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当前,世界各国的医疗保障制度,都面临着改革的局面。从医疗保障制度的一般动向来看,为了对付医疗费增长的财政问题,共同的看法是改变医疗保障的政策,即从扩大政策转向抑制政策。这种改革最明显的例子要算1979年意大利开始改行国民保健服务。由于向着这种新的医疗保障制度转变,产生了一系列变化:资金的筹集方式变了;诊疗报酬方式从计件工资改成按人头承包;医疗供给体制由开业医转向家庭医及医院公有化;管理机构由
At present, the medical security systems of all countries in the world are facing a situation of reform. From the general trend of the medical security system, in order to cope with the financial problem of increasing medical expenses, the common view is to change the policy of medical security, that is, from the expansion of policies to the suppression of policies. The most obvious example of this kind of reform is that in 1979 Italy began to change its national health service. As a result of this change in the new medical security system, a series of changes have taken place: the way in which funds are raised has changed; the compensation for medical treatment has changed from piece-rate wages to contracting by the heads of people; the medical supply system has changed from medical practitioners to family doctors and public hospitals; Management agency