加强定点医疗机构社会医疗保险服务管理能力建设的思考.pdfVIP

申国初级E生保健 2011 fI: 10 同第 25 蜷舅 10 期(总第 310 期) 制磁部如稳鳞嗣部陆摇强晦 琢部rn 加强定点医疗机构社会医疗保险服务管理能力建设的思考 阳武军①，凌莉CDI 摘 要 随着我国新医药卫生体制改革深入椎进，以及《社会保险法》的颁布实施，定点医疗机构委主动适应社会保险制度改革 的需要，提高医疗服务质量，降低医疗服务成本，促进基本药物的优先选择和合理使用，控制医疗费用不合理增长。围绕提升 定点医疗机构社会保险服务管理能力建设，通过分析现阶段服务管理能力建设中存在的主要问题和难点，探讨提升服务管理能 力建设的途径和方法。 关键词 医疗机构;社会保险;能力建设 [中固分类号1 RI97 [文献标识码1 A [文章编号1 1 ∞1-568X(2011) 1O-∞21 -02 Thoughts of 伽e Enhancement of Capa city Building About Social Medical S回urlty Service Management of the Fixed -point Medical Ins由utionIYANG Wu-jun , LING Li//Chinωe Primary Health Care , 2011 , 25(10): 21-22 Abstract With 由e acceleration of new phannaceutical and healthcare systems refonn and the implementation of Social Insurance Law , fixed -point medical institutions should actively meet the needs of the social insurance system reform , should improve the medical service quality and reduce the cost , should make priority selection and properly u目。f the essential medicines. should control the unreasonable inc陀ase of medical expen回s. Concentrating on the construction of capacity building of fixed -point medical institutions , and through analyzing of the main problems and difficulties at 由e present stage. discusses the approaches and me出ods to improve the capacity building of service management. Key words medical institution; s配ial insurance; capacity building First-author s addrωs School of Public Health , Sun Yat-sen University , Guangzhou. 51∞80 ， China 1 全民医保制度对定点医疗机构的影响 定点医疗机构作为新一轮医药卫生体制改革的主体，如 1.1 社会保险制度对医疗机构运行影响增强 何适应社会保险制度改革发展，加强自我管理、自我发展， 控制医疗费用不合理增长，提高医疗服务质量，