Key Issues and Countermeasures in the Reform of Payment Methods for TCM Dominant Diseases
- VernacularTitle:中医优势病种支付方式改革关键问题及对策
- Author:
Xinmei HAO
1
;
Huijun GUO
;
Yanan WANG
;
Jing LIU
Author Information
1. 中国中医科学院西苑医院医疗保险管理处 北京 100091
- Publication Type:Journal Article
- Keywords:
traditional Chinese medicine dominant diseases;
payment reform;
payment by diseases
- From:
Chinese Health Economics
2025;44(1):27-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Sort out the problems currently faced by Traditional Chinese Medicine(TCM)medical institutions in implementing the reform of medical insurance payment methods,and propose reform suggestions.Methods:Through literature analysis and field research,the reform practices of some cities that have implemented payment are summarize based on TCM dominant diseases.Results:Currently,payment by disease for TCM faces many problems and difficulties,such as the small number of dominant diseases of TCM carried out in various regions,the imperfect coding of TCM diagnoses and operations,and the unstable compensation mechanism for TCM medical institutions,which affect the development of dominant diseases of TCM.Conclusion:The payment for TCM dominant diseases requires the support and cooperation of multiple departments,scientifically and reasonably screening TCM dominant diseases,improving policies,refining management measures,and leveraging the unique advantages of traditional Chinese medicine.
