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医疗保险支付方式是实现医疗保险风险抵御和分担的主要方式,合理的支付方式既能有效的控制医疗费用的增长,又能更好地激励医疗服务机构提高服务效率,促进其健康协调的发展。本文以我国现阶段医疗保险支付方式中的按服务项目收费(FFS)以及DRGs在我国发展前景为视角,总结FFS实施过程中的优缺点,探究DRGs在我国实施的重难点和改革措施。
The medical insurance payment method is the main way to realize the medical insurance risk prevention and sharing. The reasonable payment method can not only effectively control the growth of medical expenses, but also better encourage the medical service agencies to improve the service efficiency and promote the healthy and coordinated development. Based on the FFS and current DRGs development prospects in China, this article summarizes the advantages and disadvantages of FFS in the implementation of DRFs, and explores the major difficulties and the reform measures of DRGs in our country.