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通过对医疗保险制度改革过程的回顾分析,发现界定医疗服务范围和限定医疗服务价格的政策是制度运行的基础,总额预算的方法对医疗机构具有较强的约束作用。医疗服务的需求和供给正在向正常的范围回归,社会卫生资源的合理利用得到改善,医疗机构强化内部管理,卫生经济效益有所提高。患者对医疗服务的自控意识增强,医院间竞争基本展开。改革中对财政非营利性医院补助应该增加,医疗机构的收费结构和收费标准有待调整,对医疗机构面临的经营困难应给予足够的重视。
Through the review and analysis of the reform of the medical insurance system, it is found that the policy of defining the scope of medical services and the price of medical services is the basis of the system operation. The total budget method has a strong restraint on the medical institutions. The demand and supply of medical services are returning to the normal range. The rational utilization of social health resources has been improved. Medical institutions have strengthened their internal management and health economic benefits have been raised. Patient awareness of self-control of medical services increased, competition among hospitals basically started. In the reform, subsidies to non-profit financial hospitals should be increased. The charging structure and charging standards of medical institutions need to be adjusted, and sufficient attention should be paid to the operating difficulties faced by medical institutions.