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日本自1927年建立健康保险制度时开始施行医疗报酬的点数计算力法。此后绍过三次较大的修改。文章扼要地介绍了三次修改的原因和特点。文章还分析了现行点数法存在的诸多问题。作者认为:点数表并不是对每项医疗行为的等价支付,过细地划分点数表并不是正确的方向;在规定点数时就应当设法防范为增加收入而采取不正当的行为等。这些观点值得参考。
Japan began to implement the medical rewards calculation method when it established a health insurance system in 1927. After this three major changes were made. The article briefly introduced the reasons and characteristics of the three amendments. The article also analyzes the problems existing in the current point method. The author believes that the point table is not an equivalent payment for each medical action. Dividing the point table too fine is not the right direction; when specifying the points, it should try to prevent unfair behavior for increasing income. These views are worth considering.