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在我国的医疗体系中,公立医院占据主导地位,其他医疗机构处于辅助地位,所以,长期以来公立医院在医疗服务市场上尤其是公费医疗市场一直拥有着很高的市场份额,并且公立医院的数量也占据全国医疗机构总数的半数以上,但是公立医院在报销环节中存在着一些问题和风险。本文通过对公立医院的界定,分析了公立医院在医保报销环节的风险,最后给出一些防范措施。
In our country’s medical system, the public hospitals occupy a dominant position, and other medical institutions are in a subsidiary position. Therefore, the public hospitals have long enjoyed a high market share in the medical service market, especially the public healthcare market, and the number of public hospitals But also occupy more than half of the total number of medical institutions in the country, but there are some problems and risks in reimbursement of public hospitals. In this paper, the definition of public hospitals, public hospitals in the health insurance reimbursement of the risk analysis, and finally gives some preventive measures.