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新医改背景下医院医保管理的挑战及策略探讨
Discuss on challenges and strategies of hospital medical insurance management under new medical reform
【摘要】 在深化医保改革的大背景下,医院医保管理工作中存在的问题和矛盾日渐突出。文章从管理模式、信息网络、政策宣传、监管考核和人才建设等方面,分析了医院医保管理工作面临的挑战,并进一步探讨可行的解决策略。在新医改形势下,建议要切实解决医保服务领域群众急、难、愁、盼的问题,营造和谐健康就医环境,促进我国医院医疗保险事业的高质量发展。
【Abstract】 Under the background of deepening medical insurance reform, the problems and contradictions in the management of hospital medical insurance have become increasingly prominent. This paper analyzes the challenges faced by hospital medical insurance management from the aspects of management mode, information network, policy publicity, supervision and assessment, and talent construction, and further discusses feasible solutions. Under new medical reform situation, we should effectively solve the urgent problems, difficulties, concerns and expectations in the field of medical insurance services, create a harmonious and healthy medical environment, and promote the high-quality development of hospital medical insurance business in China.
【Key words】 new medical reform; medical insurance management; hospital; challenge; strategy;
- 【文献出处】 卫生软科学 ,Soft Science of Health , 编辑部邮箱 ,2022年08期
- 【分类号】R197.32
- 【下载频次】304