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20) and the "Regulations on the Supervision and Administration of the Use of Medical Security Funds" (Order No.
20) and the "Regulations on the Supervision and Administration of the Use of Medical Security Funds" (Order No.
735 of the State Council) The introduction of the medical insurance fund and the comprehensive deployment and steady progress of medical insurance fund supervision.
The regulatory system of medical insurance funds is becoming more and more complete, the responsibilities of relevant entities are more clearly defined, the security system is constantly improved, the regulatory system of medical insurance funds is becoming more and more complete, the responsibilities of relevant entities are more clearly defined, the security system is constantly improved, and the security of funds is prevented and controlled.
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A safe medical insurance fund is the financial foundation for the smooth operation and sustainable development of the medical insurance system, and it is also an economic guarantee for safeguarding the rights and interests of the broad masses of people in medical insurance.
The quality and efficiency of the operation and management of the medical insurance fund are not only related to the vital interests of the people, but also related to the survival and development of many pharmaceutical manufacturers, medical consumables manufacturers, medical equipment manufacturers, and medical service organizations, as well as the stability of economic and social development.
The overall situation and the image and prestige of the party and the government in the minds of the people, therefore strengthening the supervision of the medical insurance fund is an important part of ensuring the smooth operation of the medical insurance system.
Following a series of policy documents such as the "Guiding Opinions of the General Office of the State Council on Promoting the Reform of the Medical Security Fund Regulatory System" (Guobanfa [2020] No.
20) and the "Regulations on the Supervision and Administration of the Use of Medical Security Funds" (Order No.
A safe medical insurance fund is the financial foundation for the smooth operation and sustainable development of the medical insurance system, and it is also an economic guarantee for safeguarding the rights and interests of the broad masses of people in medical insurance.
The quality and efficiency of the operation and management of the medical insurance fund are not only related to the vital interests of the people, but also related to the survival and development of many pharmaceutical manufacturers, medical consumables manufacturers, medical equipment manufacturers, and medical service organizations, as well as the stability of economic and social development.
The overall situation and the image and prestige of the party and the government in the minds of the people, therefore strengthening the supervision of the medical insurance fund is an important part of ensuring the smooth operation of the medical insurance system.
Following a series of policy documents such as the "Guiding Opinions of the General Office of the State Council on Promoting the Reform of the Medical Security Fund Regulatory System" (Guobanfa [2020] No.
20) and the "Regulations on the Supervision and Administration of the Use of Medical Security Funds" (Order No.
735 of the State Council) The introduction of the medical insurance fund and the comprehensive deployment and steady progress of medical insurance fund supervision.
The regulatory system of medical insurance funds is becoming more and more complete, the responsibilities of relevant entities are more clearly defined, the security system is constantly improved, the regulatory system of medical insurance funds is becoming more and more complete, the responsibilities of relevant entities are more clearly defined, the security system is constantly improved, and the security of funds is prevented and controlled.
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The medical insurance fund supervision system is becoming more and more complete
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The supervision of medical insurance funds is related to many departments and industries.
It runs through the entire process of medical insurance fund receipt, management, and branch operation management, and links all aspects of medical services.
Therefore, in order to ensure the effective implementation of medical insurance fund supervision, it is necessary to establish a sound medical insurance fund supervision system In accordance with the requirements of the “Guiding Opinions of the General Office of the State Council on Promoting the Reform of the Medical Security Fund Regulatory System” (Guobanfa [2020] No.
20), efforts are being made to create “party committee leadership, government supervision, social supervision, industry self-discipline, and personal trustworthiness”.
Integrated comprehensive supervision pattern".
The supervision of medical insurance funds is related to many departments and industries.
It runs through the entire process of medical insurance fund receipt, management, and branch operation management, and links all aspects of medical services.
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(1) Continuously improve the party building work system for medical insurance fund supervision
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(1) Continuously improve the party building work system for medical insurance fund supervision
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(1) Continuously improve the party building work system for medical insurance fund supervision
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The Communist Party of China represents the fundamental interests of the overwhelming majority of the people.
