医疗保险视阈下医养结合结构关系与实施优化
发布时间:2018-04-09 00:19
本文选题:医养结合 切入点:结构关系 出处:《中国全科医学》2017年03期
【摘要】:整合养老资源与医疗资源,构建养老、医疗、护理、康复等一站式服务体系,是满足多元化健康养老需求的必然趋势。本文依据当前医养结合主要结构关系及其特点,基于医保视阈研究服务机构在服务能力、行政监管、报销结算等方面面临的问题,并分析精准规划定位、行政协同联动、医保制度整合、"医养对接""医医对接"、商业保险配套等对实施医养结合模式的优化作用。
[Abstract]:It is an inevitable trend to integrate old-age resources and medical resources and to construct a one-stop service system such as old-age care, medical care, nursing care, rehabilitation and so on.According to the main structural relationship and characteristics of the current medical-support combination, based on the problems faced by the medical insurance visual research service institutions in the aspects of service capability, administrative supervision, reimbursement settlement, and so on, this paper analyzes the precise planning orientation, administrative coordination and linkage, etc.The integration of medical insurance system, docking of medical care, docking of medical and medical, commercial insurance and so on optimize the mode of combination of medical and nursing.
【作者单位】: 济宁医学院;济宁第一人民医院康复医学科;
【基金】:2016年度山东省社科联人文社会科学课题(16-ZC-SH-01) 济宁医学院青年教师科研扶持基金项目(JY2016RW003)
【分类号】:R197.1;F842.684
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