenience of digital currency would not affect consumer choices.The higher the government’s interest rate on CBDCs,the more consumers will use CBDCs than deposits. 展开更多
关键词 Central bank digital currency Cryptocurrency payment portfolio model Stablecoin
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Market Structure and Information in Payment Card Markets
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作者 Biliana Alexandrova-Kabadjova Edward Tsang Andreas Krause 《International Journal of Automation and computing》 EI 2011年第3期364-370,共7页
This paper investigates the structure of the payment card market, with consumers and merchants basing their subscription decisions on different information sets. We find that the market structure depends crucially on ... This paper investigates the structure of the payment card market, with consumers and merchants basing their subscription decisions on different information sets. We find that the market structure depends crucially on the information set on which consumers and merchants base their subscription decisions. In the studied case, we observe that a market with few cards dominating only emerges when decisions are based on very limited information. Under the same conditions using a complete information set, all cards survive in the long run. The use of an agent-based model, focusing on the interactions between merchants and consumers, as a basis for subscription decisions allows us to investigate the dynamics of the market and the effect of the indirect network externalities rather than investigating only equilibrium outcomes. 展开更多
关键词 Two-sided markets network externalities agent-based modelling COMPETITION payment cards.
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Tackling China’s Pension Fund Payment Crisis:Will the “Two-Child Policy” Be the Answer?——An example with the basic pension insurance program for urban employees
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作者 曾益 虞斌 《China Economist》 2015年第5期20-36,共17页
Based on the reality that 29 Chinese provinces have already implemented the policy allowing a couple to raise a second child if either parent is an only child, this paper provides an empirical study on the effect of t... Based on the reality that 29 Chinese provinces have already implemented the policy allowing a couple to raise a second child if either parent is an only child, this paper provides an empirical study on the effect of this policy on the financial status of the social pooling fund of basic pension insurance for urban employees. Our study suggests the followings. First, under the previous unchanged family planning policy, current deficits and cumulative deficits will occur in the social pooling fund in the year 2047 and 2063 respectively. Second, if lO% to 50% of qualified couples choose to raise a second child, the financial status of the social pooling fund will improve; relative to the previous unchanged family planning policy, the contribution ratio can decrease from 20% to the range between 18.06% and 19.57% without causing any changes to the original financial status of income and expenditure. Third, if the percentage of couples choosing to raise a second child rises to 60% to 100%, the contribution ratio can even decrease to the range between 16.55% and 17. 7% without causing any changes to the financial status as under the previous unchanged family planning policy. The above conclusions have all passed the sensitivity test. Therefore, the "two-child policy" for qualified couples is favorable to alleviating the payment pressures of pension insurance but the policy effectiveness is subject to fertility desire and the intensity of government implementation. 展开更多
关键词 "two-child policy" pension insurance fund payment crisis actuarial models policy simulation
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Study of High-Tech Industry Integration Model of Base,Project,and Talent
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作者 孙健 张春海 《Journal of Donghua University(English Edition)》 EI CAS 2012年第2期157-161,共5页
The high-tech industry is highlighted for advanced techniques,substantial capital investment,and smart talents.But their effective combination can not be achieved in the development of high-tech industry,which impedes... The high-tech industry is highlighted for advanced techniques,substantial capital investment,and smart talents.But their effective combination can not be achieved in the development of high-tech industry,which impedes its industrialization.Meanwhile,an effective mechanism is needed to develop the high-tech industry healthily.The aim of this paper is to explore the integration model of base,project,and talent which is presented and served as a new road for high-tech industry development as well as prove this model rational.Some results of the model are appealing.Firstly,start-ups in the park have the higher success probabilities;secondly,higher expected return attracts talents to join into start-ups in park;thirdly,side payment is the inner incentive to initiate this high-tech industry integration model. 展开更多
关键词 INTEGRATION model BAYESIAN FORMULA one-side payment
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基于预付账款融资模式的供应链融资策略研究
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作者 田军 董赞强 李雅丽 《中国管理科学》 北大核心 2025年第7期272-283,共12页
在供应链融资风险管理模式下,预付账款是解决供应链融资中风险问题的重要途径之一。通过对供应链融资模式的详细研究,分析了融资模式的主要特征及预付账款融资的优化和应用,探讨由供应商、融资机构和经销商组成的供应链企业融资与风险... 在供应链融资风险管理模式下,预付账款是解决供应链融资中风险问题的重要途径之一。通过对供应链融资模式的详细研究,分析了融资模式的主要特征及预付账款融资的优化和应用,探讨由供应商、融资机构和经销商组成的供应链企业融资与风险规避策略模型,论证了影响金融机构实行相关融资利率的关键因素,并对供应链关键因素在金融融资下预付账款融资过程中的风险转移进行特征描述,通过计算得到融资机构的收益量化描述。在此基础上,深入分析供应链金融模型中各方的期望收益函数、经销商最优订货量与金融机构风险规避下的供应链整体收益模型。通过实例对预付账款供应链融资策略中企业与金融机构的风险收益模型进行验证,所得结果反映了供应链融资模式下预付账款机制的实用性及可靠性,为金融机构及供应链企业在融资方面提供参考。 展开更多
关键词 供应链金融 预付账款 融资模式 优化策略
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Profit-Maximizing Strategies for an Artificial Payment Card Market. Is Learning Possible?
