Practice and Thinking of Scoring Diseases Payment under the Control of Total Budget
10.6039/j.issn.1001-0408.2016.06.01
- VernacularTitle:总额控制下按病种分值付费的实践与思考
- Author:
Wei XU
;
Mei HAO
;
Zhenzhen DU
- Publication Type:Journal Article
- Keywords:
Medical insurance;
Payment method;
Total budget;
Disease;
Scoring
- From:
China Pharmacy
2016;(6):721-723
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the implementation of scoring diseases payment under the control of total budget in some ar-eas of China,and provide reference for the further improvement of the payment. METHODS:Based on the operation process of scoring disease payment in the control of toal budget,the specific practices of Huaian,Nanchang,Zhongshan and Taiwan area, were compared. RESULTS:It showed differences in the control and allocation of total budget,the establishment of scoring diseas-es,the setup of adjustment coefficient,the development of balance methods,the complementary mechanism and the monitor exami-nation setting. CONCLUSIONS:Whether to classify the diseases according to diagnosis and treatment methods,how to setup ad-justment coefficient appropriately,how to reimburse the patients in stages and how to strengthen supervision are worthy of further thinking and exploring.