Therefore, in essence, the leadership of the party is to help the people understand their own interests and unite to fight for their own interests.
Party leadership is not achieved by administrative power, but by representing the interests of the people, maintaining close ties between the Party and the masses, formulating and implementing correct lines, guidelines, and policies, and promoting and educating the masses of the people.
The masses of the people consciously accept and implement their own lines, guidelines, and policies, and this is achieved by relying on the people's trust and support.
The party constitution stipulates that the party's leadership is mainly political leadership, ideological leadership, and organizational leadership.
Political leadership, in specific work, mainly refers to insisting that the party takes over the overall situation, coordinating all parties, and playing the role of the core of leadership.
Ideological leadership means to uphold Marxism-Leninism, Mao Zedong Thought, Deng Xiaoping Theory, the important thinking of the "Three Represents", and Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era as the guiding ideology of the party and the country to educate and arm the broad masses of party members and the people.
, To publicize the party’s line, principles, and policies to the people, and turn the party’s propositions into the conscious actions of the people.
Organizational leadership means organizing and leading the people to strive for the realization of the party's tasks and propositions through the party's organizations at all levels, party cadres, and the broad masses of party members.
Improving the supervision of the medical insurance fund in party building is to strengthen the party's leadership over the supervision of the medical insurance fund.
Improving the Party Building Work System for Medical Insurance Fund Supervision is to follow the “Guiding Opinions of the General Office of the State Council on Promoting the Reform of the Medical Security Fund Supervisory System” (Guobanfa [2020] No.
The Communist Party of China represents the fundamental interests of the overwhelming majority of the people.
Therefore, in essence, the leadership of the party is to help the people understand their own interests and unite to fight for their own interests.
Party leadership is not achieved by administrative power, but by representing the interests of the people, maintaining close ties between the Party and the masses, formulating and implementing correct lines, guidelines, and policies, and promoting and educating the masses of the people.
The masses of the people consciously accept and implement their own lines, guidelines, and policies, and this is achieved by relying on the people's trust and support.
The party constitution stipulates that the party's leadership is mainly political leadership, ideological leadership, and organizational leadership.
Political leadership, in specific work, mainly refers to insisting that the party takes over the overall situation, coordinating all parties, and playing the role of the core of leadership.
Ideological leadership means to uphold Marxism-Leninism, Mao Zedong Thought, Deng Xiaoping Theory, the important thinking of the "Three Represents", and Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era as the guiding ideology of the party and the country to educate and arm the broad masses of party members and the people.
, To publicize the party’s line, principles, and policies to the people, and turn the party’s propositions into the conscious actions of the people.
Organizational leadership means organizing and leading the people to strive for the realization of the party's tasks and propositions through the party's organizations at all levels, party cadres, and the broad masses of party members.
Improving the supervision of the medical insurance fund in party building is to strengthen the party's leadership over the supervision of the medical insurance fund.
Improving the Party Building Work System for Medical Insurance Fund Supervision is to follow the “Guiding Opinions of the General Office of the State Council on Promoting the Reform of the Medical Security Fund Supervisory System” (Guobanfa [2020] No.
20), “take Xi Jinping’s thoughts on socialism with Chinese characteristics in the new era as an example.
Strengthen the supervision and assessment of the performance of political responsibilities and fund supervision responsibilities, and strengthen the supervision and accountability to establish a firm bottom line of supervision.
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(2) Establish a sound medical insurance fund supervision and inspection system
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(2) Establish a sound medical insurance fund supervision and inspection system
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(2) Establish a sound medical insurance fund supervision and inspection system
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Mainly include the following contents:
First, clearly check the form.
That is: "Promote a'double random, one open' supervision mechanism, establish and improve a multi-form inspection system that combines daily inspections, special inspections, unannounced inspections, key inspections, and expert reviews.
