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在日本,讨论美国公共医疗保障中老年和残疾医疗保险规划对医疗费采用预付制度(PPS)时,一般只从控制医疗费用的角度看问题。如果我们不仅仅把按疾病诊断分类定额预付制度(DRG)看作支付机构的一种手段,而且考虑到美国是按市场自由竞争等理论特色建立的特有医疗制度,考虑到它的历史、社会、经济的背景的话,就可以说,美国采用按估算定额预付医疗费的重要因素,是适应市场竞争方向以期引导适当有效利用医疗资源的目的。 PPS与DRG 医疗费预付制度(PPS)是限定住院日数,按每一住院患者医疗费定额,预先支付给医院
In Japan, discussing the U.S. public health insurance program for middle-aged and disabled medical insurance adopts the prepaid system (PPS) for medical expenses, generally only from the perspective of controlling medical expenses. If we not only regard DRG as a means of payment institutions, but also consider the United States as a unique medical system established according to theoretical characteristics such as free market competition, considering its history, society, In the economic context, it can be said that the United States adopts an important factor in prepaying medical expenses according to the estimated quota, which is to adapt to the direction of market competition in order to guide the proper and effective use of medical resources. The PPS and DRG Medical Prepayment System (PPS) is a limited number of hospital stays. It is pre-paid to hospitals according to the medical expenses per inpatient.