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[改善公共卫生筹资体系]

[Improving the system of public health financing].

作者信息

Pavliutkin A I, Boĭko E Iu, Bausin V P, Loranskiĭ D N, Pozhidaeva N V

出版信息

Sov Zdravookhr. 1991(12):5-9.

PMID:1803531
Abstract

The paper provides data on health status of children and adult population, and medico-demographic situation in the country. An account is also given of organizational and financial issues of medical care in foreign countries. The issues related to the organization of medical care, management of public health financing of the branch under new conditions are dealt with. On the basis of the experiment a new system of health services financing based on the principles of insurance medicine is proposed for introduction. The new system envisages such new organizational structures as health protection funds and insurance organizations. Functions of the existing managerial organizational public health structures at different levels are being changed, the status of medical institutions would also change and their responsibility for the quality of work would increase.

摘要

该论文提供了有关该国儿童和成人人口健康状况以及医学人口统计学情况的数据。还介绍了国外医疗保健的组织和财务问题。探讨了在新条件下医疗保健组织、该部门公共卫生融资管理等相关问题。在实验的基础上,提出了一种基于保险医学原则的新的医疗服务融资体系以供引入。新体系设想了诸如健康保护基金和保险组织等新的组织结构。不同层面现有管理性组织公共卫生结构的职能正在发生变化,医疗机构的地位也将改变,它们对工作质量的责任将会增加。

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