论文部分内容阅读
目的:分析医保基金超支风险责任转嫁医疗机构的负面影响。方法:文献研究与现场访谈法。结果:将风险责任转嫁给医疗机构不符合法律规定;价值取向偏误;对医、患、保三方均有负面影响。结论:风险防范应通过体制改革及内部政策调整、加强风险因素管理等途径,依靠预算来实现;风险责任应由政府承担。
OBJECTIVE: To analyze the negative impact of shifting the liability of overdraft risks of medical insurance funds to medical institutions. Methods: literature research and on-site interview. Results: The transfer of risk responsibility to medical institutions did not comply with the law; value orientation was wrong; it had a negative impact on the three parties including doctors, patients and patients. Conclusion: Risk prevention should be realized through budget reform through institutional reform and internal policy adjustment, strengthening management of risk factors, etc. The risk responsibility should be borne by the government.