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1978年改革后的我国实行的是按服务项目付费为主、政府预算为辅的支付方式。“总量控制、结构调整”起到了一定的控制医疗费用上涨的作用。公费、劳保医疗受到按服务项目付费方式的冲击。城镇职工医疗保险制度和农村的合作医疗制度都对供方支付方式进行了一些有益的探讨。结合国内外经验,混合支付系统是供方支付方式在未来的发展趋势。
After the reform in 1978, our country implemented a payment method based on service item payment and supplemented by the government budget. “Total control and structural adjustment” has played a certain role in controlling the rise in medical expenses. Public funds and labor insurance medical services are affected by the method of paying for services. Both the medical insurance system for urban employees and the cooperative medical system in rural areas have carried out some useful discussions on the payment methods of suppliers. Combined with domestic and international experience, the hybrid payment system is the supplier’s payment method in the future development trend.