论文部分内容阅读
劳动部1996年8月12日发布、10月1日实施的《企业职工工伤保险试行办法》规定,工伤职工治疗工伤或职业病所需的挂号费、住院费、医疗费、药费、就医路费全额报销。这种实报实销的医疗待遇,充分体现了工伤保险的补偿性,以及党和政府对工伤职工的关怀。但是,这一办法加大了管理难度,突出表现是医疗费用超常增长,且难以控制。据九江市所属县区近2年的统计,工伤医疗费用开支占总待遇支付的40—70％,对此若不加以遏制,很可能造成工伤保险基金收支失衡。 工伤医疗费用增长的原因是多方面的,归纳起来主要有:
The Measures for the Trial Implementation of Work-related Injury Insurance for Business Workers issued by the Ministry of Labor on August 12, 1996 and October 1, stipulate that registration fees, hospitalization fees, medical expenses, medical expenses, and medical expenses for medical injuries incurred by workers for treating work-related injuries or occupational diseases Reimbursement. This kind of medical treatment that is reported to the public for distribution actually fully reflects the compensability of industrial injury insurance and the concern of the party and the government on injured workers. However, this approach has increased the difficulty of management, highlighting the extraordinary growth in health care costs and the unmanageable control. According to the statistics of nearly two years in the county seat of Jiujiang City, medical expenses for work-related injury account for 40-70% of the total medical treatment. If this is not checked, the unemployment insurance fund may be unbalanced in income and expenditure. The reasons for the increase in the cost of occupational injury medical treatment are many. To sum up, there are mainly: