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1996年5月,上海市开始实施《企业职工住院医疗保险暂行办法》;1998年11月1日起,又全面推行了《上海市城镇企业退休人员门诊急诊医疗保险暂行办法》。实施医保已半年,上海500余家医院,无一例外地出现了就诊病人的大流动:一级医院(即地段医院)的门诊病人量明显上升,三级医院(即市级医院)更加火爆,而二级医院(即区级医院)的门诊病人却“逃光”了。医院如何面对医保带来的挑战?医保给上海市的卫生事业带来了哪些变化?……日前,记者随机采访了近10家各级各类医院,所到之处,无不强烈地感受到——医保,迫使医院将改革进一步引向深入!
In May 1996, Shanghai Municipality started the Interim Measures on Medical Insurance for Inpatient Medical Care of Enterprises; on November 1, 1998, the Provisional Measures on Outpatient Emergency Medical Insurance for Retiree Workers in Urban Enterprises in Shanghai were also fully implemented. In the past half year since the implementation of Medicare, more than 500 hospitals in Shanghai, without exception, have witnessed a large flow of outpatients: the number of outpatients in primary hospitals (ie lots of hospitals) has risen sharply, tertiary hospitals (ie municipal hospitals) However, outpatients in second-tier hospitals (district-level hospitals) have “escaped.” How hospitals face the challenges brought by Medicare? What changes have Medicare brought to Shanghai’s health care? ... Recently, the reporter interviewed nearly 10 hospitals of all kinds and types at random, wherever he went, all felt strongly - Medicare, forcing the hospital to further the reform lead!