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1983年以来,益阳县对公费医疗管理制度进行了改革,其主要内容是:全县统管,医院承包,定点医疗,结余留用,违章自负,超支查补。具体做法是: 一、实行三个统一。即县人民政府统一制定全县公费医疗管理制度改革的总方案和具体承包方案;县财政局根据承包方案,按核实的公费医疗享受人数统一下拨公费医疗经费指标,县公费医疗办公室对全县公费医疗经费统一进行管理,并负责公费医疗管理办法的实施,划定承包医疗单位,办理承包手续,检查监督执行情况。
Since 1983, Yiyang County has reformed the public medical management system. Its main contents are: the county’s overall management, hospital contracting, fixed-point medical treatment, retention of balances, violation of regulations, and oversupplied. The specific approach is: First, implement three unifications. The County People’s Government uniformly formulates the county’s general plan for the reform of the publicly funded medical management system and the specific contracting program; the County Finance Bureau, in accordance with the contracting scheme, uniformly allocates public expenditure medical expenses according to the verified number of publicly funded medical benefits, and the county public expense medical office responds to the entire county. The publicly funded medical expenses shall be managed in a unified manner and shall be responsible for the implementation of the publicly funded medical management measures. The contracted medical units shall be designated, the procedures for contracting shall be handled, and the implementation of the inspections shall be inspected.