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建立医疗联合体是区域医疗卫生资源整合的重要尝试;包括“预算控制”在内的医保管理的现行政策是有效利用有限的医疗资源,防范医保基金风险的监管措施。两者相互制约、相互依存,当两者协调发展,就会形成合力。建立一种两者兼顾的——既能发挥整合效应,又能灵活利用、有效控制医保基金的医疗联合体可以为区域卫生规划的科学发展提供参考。
The establishment of a medical consortium is an important attempt to integrate the resources of regional medical and health care. The current policy of health insurance management including “budget control” is to effectively use limited medical resources to guard against the risk of medical insurance funds. The two are mutually restrained and interdependent, and when the two are coordinated and developed, they will form a concerted effort. The establishment of a combination of the two - not only to play the role of integration, but also flexible use of effective control of medical insurance fund medical complex can provide a reference for the scientific development of regional health planning.