Research On The Synergistic Benefit Of Cost Control And Quality Improvement Under The New Medical Reform Policy

Since the new health care reform policy was introduced in 2009,it has been nearly 10 years.With the advancement of health care reform,great achievements have been made in the reform of medical security,especially in the content of reimbursement,the proportion of reimbursement,the change of payment mode,the reimbursement system for serious illness,the system of medical treatment in different places,and the commercial insurance.Participation and so on.The new medical reform plan points out the importance,urgency and arduousness of deepening the reform of the medical and health system,puts forward the short-term goal of "effectively reducing the burden of residents'medical expenses,effectively alleviating the difficulty and high cost of medical treatment",and "establishing and perfecting the basic medical and health system covering urban and rural residents to provide safety,effectiveness and prescription for the masses." The long-term goal of convenient and inexpensive medical and health services.In the report of the Nineteenth National Congress,General Secretary Xi Jinping elaborated the importance of healthy China in a whole paragraph,which especially emphasized the importance of deepening the reform of the medical and health system.We will deepen the reform of the medical and health system,establish a basic medical and health system with Chinese characteristics,a medical security system and a high-quality and efficient medical and health service system,and improve the management system of modern hospitals.Especially the four words "high quality and high efficiency" let us see that people's demand for medical treatment in today's society has not only expected to obtain timely and effective medical services at reasonable cost,but also how to enjoy them at reasonable cost with the attention to the quality of service and service perception of medical behavior itself.Receive higher standard of medical services.This paper demonstrates the feasibility and necessity of co-development of controlling medical expenses and improving medical quality from two aspects:how to control the unreasonable growth of medical expenses and how to improve the quality of medical services under the reform of various medical insurance policies.Based on the data of outpatient average cost,hospitalization average cost,hospitalization cost structure ratio,average hospitalization days and other indicators,combined with the analysis of the number of beds turnover,cure improvement rate and diagnostic coincidence rate,a third-class A hospital in Quzhou City explores the incompatibility of controlling medical expenses under the premise of ensuring the quality of medical services.The goal of rationale growth is achieved.With the deepening of the health care reform policy,it is feasible to control the unreasonable growth of medical expenses a.nd ensure the improvement of medical service quality.However,some problems are also found,such as lack of effective cost control,unreasonable payment standard,single payment method and single payment subject.On the basis of the above research,the suggestions are as follows:1.strengthen cost control and realize meticulous management.2.adjust the charging standard,the government's responsibility is in place.3.diversified payment methods and payment entities.