Studies on the reform of payment system of grass-roots health care institutions in China
10.3760/cma.j.issn.1000-6672.2015.02.003
- VernacularTitle:我国基层医疗机构卫生服务支付制度改革探讨
- Author:
Linlin HU
;
Yingnan CAO
;
Ban WANG
;
Yuanli LIU
;
Keqin RAO
- Publication Type:Journal Article
- Keywords:
Primary health care institutions;
Payment system;
Policy recommendations
- From:
Chinese Journal of Hospital Administration
2015;31(2):87-90
- CountryChina
- Language:Chinese
-
Abstract:
The paper presented the payment system theory of the primary health care service in China,the current status of the health service system,and analyzed main challenges for the time being.Based on such studies,the authors made the following policy proposals.The first is adjustment of the fiscal payment method of the government to such institutions in line with the classification guidance principle; the second is to shift the payment method of primary public health services to the post payment of fee-for-service; the third is reform of the performance-based salary system to link payment to medical workers directly with the amount and quality of their services; the fourth is a set of result-oriented performance appraisal indicators,with rising proportion of performance pay; the fifth is to integrate the outpatient clinic fund covered by medical insurance and the primary public health service fund,into a capitation payment.
