| 医疗救助制度与基本医疗保险制度衔接的优化模型研究 |
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| 引用本文： | 陈埙吹,姚岚,陈瑶. 医疗救助制度与基本医疗保险制度衔接的优化模型研究[J]. 中国卫生经济, 2011, 30(9): 11-15 |
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| 作者姓名： | 陈埙吹 姚岚 陈瑶 |
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| 作者单位： | 1. 华中科技大学同济医学院医药卫生管理学院,武汉,430030
2. 中国医学科学院卫生政策与管理研究中心,北京,100020 |
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| 摘 要： | 文章依据系统分析法提出医疗救助与基本医疗保险制度衔接的优化模型.模型包括逻辑框架和结构框架,逻辑框架依据“系统目标——系统环境——系统要素”的逻辑链条建立.结构框架由4个方面构成,即政策衔接、组织管理、技术设计和服务管理.其中组织管理包括部门职责和协调机制两方面,技术设计包括4个衔接步骤以及5个关键技术环节,服务管理包括人员管理、资金管理、监督控制、信息服务和结算服务.
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| 关 键 词： | 医疗救助 基本医疗保险 衔接 模型 |
Research on the Optimized Model for Link-up Between Medical Assistance System and Basic Medical Insurance System for Urban and Rural Residents |
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| CHEN Xun-chui,YAO Lan,CHEN Yao. Research on the Optimized Model for Link-up Between Medical Assistance System and Basic Medical Insurance System for Urban and Rural Residents[J]. Chinese Health Economics, 2011, 30(9): 11-15 |
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| Authors: | CHEN Xun-chui YAO Lan CHEN Yao |
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| Affiliation: | CHEN Xun-chui,YAO Lan,CHEN Yao School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China |
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| Abstract: | On the basis of system analysis,the study put forward the optimized model for link-up between medical assistance system and basic medical insurance system for urban and rural residents.The model consists of logic frame and structure frame.The logic frame is built by the logic chain of system target-system environmental-system elements.And the structure frame includes four aspects,namely policy link-up,organizational management,technical design and service management.Wherein,organizational management include... |
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| Keywords: | medical assistance basic medical insurance link-up model |
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