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国家有关部门1998年出台了以“基本水平、广泛覆盖、统帐结合、双方负担”为原则的医疗保险制度改革方案。这个方案的特点是要通过社会统筹建立一个独立于企业之外的医疗保险制度,以使企业职工不至于因企业经营状况不良而失去医疗保障的机会。同时,也以个人帐户的形式建立患者自我约束机制,杜绝浪费。2000年2月,国务院办公厅转发了国务院体改办等部门关于医药卫生体制改革指导意见的通知,明确了我国医药卫生体制改革的大政方针。出台了13个配套文件,为各地医改工作提供了操作规范。13个配套文件包括《关于城镇医疗机构分类
In 1998, the relevant state departments issued the reform plan of the medical insurance system based on the principle of “basic level, extensive coverage, unified accounting, and mutual commitment”. The special feature of this program is to establish a medical insurance system that is independent of the enterprise through social co-ordination, so that the employees of the enterprise will not lose the opportunity of medical security due to the bad business condition of the enterprise. At the same time, the self-discipline mechanism of patients is also established in the form of individual accounts to eliminate waste. In February 2000, the General Office of the State Council forwarded the State Council Reform Office and other departments’ notices on the reform of the medical and health system, and clarified the major policy guidelines for China’s reform of the medical and health system. Thirteen supporting documents were issued to provide operating specifications for medical reforms in various regions. 13 supporting documents include “About the classification of medical institutions in cities and towns