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江西省九江市是国务院1994年确定的职工医疗保障制度改革试点城市之一。医改试点初期,实行手工操作的管理模式,对职工个人医疗帐户的管理,主要靠《职工医疗保险手册》、《病历处方本》及个人医疗台帐的联动操作来实现,并配套了16张业务操作表格,这种运作方式对确保医改方案顺利启动、运行起到了重要作用,但随着参保范围的扩大和参保人数的增加,帐、表、卡、册以及文件等载体大量增加,给医保档案管理和档案利用带来诸多不便,其弊端日益显现。主要表现为:患者就诊仅允许在定点医院,范围局限,不便选择;社
Jiujiang City, Jiangxi Province, is one of the pilot cities designated by the State Council in 1994 for the reform of the employee medical security system. In the initial stage of the medical reform pilot project, a manual operation management model was adopted. The management of individual medical accounts of employees was mainly achieved through the linkage operations of the “Employee Medical Insurance Handbook”, “Case Record Prescription” and personal medical accounts, and supported 16 business operations. The operation form, this mode of operation has played an important role in ensuring the smooth start-up and operation of the medical reform program. However, with the expansion of the scope of insurance coverage and the increase in the number of people participating, a large number of carriers, tables, cards, books and documents have been added to the The inconvenience caused by the management of medical records and the use of archives has become increasingly evident. The main manifestations are: patient visits are only allowed in designated hospitals, limited in scope, inconvenient to choose;