以基本医疗保险为视角的双向转诊激励与约束机制构建研究

摘要

Lack of the support of incentive and restraint mechanism of basic medical care insurance is one of the important factors to the inefficient operation of the dual referral between urban hospital and community health service institutions. This paper analyses the situation of the combination of basic medical care insurance with the dual referral, and then puts forward suggestions in terms of organization guarantee, establishment of the incentive and restraint mechanism of basic medical care insurance , and formulation of the workable referral standard.%城市医院与社区卫生服务机构间的双向转诊运转不畅的重要原因之一就是缺乏基本医疗保险的激励与约束机制的支持.本文对我国基本医疗保险与双向转诊的结合现状进行了梳理和分析,并从组织保障、建立医疗保险的激励与约束机制、制定可操作性强的转诊标准等方面提出了对策和建议.