“总额预付”的控费效果最为显著,但是局限性也显而易见。因为控费压力向下传导,在医疗机构和医生同患者的博弈中,弱势的一方永远是患者。因此管理总额预付指标,首先要有基础数据和历史数据(即做科学测算是实施总额预付的基础条件);其次基础数据对医疗服务的质和量要有保障;另外涉及的还有病种结构,即要保证医疗机构对各类患者都公平对待,不能挑肥拣瘦,否则就会带来 The “total prepayment” control charges the most significant effect, but the limitations are obvious. Because of the downward pressure on control fees, the weaker side is always the patient in the game between the medical establishment and the doctor. Therefore, the management of the amount of prepaid indicators, the first basic and historical data to have to do (that is, doing scientific calculations is the basic conditions for the implementation of the total amount of advance); secondly, basic data on the quality and quantity of medical services to be protected; also involved in the disease structure , That is to ensure that medical institutions for all types of patients are treated fairly, not picky, otherwise it will bring