目的分析新医改以来我国医保支付方式改革的政策现状与不足,为完善医保支付方式改革提供参考。方法运用ROST CM 6软件梳理2009—2024年国家层面出台的医保支付方式改革政策文件,明确此阶段重点推行的主要支付方式并构建政策一致性(Polic...目的分析新医改以来我国医保支付方式改革的政策现状与不足,为完善医保支付方式改革提供参考。方法运用ROST CM 6软件梳理2009—2024年国家层面出台的医保支付方式改革政策文件,明确此阶段重点推行的主要支付方式并构建政策一致性(Policy Modeling Consistency,PMC)指数评价指标体系对其政策文本进行量化及比较分析。结果疾病诊断相关分组(DRG)与按病种分值付费(Diagnosis-Intervention Packet,DIP)支付方式的词频数远高于其他医保支付方式,是国家医保支付方式改革政策制定的侧重点。DRG政策的PMC指数均值为5.76,DIP政策的PMC指数均值为6.25,总体上DIP支付方式政策质量更高。结论新医改以来政策迭代驱动多元复合支付体系构建,医保支付方式改革进入精准发展阶段,2类主要医保支付方式中DIP政策数量与词频数低于DRG政策,但其政策质量却高于DRG政策,另外二者政策存在短期导向、视角局限与激励不足等共性问题。建议出台加强DRG/DIP与其余支付方式的联合使用政策,推动医保支付方式改革发展。展开更多
China’s ballooning current account surplus has caused a plethora of adverse effects on the healthy development of its economy.Based on an in-depth analysis of the contributory factors to the swelling current account ...China’s ballooning current account surplus has caused a plethora of adverse effects on the healthy development of its economy.Based on an in-depth analysis of the contributory factors to the swelling current account surplus,this paper purports to demonstrate theoretically and empirically that while the chronic savings-consumption imbalance is an important contributor to China’s huge trade surplus,the fundamental underlying contributor is the income structure and savings structure imbalance stemming from the disproportionate increase in retained earnings relative to stagnant wage bills.Corporate retained earnings keep growing rapidly because corporate profit margins are"overstated"and state-owned enterprises"do not pay dividends."Only when these issues are resolved at the institutional level can the savings rate be reduced to an appropriate level with domestic demand boosted to eliminate excess trade surpluses and fundamentally fix internal and external economic imbalances.展开更多
基金funded and supported by the China Reform Foundation and the Ministry of Commerce
文摘China’s ballooning current account surplus has caused a plethora of adverse effects on the healthy development of its economy.Based on an in-depth analysis of the contributory factors to the swelling current account surplus,this paper purports to demonstrate theoretically and empirically that while the chronic savings-consumption imbalance is an important contributor to China’s huge trade surplus,the fundamental underlying contributor is the income structure and savings structure imbalance stemming from the disproportionate increase in retained earnings relative to stagnant wage bills.Corporate retained earnings keep growing rapidly because corporate profit margins are"overstated"and state-owned enterprises"do not pay dividends."Only when these issues are resolved at the institutional level can the savings rate be reduced to an appropriate level with domestic demand boosted to eliminate excess trade surpluses and fundamentally fix internal and external economic imbalances.