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作者 Biliana Alexandrova-Kabadjova Edward Tsang Andreas Krause 《Journal of Intelligent Learning Systems and Applications》 2011年第2期70-81,共12页
In this paper, we study the dynamics of competition in the payment card market. This is done through a multi-agent based model, which captures explicitly the commercial transactions at the point of sale between consum... In this paper, we study the dynamics of competition in the payment card market. This is done through a multi-agent based model, which captures explicitly the commercial transactions at the point of sale between consumers and mer-chants. Through simulation, we attempt to model the demand for payment instruments on both sides of the market. Constrained by this complex demand, a Generalised Population Based Incremental Learning (GPBIL) algorithm is applied to find a profit-maximizing strategy, which in addition has to achieve an average number of card transactions. In the present study we compare the performance of a profit-maximizing strategies obtained by the GPBIL algorithm versus the performance of randomly selected strategies. We found that under the search criteria used, GPBIL was capable of improving the price structure and price level over randomly selected strategies. 展开更多
关键词 COMPETITION in payment CARD MARKETS Multi-Agent modeling EVOLUTIONARY Computation
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基于智能合约的建筑供应链索赔支付模型
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作者 李俊亭 毛龙新 +1 位作者 曹金凤 吴梦颖 《工程管理学报》 2025年第2期124-128,共5页
提出了将建筑供应链分解为独立的计费周期,并通过智能合约监控流程,降低索赔难度并自动支付。通过整合区块链和智能合约技术,构建了3种类型的智能合约,分别用于供应链分解、流程监测和索赔支付,以增强流程透明度、减少支付延迟并提高索... 提出了将建筑供应链分解为独立的计费周期,并通过智能合约监控流程,降低索赔难度并自动支付。通过整合区块链和智能合约技术,构建了3种类型的智能合约,分别用于供应链分解、流程监测和索赔支付,以增强流程透明度、减少支付延迟并提高索赔管理效率。并通过仿真验证了该模型的可行性,结果显示与传统方法相比,新模型的支付效率得到显著提高。可为建筑行业的索赔管理提供一种新的解决方案,也为未来智能合约在建筑供应链的深层应用提供了新思路。 展开更多
关键词 区块链 智能合约 索赔支付模型 建筑供应链 仿真
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Perceived Trust and Payment Methods: An Empirical Study of MarkaVIP Company
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作者 Mahmoud Maqableh Ra’ed Moh’d Taisir Masa’deh +1 位作者 Rifat O. Shannak Khalid M. Nahar 《International Journal of Communications, Network and System Sciences》 2015年第11期409-427,共19页
This empirical study focused on investigating the perceived trust surrogated by a number of hy-pothesized factors and its effect on the choice of method of payment. The data were collected using a questionnaire, as th... This empirical study focused on investigating the perceived trust surrogated by a number of hy-pothesized factors and its effect on the choice of method of payment. The data were collected using a questionnaire, as the instrument for the primary data collection, with total collected back responses of 214 from customers