Study On The Reform Of The Classification Of Shanghai Medical Insurance

Medical problems has been one of the focuses of the our country government and residents, medical problems about health. Medical insurance payment is the key to medical problem, also is the key to a successful medical health system. Reasonable and effective payment method can effectively solve the medical, the contradiction of, the three parties.Introduced in 1996, Shanghai town worker hospitalization medical treatment insurance, the "total amount control according to the project to pay payment system". But huge health-care spending makes severe waste of medical resources, in the face of total volume control targets coordination of medical expenses of medical treatment insurance and health care financing growth conflicts and establishing an effective mechanism of hospital cost constraints.This article obtains from the microscopic Angle, through the observation method, interview method, field survey method, etc, medical insurance payment operation in Shanghai as the research object, according to the present situation of Shanghai health care to pay and to study the effect of medical services, adopt the method of principal component analysis to analyze the medical service quality and level of Shanghai, and combining the method of questionnaire survey, the study of medical service satisfaction in Shanghai, on this basis, using the panel data related to the factors affecting the classification of medical treatment insurance to pay for the empirical analysis, summarizing its running effect and implementation problems, on the basis of the optimum path of building, in order to control medical expenses, improve medical efficiency, to coordinate the medical auxiliary system as the guidance, to grasp the direction of reform, reform in key areas and crucial links, pay attention to the reform of medical insurance mechanism of synchronization, jointly build a systematic classification of medical insurance payment, coordination of path, at the same time, combined with the SWOT method innovation medicare health insurance payments, introduced negotiation mechanism, to deepen the reform of the classification of Shanghai medical insurance payment system and offer your advice.