《中美医改之比较》PPT课件

《《中美医改之比较》PPT课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、TheHealthCareReformPathsofUSandChinaThreeMainPartsinHealthCareProvidersDoctorsHospitalsLaboratoriesPharmacies（药店）PharmaceuticalCompanies(制药商)Homecareandotherspecialtycare（家庭保健和其他专业保健）WhatDoProvidersDo?PayersGovernment:MedicareandstateMedicaidprograms（政府：医疗保险制度和州级公共医疗补助项目)Healthinsurance

2、programs/HealthMaintenanceOrganizations(HMO).(医疗保险项目及卫生维护组织)oIndemnityPlans(feeforservice)补偿计划（服务费用）oPreferredProviderOrganizations(PPO)（优先选择医疗服务提供者组织（PPO）oStaffmodelHMOs(拥有医院和受薪医师的卫生维护组织）oEmployersponsoredprograms（雇主资助项目）PatientsWhatDoPayersDo?Then,whatshouldpeople/patientsdo?Insured:c

3、hoosehealthinsuranceprogramsUninsured:seekemergencycareorMedicaid（医疗补助）WhatisaReform?Re-alignmentofstakeholdersandtheirbenefits（利益持有者和利益的重新分割）Agoodreformmakesstakeholders’interestsmatchpeoples’interests（好的改革使利益持有者的利益与人民的利益吻合）China’sreformeffortmusthave“built-in”anti-corruptioncomponent（中

4、国医疗改革须纳入反腐败部分）Thereasons:Afterprivatization（私营）,theprovidersmustcompeteforpayerbusiness.Thepayersmustcompeteforpatientbusiness.Competitionsonbothpriceandquality.Medicare(医疗保险)&Medicaid（医疗补助）ThroughMedicareandMedicaid,thefederalgovernmenthasbecomethelargestpayer.Ariseinthenumberofbenefite

5、dpeople.Medicarespendingwillbemorethandoubleinthenextdecade.ThedifferencesbetweenHealthInsurance(医疗保险)andNationalHealthPlan(全民医保)Healthinsurancecompaniesareprivatebusiness,theyusuallyprovidebusinessontheirownbehalf.NationalHeathPlanisanentitlement(权益性)program,notsubjecttoaboveconcerns,so

6、itneedslowercosttoimple.Obama'stimelineofhealthcarereform2010—2014Peopleunder26canbecoveredbyparents.Nopre-existingconditionorhealthstatusforpeople.Lifetime/annuallimitsremoved.Nopolicycancellationafterapersongetsill.Citizenspayfinefornoinsurance.Employerspayfinefornotofferinghealthinsur

7、ance.China’sHealthReformEffortsCurrentStatusinChina●Lowlevelofcoverage●Constrainedbyproviders●RunawaycostChina’sHealthReformEfforts●Chinawidenedmedicalinsurancecoverageandincreasedthegovernmentallowanceandreimbursementratio.●Medicinepricesdropped30percentonaverageacrossth