of MarkaVIP. Structural equation modeling technique was used to fully analyze the data in order to determine what level of the relationship between the constituting factors of the perceived trust and the method of payment. The main findings were related to confirming the seven main hypotheses of the research that were related to testing if some factors were important to forming perceived trust by customers. Four factors (reputation, security, familiarity, and ease of use) were found to have a positive effect and the remaining three were not (privacy, size and usefulness). In addition, having perceived trust meant no preference to any method of payment by the customers. 展开更多
关键词 E-payment PERCEIVED TRUST EPS E-COMMERCE Security Structural Equation modeling
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On the Markov-dependent risk model with tax
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作者 PENG Xing-chun WANG Wen-yuan HU Yi-jun 《Applied Mathematics(A Journal of Chinese Universities)》 SCIE CSCD 2015年第2期187-196,共10页
In this paper we consider the Markov-dependent risk model with tax payments in which the claim occurrence, the claim amount as well as the tax rate are controlled by an irreducible discrete-time Markov chain. Systems ... In this paper we consider the Markov-dependent risk model with tax payments in which the claim occurrence, the claim amount as well as the tax rate are controlled by an irreducible discrete-time Markov chain. Systems of integro-differential equations satisfied by the expected discounted tax payments and the non-ruin probability in terms of the ruin probabilities under the Markov-dependent risk model without tax are established. The analytical solutions of the systems of integro-differential equations are also obtained by the iteration method. 展开更多
关键词 Compound Poisson risk model Markov-dependent risk model non-ruin probability expecteddiscounted tax payments
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基于DRG支付的公立医院全面预算管理优化研究
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作者 刘杰 《中国医院统计》 2025年第4期282-285,共4页
目的为科学制定预算目标,将疾病诊断相关分组(DRG)工具嵌入到预算管理中,形成与医保支付方式相匹配的预算编制方法,提升预算管理水平。方法基于2022—2023年的282701例DRG相关数据,利用SPSS25.0软件进行统计分析,通过方差分析、回归分... 目的为科学制定预算目标,将疾病诊断相关分组(DRG)工具嵌入到预算管理中,形成与医保支付方式相匹配的预算编制方法,提升预算管理水平。方法基于2022—2023年的282701例DRG相关数据,利用SPSS25.0软件进行统计分析,通过方差分析、回归分析建立收入预算预测模型。结果基于模型预测,2024年病例组合指数可达到1.31,总权重提高9.8%,每权重单价由24662元下降到21570元,预算总收入增加6.90%,均次费用增长4.67%。结论医疗业务以DRG数据的形式融入到全面预算管理中,实现预算管理的精细化,促进公立医院运行方式向价值医疗转变,助力战略目标的实现。 展开更多
关键词 DRG支付 全面预算管理 数据模型
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整合型健康服务组织医保支付模式的设计——基于中美比较 被引量:1
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作者 方子衿 唐文熙 +2 位作者 彭倩 李泯霖 耿立影 《卫生经济研究》 北大核心 2025年第1期57-60,共4页
