安徽省县域医疗服务共同体新农合按人头总额预付制度初探

摘要

介绍了安徽省新型农村合作医疗2015年起试点实行的县域医疗服务共同体按人头总额预付制度,分析了其作用机制,包括形成共同的目标激励约束机制,促进患者合理流动;形成良性的自我控费机制,减轻患者负担;构建高效的资源配置机制,促进机构共同发展.改革实施后,试点县住院患者流向趋于合理,患者就医负担减轻,医疗机构服务能力有所提升,可为我国其他地区支付方式改革提供借鉴.%This paper analyzed and concluded successful experience and mechanisms of regional global per capita budget implemented since 2015 in Anhui province,including the formation of mutual incentive and restraint mechanism, the mechanism of controlling expenses spontaneously and resource allocation efficiently.After the reform, flow of hospitalized patients was more rational, and the financial burden of patients was alleviated, while the capacity of medical institutions was improved notably in pilot counties.The successful experience of Anhui province can put forward corresponding suggestions to guide the future work in other areas.