" In order to ensure that the "double random, one open" is truly implemented, the National Medical Insurance Administration clearly stipulates in the "Notice on Doing a Good Job in the Supervision of Medical Insurance Funds in 2020", "Establishing a list of medical insurance fund supervision and law enforcement personnel, and formulating the principle of random selection.
, Procedures and specific methods.
Establish a directory database of assisting law enforcement personnel, which can cover clinicians, pharmacists, medical insurance experts, information technology personnel, lawyers, accountants, auditors, news media personnel, etc.
, and improve the dynamic maintenance mechanism.
"
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The degree of difficulty and complexity of medical insurance supervision demonstrates the necessity and importance of implementing departmental cooperation, comprehensive supervision, and supervision of the whole society.
Only the implementation of comprehensive, full-field, full-process, multi-level, three-dimensional, and multi-form comprehensive supervision and management Social supervision can continuously improve the effectiveness of medical insurance supervision, maintain the safety of medical insurance funds, and promote the healthy and sustainable development of medical insurance.
First, strengthen departmental coordination.
Guobanfa [2020] No.
20 requires that "establish and improve a comprehensive supervision system for inter-departmental cooperation and coordinated supervision, and implement grid management.
" The “Notice” (Yibaofa [2019] No.
14) also carried out corresponding work arrangements, emphasizing “strengthening coordination and communication, actively seeking support from health, public security, market supervision, auditing, finance, disciplinary inspection and supervision departments, and establishing and improving comprehensive supervision.
Coordination mechanism to coordinate and promote the coordination and guidance of the supervision of medical security funds and the investigation and handling of major cases".
Second, establish a linkage mechanism.
According to the requirements of No.
20 Document [2020] issued by the State Council, “promote information sharing and interconnection, and improve the cooperative law enforcement work mechanism.
For verified fraudulent insurance activities, all relevant departments shall deal with relevant entities and individuals in accordance with laws and regulations and their duties and powers.
Strictly handle them" and "establish a system of'multiple investigations per case' and'multiple investigations per case'.
For suspected violations of laws and regulations, it is necessary to actively consult the public security, health, market supervision and disciplinary inspection and supervision departments to participate in the investigation; Ascertaining clues of violations of regulations and laws, it is necessary to promptly notify relevant departments in the jurisdiction, revoke practice qualifications or pursue party and political discipline in accordance with regulations.
If a crime is suspected, promptly transfer to judicial organs, so as to "establish a departmental linkage mechanism and conduct joint inspections to form a supervisory force.
" ".
Third, improve social supervision.
Specifically, it is to "establish an information disclosure system.
The agency regularly announces fund revenues and expenditures, balances, and income to the public, and accepts social supervision.
Establish a social supervisor system for the medical insurance fund, and hire deputies to the National People's Congress, CPPCC members, the masses and the news media Representatives, etc.
, act as social supervisors and conduct extensive and in-depth supervision of designated medical institutions, agencies, and insured personnel.
Actively invite news media to participate in unannounced inspections, open and unannounced visits, etc.
, through press conferences, media briefings, etc.
, to issue attacks Fraud and insurance fraud results and typical cases".
The degree of difficulty and complexity of medical insurance supervision demonstrates the necessity and importance of implementing departmental cooperation, comprehensive supervision, and supervision of the whole society.
Only the implementation of comprehensive, full-field, full-process, multi-level, three-dimensional, and multi-form comprehensive supervision and management Social supervision can continuously improve the effectiveness of medical insurance supervision, maintain the safety of medical insurance funds, and promote the healthy and sustainable development of medical insurance.
First, strengthen departmental coordination.
Guobanfa [2020] No.
20 requires that "establish and improve a comprehensive supervision system for inter-departmental cooperation and coordinated supervision, and implement grid management.
" The “Notice” (Yibaofa [2019] No.
