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浅议定点医疗机构的医保管理
引用本文:曲路,孔令全,冯斌.浅议定点医疗机构的医保管理[J].中国医院,2003,7(3):68-69.
作者姓名:曲路  孔令全  冯斌
作者单位:1. 黑龙江省城镇职工医疗保险管理中心,150001,哈尔滨市
2. 黑龙江省木兰县医保中心,151900,黑龙江省木兰县城
摘    要:分析了目前定点医疗机构在医疗保险管理中存在的误区:将医疗保险等同于公费医疗的管理模式,未建立专业的管理队伍;认为无利可图而不重视;医生的认识误区;把参保患者视为特殊群体。在此基础上提出了相应的解决对策。

关 键 词:医疗保险  医疗机构  医院管理
修稿时间:2002年11月28

Tentative discussion on fixed medical institutions in medical insurance management
QU Lu,KONG Lingquan,FENG Bin Management Center for Medical Insurance for Staff in Urban Areas,Helongjiang Province..Tentative discussion on fixed medical institutions in medical insurance management[J].Chinese Hospitals,2003,7(3):68-69.
Authors:QU Lu  KONG Lingquan  FENG Bin Management Center for Medical Insurance for Staff in Urban Areas  Helongjiang Province
Abstract:The article analyzes the misunderstandings for fixed medical institutions in medical insurance management, namely, the misunderstanding to equate the medical insurance with the free medical care and non - professional management; the misunderstanding on the sense without directs interests; the misunderstanding on knowledge of hospital; to regard the patients covered by medical insurance as a special group of population. And based on that, corresponding solutions are proposed accordingly.
Keywords:Medical insurance  medical institutions  hospital management
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