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1981年6月1日日本进行的医疗费的改革有三个内容:适当评价技术费用;充实初级医疗;取消对保险金以外的费用负担。评价技术费用以手术费为例,既有上涨的,也有下降的,这主要取决于技术的普及程度,难易程度,和是否因技术革新而简化等方面因素。以肾透析为例,由于较为普及而使费用降低了。而引进新技术时,如激光手术刀,吸附型血液净化,腹水滤过后浓缩再静注等,则自然会要加价。对检查费的重新探讨凡属简便的检查应予降价;而检查内容复杂、需耗时较长的检查项目则应加价。充实初级医疗属于这方面内容的费用是指对一些慢性病的卫生指导所收的费用,如对乳幼儿保建指导、营养指导等,这些均属内科
The reform of medical expenses carried out in Japan on June 1, 1981 contained three elements: the proper evaluation of technical costs; the enhancement of primary medical care; and the elimination of the burden of expenses other than insurance premiums. The evaluation of technical costs, as an example of operating costs, has both increased and decreased. This depends mainly on the degree of popularity of the technology, the degree of difficulty, and whether it is simplified due to technological innovation. Taking kidney dialysis as an example, the cost has been reduced due to its popularity. The introduction of new technologies, such as laser scalpels, adsorbed blood purification, ascites filtration, concentration and re-infusion, etc., will naturally increase the price. The re-examination of inspection fees should be subject to price cuts for all simple inspections, and price increases for inspections with complex inspections and longer time-consuming inspections. The cost of supplementing primary medical care in this area refers to the cost of health guidance for some chronic diseases, such as guidance on the construction of nursing infants and children, nutrition guidance, etc. These are internal medicines.