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总额控制,这项旨在通过合理预算,控制医保费用支出的支付方式改革,却在各地的实际操作中出现了不和谐音符,一些医院为了完成控费目标,推诿病人或者降低诊疗服务。在反思医院粗放管理的同时,如何实现科学合理的基础测算支撑和奖惩有序的机制制约,是“念好”总额控制这本“经”的关键内容。
The total amount of control, which is designed to reform the payment methods of health insurance expenses with a reasonable budget, has resulted in discordant notes in the actual operation in various places. Some hospitals push for patients or reduce their medical services in order to fulfill the cost-control targets. At the same time of reflecting the extensive management of the hospital, how to realize the scientific and reasonable basic measurement support and orderly mechanism restriction of rewards and punishment is the key content of controlling the total amount of the book.