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自1998年建立城镇职工基本医疗保险制度以来,医疗保险经办机构就开始对定点医疗机构的医疗服务行为进行监控,这是经办机构对医疗机构、医保医生和参保人员管理的重要环节。笔者应一直认为,医疗保险对医疗服务的管理应包含三个层面,即通过付费方式来引导医疗服务行为,通过医保医生管理来规范医疗服务行为,通过医疗服务监
Since the establishment of the urban basic medical insurance system for urban workers in 1998, the medical insurance agency has started to monitor the medical service activities of the designated medical institutions. This is an important part of handling the management of medical institutions, medical insurance doctors and insured persons by handling agencies. The author should always think that the medical insurance management of medical services should include three levels, namely through the payment of medical insurance to guide the behavior of medical doctors through the management of medical services to regulate the behavior of medical services through the supervision