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文章根据黑龙江省的两个市县的新型农村合作医疗和城镇居民医疗保险统一管理的两种经办模式,利用实际补偿比、患者流向及住院率等指标,对两种制度并轨模式的运行效果进行比较,分析了社保部门和卫生部门主管的优势和劣势,并提出了一体化管理的条件和选择主管部门的原则。
Based on the two management models of new rural cooperative medical system and unified management of urban residents ’medical insurance in two cities and counties of Heilongjiang Province, the paper uses the actual compensation ratio, patient flow rate, hospitalization rate and other indicators to analyze the operational effects of the two systems’ Compares the advantages and disadvantages of the heads of social security departments and health departments, and puts forward the conditions for the integrated management and the principle of selecting the competent departments.