14) also carried out corresponding work arrangements, emphasizing “strengthening coordination and communication, actively seeking support from health, public security, market supervision, auditing, finance, disciplinary inspection and supervision departments, and establishing and improving comprehensive supervision.
Coordination mechanism to coordinate and promote the coordination and guidance of the supervision of medical security funds and the investigation and handling of major cases".
First, strengthen departmental coordination.
Second, establish a linkage mechanism.
According to the requirements of No.
20 Document [2020] issued by the State Council, “promote information sharing and interconnection, and improve the cooperative law enforcement work mechanism.
For verified fraudulent insurance activities, all relevant departments shall deal with relevant entities and individuals in accordance with laws and regulations and their duties and powers.
Strictly handle them" and "establish a system of'multiple investigations per case' and'multiple investigations per case'.
For suspected violations of laws and regulations, it is necessary to actively consult the public security, health, market supervision and disciplinary inspection and supervision departments to participate in the investigation; Ascertaining clues of violations of regulations and laws, it is necessary to promptly notify relevant departments in the jurisdiction, revoke practice qualifications or pursue party and political discipline in accordance with regulations.
If a crime is suspected, promptly transfer to judicial organs, so as to "establish a departmental linkage mechanism and conduct joint inspections to form a supervisory force.
" ".
Second, establish a linkage mechanism.
Third, improve social supervision.
Specifically, it is to "establish an information disclosure system.
The agency regularly announces fund revenues and expenditures, balances, and income to the public, and accepts social supervision.
Establish a social supervisor system for the medical insurance fund, and hire deputies to the National People's Congress, CPPCC members, the masses and the news media Representatives, etc.
, act as social supervisors and conduct extensive and in-depth supervision of designated medical institutions, agencies, and insured personnel.
Actively invite news media to participate in unannounced inspections, open and unannounced visits, etc.
, through press conferences, media briefings, etc.
, to issue attacks Fraud and insurance fraud results and typical cases".
Third, improve social supervision.
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The relevant entities of medical insurance fund supervision mainly include two aspects: administrative law enforcement-related entities and fund use-related entities.
With the continuous improvement of the medical insurance fund regulatory system, the responsibilities of all relevant entities have been further clarified.
The relevant entities of medical insurance fund supervision mainly include two aspects: administrative law enforcement-related entities and fund use-related entities.
With the continuous improvement of the medical insurance fund regulatory system, the responsibilities of all relevant entities have been further clarified.
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(1) The responsibilities of various administrative law enforcement related entities in the supervision of the medical insurance fund are more clearly defined
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First of all, the responsibilities of the department are more clear.
The Regulations on the Supervision and Administration of the Use of Medical Security Funds (Order No.
735 of the State Council) stipulates: “The medical security administrative department of the State Council is in charge of the supervision and management of the use of medical security funds throughout the country.
Other relevant ministries of the State CouncilThe department is responsible for the supervision and management of the use of the medical security fund within the scope of their respective duties.
The medical security administrative department of the local people's government at or above the county level is responsible for the supervision and management of the use of the medical security fund in its administrative area.
Other relevant departments of local people’s governments at or above the county level shall be responsible for the supervision and management of the use of medical security funds within their respective responsibilities," and clearly require that "medical security, health, traditional Chinese medicine, market supervision and management, finance, auditing, public security, etc.
Departments should divide labor and cooperate with each other, establish communication and coordination, case transfer and other mechanisms, and jointly do a good job in supervision and management of the use of medical security funds.
The medical security administrative department should strengthen the supervision of medical service activities and medical expenses included in the payment scope of the medical security fund, standardize the medical security handling business, and investigate and deal with illegal use of the medical security fund in accordance with the law.
The medical security administrative department should "strengthen relevant Departmental information exchange and sharing , innovative supervision and management methods, promote the use of information technology, establish a nationally unified, efficient, compatible, convenient and safe medical security information system, implement big data real-time dynamic intelligent monitoring", "according to the risk assessment of the medical security fund , Report and complain clues, medical security data monitoring and other factors, determine the focus of inspection, organize special inspections, and "can conduct joint inspections with health, traditional Chinese medicine, market supervision and management, finance, public security and other departments.
