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采用水消费系数法收缴生活垃圾处理费的研究 总被引:6,自引:2,他引:4
介绍了目前收取生活垃圾处理费的几种主要方法,并对此进行了分析、比较,在此基础上提出了收取生活垃圾处理费的水消费系数法,即依据不同水消费群体的单位水消费量与生活垃圾产生量之间的规律测算其垃圾产生量及应交纳处理费金额,以供水收费系统为平台一并收缴垃圾处理费;并附以实例加以说明该方法的优缺点. 相似文献
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顾林锋 《中国城市环境卫生》2007,(4):18-19
城镇生活垃圾处理费征收困难,是各地普遍遇到的共同难题,镇江市也不例外。由于现行生活垃圾处理费征收文件缺乏相应的制约措施,一些居民和个别单位认为生活垃圾处理费可缴可不缴,从而导致收费工作难度大、困难多。 相似文献
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近几年 ,我们针对人民群众对医院收费反映较强烈的情况 ,每年安排对一些医院财务收支进行审计。通过审计 ,剖析医院存在的问题及其原因。有针对性地提出加强管理的建议 ,促进医院规范收费行为 ,提高管理水平。医院财务收支中的主要问题1.自立项目收费 ,超标准收费。在对门诊、住院收费审计中 ,发现医院向病人按每床日1~2元收取“护工费” ,按每床日1元收取“卫生消毒费” ,对产妇按每人30~50元收取“产程观察费”。CT扫描一般超过标准30~50元收费 ,同时向病人收取“留存摄片费”20元。手术中对收费项目进行分解 ,如国家… 相似文献
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《人人健康:医学导刊》2006,(10)
1、有的化验项目虽然开了单,但由于种种原因没有做,有可能照样收费,有必要仔细核对。2、看有没有分解内容易多收费项目。比如已收取导尿费,又另外分别收取导尿管和治疗费。3、看有没有降低标准变相多收费。如特级护理要求由专人护理,医院如没有派出专人则不应按特护收费。4、注意核对一次性耗材。如口罩、手套不应向患者收取费用;不应额外收取垃圾袋费,这些已在排污费中收取;注射时如因漏水、堵塞等原因造成重新更换物品的,也只能收取一次注射器费用。 相似文献
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我国新医改方案中提出要逐步推进医药分开,积极探索多种有效方式逐步改革以药补医机制,其中改革公立医院补偿机制中很重要的一条就是设立药事服务费。本文集中总结了澳大利亚、加拿大、美国、南非、日本、英国和台湾等国家和地区的经验,界定药事服务费的性质和内涵,介绍国外药事服务费的支付方式、实施情况、监管和配套措施,为我国药事服务费的设立和实施提供一些参考信息。 相似文献
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In the current debate over health financing policy in developing countries, governments are increasingly focusing on cost recovery--having patients pay part or all of their health care costs--as a way to mobilize more resources for health, improve equity by selectively charging the wealthy, and increase efficiency by encouraging reinvestment of fee revenues into cost-effective primary care. Zimbabwe offers an important example of a country with a tradition of levying fees in government health facilities, but where enforcement became lax in the 1980s. In 1991, policymakers resolved to resuscitate and strengthen cost recovery, as part of a broader economic reform program. This paper discusses the strengths and weaknesses of Zimbabwe's cost recovery system, its potential for improvement, and the obstacles to change in revising the fee structure and billing and collection procedures. It argues that cost recovery can help to achieve Zimbabwe's health objectives, but only in conjunction with other measures to redirect public spending to essential public health and clinic care and improve the efficiency of government services. The paper finds that during the 1980s, the fee schedule became badly misaligned with actual medical care costs and created distortions in patient referral patterns. Billing and collection were also weak, because of deficiencies in personnel and information systems and lack of incentives for revenue generation. The paper concludes that if key steps were taken to raise the collections-to-billings ratio, recover fees from privately-insured patients, and adjust fees in line with medical cost inflation, recoveries could increase fourfold, from 5% to 20% of government spending for clinical care. At the same time, access to government health services for the poor could be maintained by improving exemption procedures. 相似文献
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医院信息化中收费问题的研究 总被引:2,自引:1,他引:1
目的:研究医疗收费过程中遇到的问题,主要是如何自动区分缴费主体。方法:基于“军卫一号”软件实际应用情况,分析了国内医疗收费的现状,设计了单病种收费机制和能普遍适应各种医保政策的收费机制,并描述其费用分解流程。结果:费用分解流程能够很好地适应国内各地不同的医疗支付政策,具备高度的灵活性,并在解放军总医院新版门诊收费系统中获得成功应用。结论:解决了医疗收费中常见的主要问题,其费用分解流程在国内各地区复杂多变的支付政策环境下具有普遍适应性。 相似文献
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新加坡垃圾收费对上海的启示 总被引:3,自引:2,他引:1
介绍了新加坡自1965年建国以来实行的垃圾收费制度,在执行垃圾收费制度过程中,新加坡政府一是注重公共教育;二是完善法制环境;三是实行有效收费方式,使得垃圾收运处置费的收缴率近100%.借鉴新加坡的经验,提出上海市首先应形成社会公众教育的长效机制;其次以人为本,构建统一高效的收费方式;三是形成人性化的救助保障体系;四是建立健全惩罚机制. 相似文献
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《AIDS policy & law》1997,12(21):12-13
A Baltimore County Circuit judge ordered the Maryland State Board of Morticians to reimburse the Lassahn Funeral Home for sanctions incorrectly imposed in 1990, when Frederick Petrich asked Lassahn to make funeral arrangements for a terminally-ill AIDS patient. When Lassahn explained that a $450 fee would be imposed for special handling for infectious disease Petrich filed a complaint with the State Board of Morticians. The Board brought discrimination charges against the funeral home and Ronald C. Lassahn for charging this special fee. Lassahn won his case since the 1990 State law did not require morticians to follow universal precautions. Lassahn stopped charging the special fee in January 1992, six months before the State mandated the use of universal precautions. Lassahn was awarded the maximum of $10,000 as reimbursement of fees and expenses. 相似文献
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随着药品加成政策的取消,增设药事服务费已提上议事日程。本调查针对药事服务费的内涵、意义、补偿对象及收取方式,对93名知情人进行了问卷调查,包括药师、医师、官员、政策研究者、药企人员、管理者,力求通过相关议题的调查和数据分析,征求多方意见。调查结果显示:药事服务费是药师劳务价值和药房管理成本的综合体现;增设药事服务费非常必要但不能根本解决看病贵的问题;根据调研结果具体建议药事服务费门诊按5~9元/诊次收取,住院按10~14元/床日收取,但需与当地经济发展水平相一致。 相似文献
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介绍了东京都日野市确立生活垃圾收费标准的方式及为推行这一政策所采取的相关举措,分析了收费前后的垃圾减量效果及居民的环境意识变化,提出了对我国探索城市生活垃圾收费改革的启示. 相似文献