Practical Exploration and Enlightenment of Reforming for Ambulatory Care Payment Methods in China
- VernacularTitle:我国门诊医保支付方式改革的实践探索和启示
- Author:
Mei GU
1
;
Ning ZHAO
;
Jin LI
;
Xinyu HOU
;
Jingxuan ZHAO
;
Jia YANG
Author Information
1. 首都医科大学公共卫生学院 北京 100069
- Publication Type:Journal Article
- Keywords:
medical insurance payment method;
ambulatory;
medical health service
- From:
Chinese Hospital Management
2025;45(4):30-34
- CountryChina
- Language:Chinese
-
Abstract:
In order to comprehensively deepen the reform of medical insurance payment methods and explore the establishment of a medical insurance payment system with Chinese features,five representative cities have been selected for analysis:Jinhua City in Zhejiang Province,Xiamen City in Fujian Province,Suixi City in Anhui Province,TianjinCity,and Zhenjiang City in Jiangsu Province.These regions have been chosen due to their typical ambulatory care payment reform.It summarises the features of ambulatory care payment reforms in different regions regarding implementing agencies,covered crowds and types of illnesses,and payment methods.It is recommended that a reasonable scope of implementation be selected and the reform purpose and basic conditions should be taken into account to explore an appropriate ambulatory care payment reform.It is proposed that an innovative payment method reform be implemented to promote healthcare and prevention integration,and to incorporate a value-oriented paradigm,thereby realizing the benefits of the doctor and patient insurance.
