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城镇职工医院制度改革中的定点医疗管理
引用本文:蔡卓,程晓明,张薇.城镇职工医院制度改革中的定点医疗管理[J].卫生经济研究,2001(5):20-21.
作者姓名:蔡卓  程晓明  张薇
作者单位:1. 复旦大学医学院,上海,200032
2. 湖北省孝感市医疗保险办公室,湖北,孝感,432100
基金项目:本文是国家重点科技项目"我国城镇职工医疗管理信息网络系统的研究"的子课题"定点医疗管理"的一部分,由劳动与社会保障部牵头,湖北省孝感市医疗保险管理办公室与复旦大学医学院卫生经济教研室共同完成.
摘    要:定点医疗制度是医疗保险管理中的基本制度,包括定点医疗机构的选择,确立,运行,监控,变更等,本文通过对公费劳保医疗,商业医疗保险,我国现行城镇职工医疗保险制度实践及国外医疗保险中定点医疗管理的措施及运行机制的分析,探讨现行医保制度下定点医疗机构的运行机制和管理方式。

关 键 词:定点医疗  医疗保险  管理机制
文章编号:1004-7778(2001)05-0020-02

The management on contracted hospital for medical service in medical system reform for township employees
Cai Zhuo,Cheng Xiaoming,Zhang Wei.The management on contracted hospital for medical service in medical system reform for township employees[J].Health Economics Research,2001(5):20-21.
Authors:Cai Zhuo  Cheng Xiaoming  Zhang Wei
Institution:Cai Zhuo1,Cheng Xiaoming1,Zhang Wei2
Abstract:Contracted hospital for medical service was the basic system in medical insurance, which included its choosing, confirming, performing, monitoring and altering. Based on the study of welfare medical system, labor medical insurance, commercial insurance, the practice of medical insurance system for township employees and the operation of contracted hospital for medical service at home and abroad, the paper tried to find the rational operation and management mechanism for contracted hospital for medical service under current medical insurance system.
Keywords:contracted hospital for medical service  medical insurance  management mechanism
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