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目的:了解总额预控下的按服务单元浮动付费方式对医疗机构可能造成的影响,并探讨应采取的可行性措施。方法:通过对政策的解读,与单纯按定额浮动结算政策进行比较来了解新政策的特点。结果:新政策通过总额预控能有效抑制医疗费用过快增长的趋势,引入的人次人头比指标,有效控制了医疗机构分解就医人次的行为。结论:医疗机构通过加大费用控制管理力度,开展新业务以吸引人头就医,优化医疗收费结构构成,能实现医疗业务稳步增长。
OBJECTIVE: To understand the possible impact of floating payment for service units on medical institutions under the pre-charge of total amount and to discuss the feasibility measures to be taken. Methods: Through the interpretation of the policy, simply compared with the fixed floating settlement policy to understand the characteristics of the new policy. Results: The new policy through the total amount of pre-control can effectively curb the trend of excessive growth of medical costs, the introduction of head-to-head ratio indicators, effective control of the medical institutions to decompose the doctor’s behavior. Conclusion: Medical institutions can achieve steady growth of medical services by increasing cost control and management, launching new businesses to attract more people to seek medical treatment, and optimizing the composition of medical charges structure.