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(二)有管理的医疗服务的组织形式 随着社会的不断发展,各种类型的有管理的医疗服务得到了很大发展,而且新的模式仍在不断出现。尽管如此,它们都具有一些共同的特点:如,将医疗服务的供给与保险资金的供给协调起来,进行共同管理;建立医疗成本控制制度;医疗服务提供者与保险费用支付者之间实行风险分担;对医疗服务利用的监督与管理。 各种有管理的医疗服务计划可以按照其组织对各种计划的控制程度进行分类。控制程度最松的计划,如具有
(II) Organizational forms of managed medical services With the continuous development of society, various types of managed medical services have been greatly developed, and new models are still emerging. In spite of this, they all share some common characteristics: for example, the supply of medical services is coordinated with the supply of insurance funds for joint management; the medical cost control system is established; and the risk-sharing between medical service providers and the payers of insurance premiums ; Supervision and management of the utilization of medical services. The various managed health care plans can be categorized according to their level of control over the various plans. The most loosely controlled program, if any