美国的健康管理组织(如HMO、ACO、PCMH)开展医保与医疗的深度整合,以效率为导向的医保支付设计兼顾费用控制、医疗质量、医防融合与患者流向引导,在世界范围内具有批判性借鉴意义。我国的整合型健康服务组织(如深圳罗湖城市医疗集团、... 美国的健康管理组织(如HMO、ACO、PCMH)开展医保与医疗的深度整合,以效率为导向的医保支付设计兼顾费用控制、医疗质量、医防融合与患者流向引导,在世界范围内具有批判性借鉴意义。我国的整合型健康服务组织(如深圳罗湖城市医疗集团、三明尤溪县域医共体、天津基层数字健共体)的医保支付模式,在费用控制、服务质量、分级诊疗方面都有良好表现,但在提升患者体验、改善人群健康方面略显不足。未来的医保支付应以健康产出为引领,从总额控制转向疾病精细管理,基于循证医学证据探索慢性病目标制绩效支付方式。 展开更多
关键词 整合型健康服务组织 医保支付模式 美国健康管理组织
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政策工具视角下我国按病种分值付费改革政策文本量化评价研究
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作者 孙远太 周俍琛 《中国医疗管理科学》 2025年第3期1-9,共9页
目的量化评价我国医保按病种分值付费(Diagnosis-Intervention Packet,DIP)改革政策文本,探讨其与中国式现代化的契合路径及对医疗保障体系的优化作用,为医保支付方式改革提供科学依据,促进我国医疗保障制度可持续发展。方法借助Nvivo 1... 目的量化评价我国医保按病种分值付费(Diagnosis-Intervention Packet,DIP)改革政策文本,探讨其与中国式现代化的契合路径及对医疗保障体系的优化作用,为医保支付方式改革提供科学依据,促进我国医疗保障制度可持续发展。方法借助Nvivo 14软件,构建政策工具、政策效力、政策价值三维量化评价框架,运用政策工具法与PMC政策效力评价模型对2009年1月至2024年9月中央部委和12个DIP改革示范点城市发布的68项DIP改革相关政策进行文本挖掘,以实现对我国医保DIP改革政策的量化评价。结果政策工具彰显了公共价值,我国医保DIP改革政策体现了公平、效率、服务等多方面的价值追求;政策工具分布不均,供给型、环境型政策工具占比较高,需求型政策工具不足,局部政策子工具缺失问题突出,限制政策效力的有效发挥,政策短板凸显。结论需完善特定政策工具,弥补短板与不足,强化政策工具设计的公共价值导向,优化政策工具组合,提高我国医保DIP政策执行效能。 展开更多
关键词 医保支付 政策价值 DIP支付 量化评价 PMC指数模型
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医保医用耗材目录管理现状分析及思考 被引量:1
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作者 黄严琴 代展菁 +1 位作者 路云 冯超 《中国医院管理》 北大核心 2025年第5期87-91,共5页
各省份建立省级医保医用耗材目录是推进我国医保体系完善的重要举措之一,科学化、规范化的管理至关重要。采用文献研究法,从目录分类和管理模式2个层面剖析省级医用耗材目录管理政策,运用对比分析,探讨“分”“共”“统”3种模式的优缺... 各省份建立省级医保医用耗材目录是推进我国医保体系完善的重要举措之一,科学化、规范化的管理至关重要。采用文献研究法,从目录分类和管理模式2个层面剖析省级医用耗材目录管理政策,运用对比分析,探讨“分”“共”“统”3种模式的优缺点,提出合理确定分类精度、科学测定支付标准、分步推进省级支付政策统一等建议,以期为完善我国省级医保医用耗材目录管理提供参考。 展开更多
关键词 医用耗材 医保目录 支付政策 管理模式
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推进紧密型县域医共体建设:破解协同治理壁垒,优化体系生态 被引量:2
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作者 崔珑严 王敏 陶红兵 《中国全科医学》 北大核心 2025年第19期2421-2425,共5页
紧密型县域医共体的建设进入全面推进阶段,如何扩大紧密型县域医共体覆盖面和提高其建设水平面临巨大的机遇和挑战。本文通过对国内外有关政策、文献进行归纳总结,分析紧密型县域医共体发展的时代背景及影响其发展的关键要素,梳理支付... 紧密型县域医共体的建设进入全面推进阶段,如何扩大紧密型县域医共体覆盖面和提高其建设水平面临巨大的机遇和挑战。本文通过对国内外有关政策、文献进行归纳总结,分析紧密型县域医共体发展的时代背景及影响其发展的关键要素,梳理支付方式、管理体制、服务模式和信息共享等关键壁垒因素及其内在逻辑关系,并提出了针对性对策。紧密型县域医共体的建设需要整合县域内医疗卫生资源,科学且合理制定人头总额预付方案,同时破除支付壁垒、体制壁垒、服务壁垒、信息壁垒等多重壁垒,打通堵点、连接断点、攻克难点,才能重塑医疗服务体系生态,真正落实“以健康为中心”理念,让县域居民享受优质、连续、高效的健康服务。 展开更多
关键词 紧密型县域医共体 协同治理 医保支付方式 服务模式 信息共享
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DRG支付下医院医保管理模式探讨 被引量:5
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作者 王卉晓 叶腾飞 张琳 《卫生经济研究》 北大核心 2025年第2期77-80,共4页
在DRG支付背景下,样本医院实行医保管理“六边形”模式:基于医院文化,制定DRG管理规则并授权,构建纵横结合的管理体系,采取集成方法开展对DRG入组、拒付反馈、运营管理的培训指导,并建立奖惩机制。结果显示:实行“六边形”模式后,样本... 在DRG支付背景下,样本医院实行医保管理“六边形”模式:基于医院文化,制定DRG管理规则并授权,构建纵横结合的管理体系,采取集成方法开展对DRG入组、拒付反馈、运营管理的培训指导,并建立奖惩机制。结果显示:实行“六边形”模式后,样本医院的住院次均费用、西药占比、耗材占比降低,住院床日缩短,住院人次增加,CMI值提高,医疗服务能力和效率显著提升;DRG亏损得到控制但仍在持续,应强化风险管理意识,灵活应用“六边形”模式,完善DRG付费政策。 展开更多
关键词 DRG支付 医院 医保管理 “六边形”模式
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