...服务人数的最高限额,按月(季)或其它特定时间根据服务的人数支付一笔固定的费用,它是一种预付制(Prospective Payment System),或一定时间、一定人数的医疗费用包干制,属于一种定额补偿。丹麦、荷兰、英国很早以前就采用此法。
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有代表性的是后付 制(Retrospective Payment)和预付制(Prospective Payment). Schleifer(1985)提出预 付制可以激励医院,但是Newhouse(1996)证明一般情 况下预付制的补偿不是最优的。
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理论上,对公共卫生的支付方式有总额预付制、按服务项目付费、按人头支付、薪金制、按照绩效支付、按条目预算、预防服务账户和定期健康就诊费用方式。
Payment system for public health service includes global budget, fee for service, capitation, salary, performance-related pay, line budget, preventive service account and periodic health visit fee.
该计划为“金手铐”会员制:会员预付送货费后,就成为尊贵的回头客,以从预付费中获得最大利益。
Membership in such program ACTS as golden handcuffs: After prepaying for shipping, members become valuable repeat customers, in order to get the most out of the fee.
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