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近几年来,我县公费医疗管理制度改革作了些努力与尝试,现作如下简述。 一、改革的成效 我县的公费医疗改革方案于1995年9月出台,通过一年多的实施,运行正常。新的管理制度采取“分级管理,门诊建立个人帐户,住院统筹”的方式;建立了对医患实行双向制约的机制,有效地遏制了医疗费增长过快的势头,医疗费支出比上年下降23.2％,缓解了财政、公费医疗管理办公室(简称公医办)、医疗单位、享受单位、个人之间的矛盾,明确了各方责任。
In recent years, my county has made some efforts and attempts to reform the public medical management system. The following is a brief description. First, the effectiveness of the reform The county’s public health care reform plan was introduced in September 1995. After more than one year of implementation, it is operating normally. The new management system adopts a method of “grading management, setting up individual accounts for outpatients, and coordinating hospitalization”; establishing a two-way control mechanism for doctors and patients, effectively curbing the momentum of excessively fast growth of medical expenses, and reducing the expenditure on medical expenses from the previous year. 23.2% eased the contradiction between the financial and public medical administrative office (referred to as the public medical office), medical units, and units and individuals, and clarified the responsibilities of all parties.