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镇江市医保基金医疗服务支付方式控费现状研究
引用本文:万 彬,程向前,陈 蕾,张明敏,冷明祥.镇江市医保基金医疗服务支付方式控费现状研究[J].南京医科大学学报(社会科学版),2013,13(4):292-297.
作者姓名:万 彬  程向前  陈 蕾  张明敏  冷明祥
作者单位:1. 南京医科大学第一附属医院公费医保办公室,江苏南京,210029
2. 南京市第二医院人事科,江苏南京,210003
3. 南京市第二医院医务科,江苏南京,210003
4. 南京医科大学医政学院,江苏南京,210029
基金项目:江苏省卫生经济学会2012年度课题资助项目
摘    要:镇江市是江苏省唯一的公立医院改革试点城市,为探讨镇江市在医保改革中取得的成效,文章对镇江市基本医保基金运行情况进行分析,选取三级、二级、一级医疗机构各一家,以2009~2011年为研究时间段,探索改革前后三种基本医保基金对医疗服务的补偿及控费现况.

关 键 词:医保基金管理  支付方式  费用控制  镇江
收稿时间:2013/5/27 0:00:00

An investigation of medical service cost control of medical insurance fund in Zhenjiang
Wan Bin,Cheng Xiangqian,Chen Lei,Zhang Mingmin and Leng Mingxiang.An investigation of medical service cost control of medical insurance fund in Zhenjiang[J].Acta Universitatis Medicinalis Nanjing(Social Science),2013,13(4):292-297.
Authors:Wan Bin  Cheng Xiangqian  Chen Lei  Zhang Mingmin and Leng Mingxiang
Institution:Medical Insurance Office,the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029;Personnel Office,Nanjing Second Hospital, Nanjing 210003;Medical Affair Office,Nanjing Second Hospital, Nanjing 210003;School of Health Policy and Management, Nanjing Medical University, Nanjing 210029, China;School of Health Policy and Management, Nanjing Medical University, Nanjing 210029, China
Abstract:Zhenjiang city is the only pilot city of public hospital reform in Jiangsu Province. In order to study the effect of the health care reform, the article selected 3 hospitals represented 3 different medical institution levels, focused on the period of 2009-2011, explored the operation of basic medical insurance fund, and investigated the cost control of basic medical insurance funds as a compensation for medical service.
Keywords:management medical insurance fund  payment  cost control  Zhenjiang
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