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为了控制医疗费用不合理增长,确保医疗保险费用的收支平衡,建立和完善有中国特色的职工医疗保障制度,镇江市在5年医改实践中,探索形成了一套总量控制与个人自付相结合的医疗费用控制机制。为此,我们对这一机制的形成以及通过这一机制所产生的作用进行了总结和分析,旨在为我国正在进行的城镇职工医疗保险制度改革提供有益的借鉴。
In order to control the unreasonable increase of medical expenses, ensure the balance of payments for medical insurance expenses and establish and improve the medical insurance system for employees with Chinese characteristics, Zhenjiang City explored and formed a system of total amount control and personal payment in the five years of medical reform practice A combination of medical expenses control mechanism. To this end, we have summarized and analyzed the formation of this mechanism and the role it played through this mechanism, which is intended to provide a useful reference for the ongoing reform of the medical insurance for urban workers in our country.