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随着医疗卫生体制的深化改革,国家对医疗卫生资源采取“总量控制,结构调整”的宏观调控措施,给医院的经营管理带来了较大的压力;医疗保险制度采取医院先垫付患者医疗费的给付制度,全民的参保意识浓厚,享受医疗保险的患者占比越来越大,占用了医院相当大的流动资金;由于国家推行了一系列降低大型设备检查和药价等措施,医院增收的空间越来越小。现在,我市医保中心为了控制医疗费超支,给各医院按病种规定了报销限额,因此按病种进行成本核算引起了医院管理者的广泛关注和实施。
With the deepening reform of the medical and health system, the state has adopted macro-control measures of “total amount control and structural adjustment” for the medical and health resources, which have put more pressure on the operation and management of the hospital. The medical insurance system has been advanced by hospitals Patients pay for the medical fee system, the public awareness of a strong insurance, access to medical insurance, an increasing proportion of patients, occupy a considerable hospital liquidity; the country implemented a series of measures to reduce large-scale equipment inspection and drug prices The hospital income space is getting smaller and smaller. Now, the city medical insurance center in order to control medical expenses overruns, to the hospital provided for reimbursement limits by disease, so the cost of accounting for the disease caused widespread concern and implementation of hospital managers.