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所谓总额预付,是指根据一定区域内参保人数、年均接诊总人次数、次均接诊费用水平,测算一定区域内年度统筹补偿控制总额,经办机构定期预拨,实行总额控制、包干使用、超支分担的支付方式。目前,在我国总额预付方式备受推崇,主要是因为该制度加强了对医疗行为的控制,可以遏制医疗机构开大处方、乱检查、乱收费、任意扩大服务项目等弊端,有效控制医疗费用增长。
The so-called total prepayment means that according to the number of insured persons in a certain area, the average number of admissions in a year, the average number of admissions, the annual total compensation control in a given area is estimated, and the handling agency regularly dials the total amount of control, Package dry use, over-payment of the payment method. At present, the method of total prepayment in our country is highly respected mainly because it strengthens the control of medical behaviors, can curb the malpractice of medical institutions in prescribing prescriptions, chaos checking, arbitrary charging and arbitrarily expanding service items, and effectively controlling the growth of medical expenses .