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开封县合作医疗补偿模式及其评价
引用本文:陈家应,刘凤翔.开封县合作医疗补偿模式及其评价[J].中国初级卫生保健,1997,11(8):10-11.
作者姓名:陈家应  刘凤翔
作者单位:安徽医科大学卫生管理学院,河南省开封县卫生局,河南省开封县卫生局,安徽省卫生职工培训中心 合肥 230032,475100,475100,合肥 230061
摘    要:通过对3个不同筹资水平下合作医疗的受益范围和补偿方式的分析,认为开封县目前所实施的合作医疗,由于基金的使用包括了医疗、防保、大病风险等方面的费用补偿,真正体现了医疗、预防和妇幼保健综合服务的新的合作医疗服务模式,既解决了受益面,又在一定程度上缓解了“因病致贫”;另外,在乡、村两级就诊采取及时补偿以及开展社区巡诊,在很大程度上满足群众就医及时、方便和人人受益的心理需求。

关 键 词:健康保障制度  农村  补偿  模式  评价

Reimbursing Models and Evaluation of Corperative Medical System in Kaifeng County
Chen Jiaying School of Health Management,Anhue Medical University,Hefei China.Reimbursing Models and Evaluation of Corperative Medical System in Kaifeng County[J].Chinese Primary Health Care,1997,11(8):10-11.
Authors:Chen Jiaying School of Health Management  Anhue Medical University  Hefei China
Institution:Chen Jiaying School of Health Management,Anhue Medical University,Hefei 230032 China
Abstract:The artical analysed the benefit package and reimbursing models of Corperative Medical System (CMS) under the three fund levels in Kaifeng County. The CMS fund being sprent on reimbursing expenditure of medical care as well as preventive health care and high expensing diseases, auther thinks that this, type of CMS really reflects the new comprehensive service model including medical care, prevention and maternity and children health care. This model makes the people served much more and the poverty caused by diseases reduced to certain degree. On the other hand, timely reimbursement of medical expenditure at township and village levels and making rounds of health visits greatly meet the people's demonds of timelyness and everyone profitting from CMS.
Keywords:health ensurance system  rural  reimbursement  model  evaluation
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