" For the duties performed during the inspection, the State Council made specific provisions in the "Guiding Opinions on Promoting the Reform of the Medical Security Fund Supervisory System" (Guobanfa [2020] No.
20), "The medical security department is responsible for the supervision and management of the medical insurance payment.
Regarding medical service activities and medical expenses, regulating medical insurance handling business, and investigating and punishing violations of laws and regulations in the medical security field in accordance with laws and regulations.
The health department is responsible for strengthening the supervision of medical institutions and the medical service industry, and standardizing the medical service behaviors of medical institutions and their medical staff.
The market supervision department is responsible for the price supervision and inspection of the medical and health industryThe drug regulatory department is responsible for the management of licensed pharmacists, and the market regulatory department and the drug regulatory department are responsible for the supervision of drug circulation and standardizing drug business behaviors in accordance with the division of responsibilities.
The audit agency is responsible for strengthening the follow-up audit of the implementation of relevant policies and measures for the supervision of medical insurance funds, supervising the relevant departments to perform their supervisory duties, continuously paying attention to various fraudulent insurance issues, and promptly transferring them to the relevant departments for investigation.
The public security department is responsible for investigating and cracking down on various types of fraudulent insurance fraud and other criminal activities in accordance with the law, and promptly investigate the transferred suspected criminal cases.
Other relevant departments do their work according to their responsibilities.
"
Second, the inspection methods are more clear.
The Regulations on the Supervision and Administration of the Use of the Medical Security Fund (Order No.
735 of the State Council) stipulates: “The medical security administrative department may take the following measures to implement supervision and inspection: 1.
Enter the on-site inspection; 2.
Ask the relevant personnel; 3.
Request the subject to provide information Documents and materials related to the inspection items, with explanations and explanations; 4.
Collect relevant information and materials by recording, recording, recording, video recording, photography or copying; 5.
Sealing up the materials that may be transferred, concealed or lost; 6.
Hiring qualified accounting firms and other third-party institutions and professionals to assist in the inspection; 7.
Other measures stipulated by laws and regulations", at the same time, it is clear that "the medical security administrative department may entrust an organization that meets the statutory requirements to carry out medical security in accordance with the law.
Administrative law enforcement".
Third, the disciplinary requirements are more clear.
The Regulations on the Supervision and Administration of the Use of the Medical Security Fund (Order No.
735 of the State Council) stipulates: “To carry out the supervision and inspection of the use of the medical security fund, the supervision and inspection personnel shall not be less than two, and the law enforcement certificates shall be presented.
” The administrative departments of medical security and their work Personnel “must not use the data or related information of the subject or related information obtained and learned during work for purposes other than the supervision and management of the use of the medical security fund, and shall not disclose, tamper with, damage, or illegally provide the personal information and business secrets of the parties to others”, "Anyone who abuses power, neglects his duty, or practices favoritism in the supervision and management of the use of the medical security fund shall be punished in accordance with the law", "Where bribes or other illegal income is accepted, the illegal income shall be confiscated, and the responsible persons shall be punished in accordance with the law", "disclosure , Tampering with, destroying, or illegally providing personal information or business secrets to others, the directly responsible person in charge and other directly responsible persons shall be punished according to law", "violation of other laws and administrative regulations shall be dealt with by the relevant competent department according to law.
"
First of all, the responsibilities of the department are more clear.
The Regulations on the Supervision and Administration of the Use of Medical Security Funds (Order No.
735 of the State Council) stipulates: “The medical security administrative department of the State Council is in charge of the supervision and management of the use of medical security funds throughout the country.
Other relevant ministries of the State CouncilThe department is responsible for the supervision and management of the use of the medical security fund within the scope of their respective duties.
The medical security administrative department of the local people's government at or above the county level is responsible for the supervision and management of the use of the medical security fund in its administrative area.
