Research On The Reform Of Total Pre-payment System In Hubei Province

[Purpose] Understand the basic situation of the progress of payment reform in Hubei Province,and carry out an in-depth study of the total prepayment system.The study involves the county and village level outpatient total prepaid system,and township hospitals and county-level medical institutions in the total hospital advance payment system.Mainly to study the total amount of pre-paid policy design,policy operation,the achievements and the existing problems,then get a correct assessment and summary,and lay the foundation for the promotion of the next total amount of prepayment in the province.[Methods] This article mainly adopts the literature combing method and the empirical research method.This paper analyzes the relevant literatures on the total amount of prepayment and payment reform at home and abroad;collecting the policy of 11 pilot counties;sort out the basic situation of the progress of payment reform in Hubei Province;analysis the five pilot areas of the total amount of pre-paid system-related policies and develop an outline of the interview;then interviews with relevant personnel in the pilot area.[Results] Since the start of payment reform in Hubei Province in 2012,many places have implemented payment reform.Local outpatient funds mainly take the total amount of prepaid system,and inpatient funds mainly take the total amount of prepaid system based on the hybrid payment model.The pilot area has the most exploration of the total prepayment system,developed a more comprehensive policy.The total prepaid system in the pilot area has achieved initial results,strengthen management capacity building,play an important role in ensure the safety of the Fund.The total prepaid system reform also faces some problems and challenges,propulsion is slow,the parties lack of knowledge,the implementation of the way is more extensive.[Conclusions] Total prepaid is a more effective way to curb the rapid growth of medical expenses at this stage,but the total prepaid system is by no means a simple way of payment changes.Total prepaid must balance the people's satisfaction,the normal development of medical institutions and the fund.