Enlightenment of ambulatory patient groups on medical insurance payment system in China
10.3760/cma.j.cn111325-20191023-01166
- VernacularTitle:门诊患者分组对我国医疗保险支付制度的启示
- Author:
Xuedong LI
1
;
Yuhua LIU
;
Zhenru YANG
;
Xiuju ZHANG
;
Zhenhuan FANG
Author Information
1. 张家口宣钢医院综合办公室，河北省张家口市 075000
- From:
Chinese Journal of Hospital Administration
2020;36(6):477-479
- CountryChina
- Language:Chinese
-
Abstract:
The current outpatient payment method based on fee-for-service induced serious demand, which increased the waste of medical insurance fund. The authors briefly introduced ambulatory patient groups(APG)with the same concept of diagnosis-related groups. According to the current situation of outpatient medical insurance payment and the degree of informatization in China, suggestions are put forward: launch a pilot project first and starting with chronic disease to promote reform; improve the quality of outpatient electronic medical records, and develop APG suitable for China; under the background of aging, cooperate with the total budget to ensure the security of medical insurance.
