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在联邦预算削减的气氛中,美国政府正着手在终末期肾病(ESRD)计划方面实行政策转变;该计划于1981年多项预算协调法会议上通过,该法指导卫生和人类服务部(DHHS)起草一个新的双率(dual-rate)补偿制度,它对医院附设的透析设施与自由经营透析设施采取不同态度以推动家庭透析,力使1982年费用为18亿美元的财政年度计划取得更大的效益。在选择双率补偿制度时,国会显示出保护医院附设透析服务能力的意向,要求政府
In an atmosphere of federal budget cuts, the U.S. government is embarking on a policy shift in the ESRD program that was passed at a number of budget coordination laws in 1981 that guides the Department of Health and Human Services (DHHS). Drafted a new dual-rate compensation system, which adopts different attitudes towards hospital-linked dialysis facilities and free-running dialysis facilities to promote home dialysis, and strive to achieve a fiscal year plan with a cost of $1.8 billion in 1982. The benefits. When choosing a double-rate compensation system, Congress showed its intention to protect the hospital’s ability to provide dialysis services and requested the government to