论文部分内容阅读
八十年代初,我省开始进行企业医疗保险制度改革的探索,在职工个人负担部分医药费、实行大病医疗费的社会统筹等方面取得了一定进展,但从总体上看,改革进展缓慢,收效甚微,究其原因,主要是社会保险机构在改革中孤军作战,没有对与医疗保险制度相关的领域进行综合配套改革,本文就此作一初步探讨。建立对医疗单位的约束机制医疗机构是患者和医疗保险之间的主要环节。从医疗单位来讲,改变过去全部依赖国家补贴、建立竞争机制、实行经济承包并合理收费的办法,以解决国家定额补贴之不足,是无可非议的,但医疗单位“增收”、“创收”之源主要来自患者,城市医院的患者又
In the early 1980s, the province began to explore the reform of the enterprise medical insurance system. Some progress has been made in the individual medical expenses of employees and in the social pooling of serious illness and medical expenses. However, on the whole, the progress of the reform has been slow and effective Slightly, the reason is mainly that the social insurance agencies are fighting independently in the reform and have not carried out comprehensive reform on the fields related to the medical insurance system. This article makes a preliminary study on this issue. Establishing a Constraint Mechanism for Medical Units Medical institutions are the main link between patients and health insurance. From the perspective of medical units, it is beyond reproach to change the old way of relying solely on state subsidies, establishing a mechanism of competition, implementing economic contracting and charging fees reasonably to solve the problem of the national fixed subsidies. However, it is undeniable that the medical units should “increase revenue” "The main source of the patient, the city hospital patients again