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职工医保普通门诊统筹支付政策绩效分析——以福州市运行实践为例 被引量:2

The Performance Analysis of the Out-patient Pooling Funds Expenditure of Basic Medicare for Urban employees——A Case study of the Medicare Running in Fuzhou
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摘要 维系社会稳定和提供社会福利的普通门诊统筹支付政策,对其绩效评价不能脱离制度的根本目的,不能超越现实的基本条件,不能不顾未来的可持续性,也不是支付比例越高越好。为此,做好普通门诊统筹支付工作,需要处理好设计与实施、需求与可及、服务与监管的关系。 [Abstraet] The performance appraisal of out-patient pooling funds expenditure policy, which maintains the social stability and provides the social welfare, can not betray the basic purpose of the basic system, go beyond the realistic conditions, and ignore the future sustainability. As for the ratio of reimbursement, higher not equals to better. Therefore, a good out-patient expenditure policy is based on a good dealing of the following three relationships: the design and carry-out of the policy, the demand of insurers and the solvency of Medicare, the service and the supervision provided. [Key words] the expenditure of out-patient pooling funds, reimbursement policy, performance
出处 《中国医疗保险》 2012年第9期48-51,共4页 China Health Insurance
关键词 普通门诊统筹 支付政策 绩效 the expenditure of out-patient pooling funds, reimbursement policy, performance
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