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现阶段的单病种付费模式设计上多以现代医学的《疾病临床诊疗路径》为基础,尚没有将中医药学诊疗服务内容纳入其中的形式。因为缺少中医药学专家和中医医院医疗管理者的参与,缺乏对中医医院医保运行的困难分析,导致现代医学路径与中医路径不匹配,病种付费模式与中医特色不切合等问题出现。强调中医医院管理者要以提升医疗服务质量,传承发展中医药学为抓手,切实加强中医药学与医疗保险管理双学科的交叉融合,将精深的中医理论和优秀实践融入医保浪潮中,制定出切实可行的、适合中医院发展且能将支付方式优化的新模式和新思路。
At this stage, based on the “pathological clinical diagnosis and treatment path” of modern medicine, there are still no forms for including the contents of TCM diagnosis and treatment services. Due to the lack of participation of Chinese medicine experts and medical managers in TCM hospitals, the lack of a difficult analysis of the health insurance operation in TCM hospitals has led to the mismatch between modern medical approaches and pathways of traditional Chinese medicine. It is emphasized that managers of Chinese medicine hospitals should make every effort to improve the quality of medical services, inherit and develop traditional Chinese medicine, effectively strengthen the interdisciplinary integration of traditional Chinese medicine and medical insurance management, incorporate profound Chinese medicine theory and excellent practice into the wave of medical insurance, and work out concrete measures Feasible, suitable for the development of Chinese medicine hospital and can be paid to optimize the new model and new ideas.