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[医疗服务提供者支付系统]

[Health care provider payment systems].

作者信息

Cislaghi C, Galanti C, Tediosi F

机构信息

Cattedra di Economia Sanitaria, Facoltà di Medicina e Chirurgia, Università degli Studi di Milano.

出版信息

Ann Ig. 2003 Sep-Oct;15(5):443-56.

Abstract

Health care provider payment systems regulate the relationship between patients, providers, and third payers in order to maximise benefits and minimise costs of the whole health care system. Health care providers could be paid by a price or a fee for service, by capitation systems, or by reimbursement of production costs. It would be interesting to develop innovative payment systems aimed to the payment of the entire health care pattern of patients. This would be particularly desirable for certain health conditions where it is impossible to divide the health care delivery pattern into single health services e.g. psychiatric care, long term and rehabilitation care.

摘要

医疗服务提供者支付系统规范患者、提供者和第三方支付者之间的关系,以实现整个医疗系统的效益最大化和成本最小化。医疗服务提供者可以按服务价格或费用支付,按人头付费系统支付,或按生产成本报销支付。开发旨在支付患者整个医疗模式的创新支付系统会很有意思。对于某些无法将医疗服务模式划分为单一医疗服务的健康状况,例如精神科护理、长期护理和康复护理,这一点尤为可取。

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