Exploration for a new management model of quota payment for specific diseases
10.3760/cma.j.issn.1000-6672.2016.02.006
- VernacularTitle:按病种定额付费管理新模式的探索
- Author:
Huijuan LIU
;
Jianhui XUE
;
Youhua LAO
;
Donglai WANG
;
- Publication Type:Journal Article
- Keywords:
Medical insurance;
Quota payment;
Classified cost management
- From:
Chinese Journal of Hospital Administration
2016;32(2):99-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective The policy of quota payment for specific diseases has been carried out at the hospital for several years, yet proven a failure. This paper aims at searching for a new way of management.Methods Since 2013,attempts have been made for classification of medical costs and the quota setting for specific diseases, and for development of a real-time supervision software for classification of disease-specific costs.The attempts prove a success with a new model for management of quota management for specific diseases.Results This practice has proved to be effective in 2014,and used in other likewise diseases,which has been embraced by administrators of medical insurance sector. Conclusion This model proves useful for reducing inpatient expenses and regulating medical behaviors. but also shorten the average hospitalization days,improve the satisfaction of patient.The method of management control can be expanded and imitated.
