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黑龙江省阿城县根据农业合作化后的新情况,于1956年下半年开始,就提倡在医疗机构和农业生产合作社之间建立医疗后付合同的制度。1956年只有部分合作社与卫生所订立了这种合同,到了1957年,全县的合作社已普通与医疗机构建立了这种合同关系。医疗后付合同中主要规定医疗手续、预交金数额和结算日期等。医疗手续很简单,由生产队长介绍到社,社开给介绍信,注明看病地点和由社统一结算,有病的社员持介绍信去看病就行了。预交金的数额,主要根据合作社的大小,历年医疗费支出数额等情况
In Acheng County, Heilongjiang Province, according to the new situation after agricultural cooperation, it began in the second half of 1956 and advocated the establishment of a post-medical payment contract system between medical institutions and agricultural production cooperatives. In 1956, only some cooperatives and health clinics entered into this kind of contract. By 1957, county-wide cooperatives had established such contractual relationships with medical institutions. The post-medical payment contract mainly stipulates medical procedures, advance payment amounts, and settlement date. The medical procedure is very simple. The production team leader introduces the company to the society. The society opens a letter of introduction, indicating the location of the medical treatment and the unified settlement by the society. The sick member will take the referral letter to see the doctor. The amount of advance payment is mainly based on the size of the cooperative, the amount of expenditure on medical expenses over the years, etc.