Other relevant departments of local people’s governments at or above the county level shall be responsible for the supervision and management of the use of medical security funds within their respective responsibilities," and clearly require that "medical security, health, traditional Chinese medicine, market supervision and management, finance, auditing, public security, etc.
Departments should divide labor and cooperate with each other, establish communication and coordination, case transfer and other mechanisms, and jointly do a good job in supervision and management of the use of medical security funds.
The medical security administrative department should strengthen the supervision of medical service activities and medical expenses included in the payment scope of the medical security fund, standardize the medical security handling business, and investigate and deal with illegal use of the medical security fund in accordance with the law.
The medical security administrative department should "strengthen relevant Departmental information exchange and sharing , innovative supervision and management methods, promote the use of information technology, establish a nationally unified, efficient, compatible, convenient and safe medical security information system, implement big data real-time dynamic intelligent monitoring", "according to the risk assessment of the medical security fund , Report and complain clues, medical security data monitoring and other factors, determine the focus of inspection, organize special inspections, and "can conduct joint inspections with health, traditional Chinese medicine, market supervision and management, finance, public security and other departments.
" For the duties performed during the inspection, the State Council made specific provisions in the "Guiding Opinions on Promoting the Reform of the Medical Security Fund Supervisory System" (Guobanfa [2020] No.
20), "The medical security department is responsible for the supervision and management of the medical insurance payment.
Regarding medical service activities and medical expenses, regulating medical insurance handling business, and investigating and punishing violations of laws and regulations in the medical security field in accordance with laws and regulations.
The health department is responsible for strengthening the supervision of medical institutions and the medical service industry, and standardizing the medical service behaviors of medical institutions and their medical staff.
The market supervision department is responsible for the price supervision and inspection of the medical and health industryThe drug regulatory department is responsible for the management of licensed pharmacists, and the market regulatory department and the drug regulatory department are responsible for the supervision of drug circulation and standardizing drug business behaviors in accordance with the division of responsibilities.
The audit agency is responsible for strengthening the follow-up audit of the implementation of relevant policies and measures for the supervision of medical insurance funds, supervising the relevant departments to perform their supervisory duties, continuously paying attention to various fraudulent insurance issues, and promptly transferring them to the relevant departments for investigation.
The public security department is responsible for investigating and cracking down on various types of fraudulent insurance fraud and other criminal activities in accordance with the law, and promptly investigate the transferred suspected criminal cases.
Other relevant departments do their work according to their responsibilities.
"
First of all, the responsibilities of the department are more clear.
Other relevant ministries of the State Council Other relevant ministries of the State CouncilThe department is responsible for the supervision and management of the use of the medical security fund within the scope of their respective duties.
The department is responsible for the supervision and management of the use of the medical security fund within the scope of their respective duties.
The medical security administrative department should "strengthen the exchange and sharing of information with relevant departments.
The medical security administrative department should" strengthen the exchange and sharing of information with the relevant departments.
The health department is responsible for strengthening the supervision of medical institutions and the medical service industry, and the health department is responsible for strengthening medical institutions.
And the medical service industry supervision, the market supervision department is responsible for the price supervision and inspection of the medical and health industry , the market supervision department is responsible for the price supervision and inspection of the medical and health industry, the public security department is responsible for investigating and cracking down on various types of fraud and insurance, and the public security department is responsible for investigating and cracking down on various types of fraud.
Fraudulent insurance and other criminal acts,
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，。《》（735）：“、、，、、、，、、，”；“，，，，，”；“，”；，“，：1.
、、；2.
、、、；3.
、、”；、、、、、、、，，“，25，”。
，。《》（735）：“，，，”、“，，”、“、，，”，“，，、”、“”、“，、”，“、、、、、、，，，、，”。，《》，：，、、、、、、。，，、，25，，，。，，，5。
，。《》（735）：“、，”、“，”、“，、”。，“；，；，312：1.
