Establishing the People-oriented Medical Service Cost Management Mode

Yang Ling; Ye Jing

doi:10.19546/j.issn.1674-3830.2022.2.005

China Health Insurance ›› 2022, Vol. 0 ›› Issue (2) : 32-36. DOI: 10.19546/j.issn.1674-3830.2022.2.005

Observation & Discussion

Establishing the People-oriented Medical Service Cost Management Mode

Yang Ling¹, Ye Jing²

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Abstract

Since the 18th National Congress of the Communist Party of China, the reform of national healthcare security system has continued to advance, and breakthrough progress was made in solving the problems of difficult and expensive medical treatment. However, the sustainability of the healthcare security system is facing severe challenges with the rapid growth of health expenditure. The important issues facing by China's healthcare security are how to enhance the incentive and restraint role in the field of medical services, and how to make people obtain high-quality health services through more effective healthcare security payment. Actually, the current cost management mechanism is centered on medical institutions and pays limited attention to patients which leads to the fragmentation of related reform measures. The contradiction between cost management and patient health output makes it difficult to form a continuous and effective cost management mechanism. This article believes that health service cost management should be centered on people (patients), which means starting from the needs of patients, aiming at improving the value of patients. And on the basis of patient-oriented cost accounting and health output measurement, the payer of healthcare security shall pay each medical institution according to the actual service performance, so as to improve resource utilization efficiency and achieve a win-win situation for cost management and patient value enhancement.

Key words

people-oriented / cost management model / TDABC / health output

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Yang Ling, Ye Jing. Establishing the People-oriented Medical Service Cost Management Mode[J]. China Health Insurance. 2022, 0(2): 32-36 https://doi.org/10.19546/j.issn.1674-3830.2022.2.005

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