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界定因生育引起的疾病,是生育保险深化改革必须解决的瓶颈问题。它涉及因生育引起的疾病的界定、分类原则和方法,生育期并发症和生育期合并症的概念和病种范围,以及各自的基金支付方法。 为贯彻落实《劳动法》,原劳动部于1994年年底颁发了《企业职工生育保险试行办法》。其中第六条规定:“女职工生育出院后,因生育引起的疾病的医疗费,由生育保险基金支付;其他疾病的医疗费,按照医疗保险待遇的规定办理”。但对因生育引起的疾病的界定原则和包含病种,未作出进一步的说明和阐述。这就使各
Defining diseases caused by childbirth is a bottleneck that must be solved in the deepening reform of maternity insurance. It covers the definition of disease due to childbearing, the principles and methods of classification, the concepts and prevalence of complications during and after the childbearing age, and the method of payment of the respective fund. In order to implement the “Labor Law,” the former Ministry of Labor issued the “Trial Measures for Maternity Insurance for Workers in Enterprises” at the end of 1994. The sixth stipulates: “Female workers after discharge from hospital, due to maternity sickness caused by medical expenses, paid by the maternity insurance fund; other diseases, medical expenses, in accordance with the provisions of the medical insurance treatment.” However, no further explanation or explanation has been given on the definition of the disease caused by childbirth and the inclusion of the disease. This makes all