；2.
；3.
，、。，，；、；、、、、、、、，，，25”。
，。《》（735）：“，，、、，；、。，、，”，“”，“，、；，”，。
，。《》（735）：“、、，、、、，、、，”；“，，，，，”；“，”；，“，：1.
、、；2.
、、、；3.
、、”；、、、、、、、，，“，25，”。
1.
2.
2.
3.
3.
，。《》（735）：“，，，”、“，，”、“、，，”，“，，、”、“”、“，、”，“、、、、、、，，，、，”。，《》，：，、、、、、、。，，、，25，，，。，，，5。
，。，。：，、、、、、、。：，、、、、、、。
，。《》（735）：“、，”、“，”、“，、”。，“；，；，312：1.
；2.
；3.
，、。，，；、；、、、、、、、，，，25”。
1.
2.
2.
3.
3.
，。《》（735）：“，，、、，；、。，、，”，“”，“，、；，”，。
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：
，。〔2020〕20，《》，。——《》2021。，《》，，、。
，。〔2020〕20，“，。，，”。〔2020〕20，《》（2）《》（3）（：“”），“”（：）、、、、、。，《》“，”，；“，……、、”，。
，。，〔2020〕20，“，，、，”。
：
，。〔2020〕20，《》，。——《》2021。，《》，，、。
，。，。
，。〔2020〕20，“，。，，”。〔2020〕20，《》（2）《》（3）（：“”），“”（：）、、、、、。，《》“，”，；“，……、、”，。
，。，。
，。，〔2020〕20，“，，、，”。
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，，。
，“，”。〔2019〕14，“，”；、、，，，“、、，，，”。，，，，，，，，。
，。〔2020〕20“，，”。，“”。、、、、、，、、、、、、，、。，，，，，，、，、、，。，、。
，“”。〔2020〕20，“，”，《》（735），“”，“”，，，。
，，。
，“，”。〔2019〕14，“，”；、、，，，“、、，，，”。，，，，，，，，。
，“，”。，“，”。
，。〔2020〕20“，，”。，“”。、、、、、，、、、、、、，、。，，，，，，、，、、，。，、。
，。，。
，“”。〔2020〕20，“，”，《》（735），“”，“”，，，。
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，，，，、，。，，，，，。
，。。，（）、。〔2020〕20，“，”，，，，（CHS-DRG）（DIP），，“”。
，。，、《》（〔2021〕5），。，，，，，、、；，，、、。
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，。，。
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，。，。
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，、、“、”，（）。，、，，、。、、，“”、“”、，《》（〔2020〕20）。
，。〔2020〕20，“，”，“”，。2015，《》（〔2015〕33）：“2015，（），、、、、，。2017，，，、，，”，“”、“”、“……”，。，《》（〔2015〕38），“”，“、、、、、”，“，，、、”，“，、、”，“，，……，，，、”。，，，，。
，。〔2020〕20，“、，”，，“、、”，《》（〔2021〕2），“，、、，……，”，，“，、”，“。，。、、，。，”。
，。《》（〔2020〕20）。2019，《》（〔2019〕37），“、、，，，……、、、”，：，；，；，；，；，。
，，，，、，，，，、，。
，、、“、”，（）。，、，，、。、、，“”、“”、，《》（〔2020〕20）。
，。〔2020〕20，“，”，“”，。2015，《》（〔2015〕33）：“2015，（），、、、、，。2017，，，、，，”，“”、“”、“……”，。，《》（〔2015〕38），“”，“、、、、、”，“，，、、”，“，、、”，“，，……，，，、”。，，，，。
，。，。
，。〔2020〕20，“、，”，，“、、”，《》（〔2021〕2），“，、、，……，”，，“，、”，“。，。、、，。，”。
，。，。
，。《》（〔2020〕20）。2019，《》（〔2019〕37），“、、，，，……、、、”，：，；，；，；，；，。
，。，。
，，，，、，，，，、，。
