“除非具有可靠、透明和一致的医疗和财务信息，否则该国无法评估其是否削减了费用或在与欺诈行为的斗争中取得了胜利，”Clarke说。

"It cannot assess whether it is reducing costs or winning the battle against fraud unless it has reliable, transparent and consistent medical and financial information," says Clarke.

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在处理欺诈行为方面进展最大的国家都具有强有力的财务和医疗问责制度，即以牢固审计制度为基础的适当会计和报告系统。

Countries that have gone furthest in tackling fraud have strong financial and medical accountability systems, i.e. proper accounting and reporting underpinned by solid audit regimes.

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Shumlin先生认为通过削减行政性支出、打击欺诈行为，以医疗质量来权衡医生的报酬(而非单单凭数量)，能限制成本。

Costs will be contained, Mr Shumlin says, by cutting administrative expenses, slashing fraud and rewarding doctors for the quality rather than just the quantity of care.

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Shumlin先生认为通过削减行政性支出、打击欺诈行为，以医疗质量来权衡医生的报酬(而非单单凭数量)，能限制成本。

Costs will be contained, Mr Shumlin says, by cutting administrative expenses, slashing fraud and rewarding doctors for the quality rather than just the quantity of care.

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