Long-term Hospitalization Payment in the US.and Germany and the Enlightenment for Average Cost of Beds Based Payment in China
- VernacularTitle:美国和德国长期住院支付方式对我国按床日付费的启示
- Author:
Liying ZHENG
1
;
Bifan ZHU
;
Fen LI
;
Duo CHEN
;
Jiajie XU
;
Chunlin JIN
Author Information
1. 复旦大学公共卫生学院 上海 200032
- Keywords:
long-term hospitalization;
hospitalization;
medical insurance payment;
reform;
international experience;
US.;
Germany
- From:
Chinese Health Economics
2024;43(1):92-96
- CountryChina
- Language:Chinese
-
Abstract:
The payment methods,such as Diagnosis Related Group(DRG)for hospitalization and capitation for outpatient treat-ment,have achieved positive results in protecting the rights and interests of insured persons and improving the efficiency of the use of medical insurance funds.However,for patients with chronic diseases and rehabilitation nursing,the hospitalization period is long and the conditions complicated,and the payment method of DRGs is not reasonable.It analyzes the experiences of paying for long-term hospital cases in the US.and Germany from the aspect of reform process,payment method and regulatory measures.In order to pro-vide references for the reform of per-diem payment in rehabilitation nursing and other long-term hospitalized cases,it puts forward suggestions from aspects of realizing value care,reflecting individual differences,exploring complex payment methods,improving data quality and establishing constraint mechanism.
