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在农村总体经济实力不强的情况下,建立新型合作医疗制度,有许多政策性问题需要研究和解决。有必要从以下四个方面研究制定政策和措施: ——建立逐级转诊制度。建立逐级转诊制度的好处是能有效地降低医疗费用。调查表明,城市医院的平均住院费用要高出县级以下医院一倍多。如果不建立逐级转诊制度,势必造成医疗费用大幅上升,出现合作医疗基金难以支付的局面。使常见病、多发病在基层得到解决,有利于稳定和巩固农村卫生服务体系,提高农村卫生服务组织有限的资源利用率。从浙江的实践看,依托逐级转诊,能较好地发挥农村基层卫生组织在合作医疗制度中的“守门人”作用,并
Under the condition that the overall economic strength in rural areas is not strong, there are many policy issues that need to be studied and solved in order to establish a new type of cooperative medical system. It is necessary to study the formulation of policies and measures in the following four areas: - Establishing a system of referral at different levels. The benefit of establishing a referral system is that it can effectively reduce the medical costs. Surveys show that the average cost of hospitalization in urban hospitals is more than double that of hospitals below the county level. If you do not establish a step-by-step referral system, it is bound to cause a substantial increase in medical costs, the situation appears difficult to pay cooperative medical fund. So that common diseases and frequently-occurring diseases are resolved at the grass-roots level, which is conducive to stabilizing and consolidating the rural health service system and improving the limited resource utilization rate of rural health service organizations. From the practice of Zhejiang Province, relying on step-by-step referral can play a role of “gatekeeper” of rural primary health organizations in the cooperative medical system