全面建立总额控制下住院实行按病种付费为主、门诊实行按人头付费为主的支付制度,是我国医疗保险支付方式改革的最终目标。由于医疗保险支付方式改革会对既有的医保机构、参保患者、特别是医疗机构的利益和行为方式做出重大调整,也意味着社会保障、卫生、物价等相关政府部门管理权限和管理方式的重大调整。同时改革本身也需要辅 It is the ultimate goal of the reform of medical insurance payment in our country to establish a payment system based on the payment of all kinds of diseases and outpatient payment based on the total amount under the control of the total amount. As the reform of the medical insurance payment system will make major adjustments to the interests and behaviors of existing medical insurance institutions, insured patients, especially medical institutions, it also means the management authority and management methods of the relevant government departments such as social security, public health and prices Major adjustment. At the same time, the reform itself needs assistance