Policy, experience and implications of outpatient security in typical developed countries
10.3969/j.issn.1674-2982.2016.07.008
- VernacularTitle:典型发达国家和地区门诊保障政策比较及经验启示
- Author:
Yi FENG
;
Lan YAO
- Publication Type:Journal Article
- Keywords:
Outpatient security;
Medical insurance;
Policy comparison;
Experience reference
- From:
Chinese Journal of Health Policy
2016;9(7):46-52
- CountryChina
- Language:Chinese
-
Abstract:
This paper reviews outpatient security policy of typical developed countries .It provides reference for outpatient security system in China .Analysts believe that the experience for Chinese reference should be acquired in the following ways:The pooling of outpatient service is an inevitable trend in the development of health insurance , which is in principle an integral part of payment and financing system; the implementation of outpatient community first diagnosis system should be adapted to the local conditions; the community first diagnosis system is a necessary condition for capitation , so it is closely related to compensation methods and the elaborate degree of outpatient treat -ment catalog;Outpatient services should be supervised and payment policies should be developed respectively .There are two supervision models about outpatient service:external supervision and self supervision , but the key is to focus on the management of outpatient doctors .External regulation should be consistent with the current regulatory approach of the situation and patients have to bear some responsibilities for outpatient treatment expenses in some proportions , but the payment cap line should not to be low .The implementation of certain preferential policies for vulnerable groups can be considered under the harmonized system to partially reduce their medical expenses .
