Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-04-24 Cooperative journals: 《中国全科医学》
Abstract： Based on literature analysis， the paper systematically summarizes the development history， grouping and payment mode of the Home Health Prospective Payment System （HHPPS） in the United States. The Home Health Prospective Payment System has developed three versions since its establishment， and the grouping results are more refined and scientific，from the initial 80 home health resource groups to 432 home health resource groups. This method can effectively control expenses，but it requires a large amount of home health care data， scientific and complete expense settlement system and medical record management system. There are still some difficulties in the promotion and implementation in our country at this stage. Our country should learn from the Home Health Prospective Payment System of the American， establish a unified and standardized evaluation system， develop and improve the home medical service information collection system， promote the development of home care services in various aspects， and finally realize the establishment of a scientific and effective payment model， so as to enable the sustainable development of home care service.
Subjects: Other Disciplines >> Synthetic discipline submitted time 2023-03-28 Cooperative journals: 《中国科学院院刊》
Abstract： Quarantine and isolation are effective means to prevent transmission of COVID-19, but the problems arised during the period of quarantine and isolation are worth pondering. This article first streamlines five types of problems during the recent period of quarantine and isolation. Based on a brief review of related research on domestic and international literature, the article argues that it will be a suitable approach to carry out research from the perspective of spatial organization combined with the concept of systems theory. Then, it explores the reasons of the aforementioned problems from the objective laws of spatial organization and systems theory. It points out that the lack of systematical consideration of quarantine and isolation decisions in theory and the absence of preparations for switching from normal to abnormal status in practice are the fundamental reasons. Finally, three policy suggestions have been proposed from the perspectives of the optimization of spatial organization system, the enhancement of infrastructure and capabilities, and the backup mechanism and drills.
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