首页> 中文期刊> 《中国全科医学》 >医疗保险视阈下医养结合结构关系与实施优化

医疗保险视阈下医养结合结构关系与实施优化

摘要

Integrating elderly care and medical resources,and constructing an integrated service system of elderly care,medical care,nursing and rehabilitation,are necessary measures to meet the diversified health and care needs of the elderly. Based on the current main structural relations and characteristics of medical―nursing combined care modes,this article studied the issues that service organizations are facing in the aspects of service ability, administrative supervision, insurance reimbursement,and so on from the medical insurance perspective and analyzed the optimization effect of precise planning and orientation,countermeasures taken by relative administrative institutions at all levels collaboratively,integration of urban resident basic medical insurance and new rural co―operative medical systems,seamless connection of services provided by medical and nursing institutions and by medical institutions at all levels and matched commercial insurance on this kind of modes.%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。

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