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中央社会保险医疗协会最近公开发表了“国民医疗经济的宏观分析”的报告,该报告是医疗经济研究委员会花了两年的时间研究出来的。报告中提出了诸如财政制度上的调整方向、医师过剩的逐渐解决、医院和诊疗所的职能分工,医疗系统化,照顾不同职责人员的报酬,从医疗报酬中分出研究费和进修费等一系列引人注目的观点。首先,关於“医疗需求”方面:(1)现行标准的患者部分费用负担是不得已的,与其维持现行的负担标准,不如在医疗资源的分配上进一步探讨其有效性和合理性。(2)保险以外的个人费用负担最终还是应纳入保险制度内,以明确区分自已应该负担的部分。(3)因为医疗保险在财政制度上
The Central Social Insurance Medical Association recently published a report on “Macro Analysis of the National Medical Economy” which was studied by the Medical Economic Research Committee for two years. The report put forward such directions as the adjustment of the financial system, the gradual resolution of excess physicians, the division of functions of hospitals and clinics, the systematization of medical care, the remuneration of people with different responsibilities, and the separation of research fees and study expenses from medical remuneration. A series of eye-catching opinions. First of all, with respect to the “medical needs”: (1) The partial patient cost burden of the current standard is a last resort. Instead of maintaining the current burden standard, it is better to explore the validity and rationality of the allocation of medical resources. (2) The burden of personal expenses other than insurance should ultimately be included in the insurance system to clearly distinguish the part that should be borne by themselves. (3) Because medical insurance is in the financial system