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妇幼保健保偿制目前正在全国逐渐推开,实践证明这是运用经济手段管理妇幼卫生工作的行之有效的办法。推行保偿制,确定保健保偿费用是关键一环。保健费可根据实际服务项目按照国家收费标准收取,而保偿金则没有统一的标准,各地差异较大,一些地方甚至由于不能顺利通过物价部门的审查而影响了这项工作的开展。因此,妇幼保健保偿金标准及其预测模式的研究,对各地推广保偿制具有重要的实用指导价值。本文拟结合本地区的实践和体会对这一问题加以探讨。
The maternity and child health guarantee system is currently being gradually promoted across the country. Practice has shown that this is an effective method of using economic means to manage maternal and child health work. The implementation of a reimbursement system and the determination of health insurance reimbursement costs are a key link. Health care fees can be charged according to the actual service items according to the national fee standards, while the guarantee money does not have a uniform standard, and there are large differences among regions. Some places have even affected the development of this work because they could not pass the review of the price department. Therefore, the research on the maternity and child health insurance compensation standard and its forecasting model has important practical guiding value for the promotion and reimbursement system in various places. This paper intends to explore this issue in conjunction with the practice and experience of the region.