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医保付费机制改革是我国医疗体制改革的核心和关键,直接影响医保机构对医疗服务提供方的约束和控制效果。在推进我国医保付费机制改革过程中还存在着很多的制约和限制因素,如市场主体的缺位造成供需之间无法形成基于市场的买卖关系、医保经办机构行政垄断色彩浓厚等等。论文基于供需竞争视角对影响我国医保付费机制改革的障碍和制约因素进行归纳总结,并在此基础上提出我国医保付费机制改革的政策建议,为推动和促进我国医疗体制改革,完善医疗服务体系提供理论参考。
The reform of medical insurance payment mechanism is the core and key of the medical system reform in our country, and it has a direct impact on the restraint and control effect of medical insurance agencies on the providers of medical services. There are still many restrictions and restrictive factors in promoting the reform of medical insurance payment mechanism in our country. For example, the lack of market players can not form a market-based relationship between supply and demand, and the administrative monopoly of health insurance agencies and so on. Based on the perspective of supply and demand competition, this dissertation summarizes the obstacles and constraints that affect the reform of medical insurance payment mechanism in China. Based on this, it puts forward the policy suggestions on the reform of medical insurance payment mechanism in China. In order to promote and promote the medical system reform in China and improve the medical service system Theoretical reference.