【2016】农村医疗保险怎么报销及报销范围
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【2016】农村医疗保险怎么报销及报销范围
农村合作医疗是由我国农民自己创造的互助共济的医疗保障制度，在保障农民获得基本卫生服务、缓解农民因病致贫和因病返贫方面发挥了重要的作用。那么2016年农村医疗保险报销范围是什么和怎么报销？农村医疗保险报销范围门诊补偿：（1）村卫生室及村中心卫生室就诊报销60%，每次就诊处方药费限额10元，卫生院医生临时补液处方药费限额50元。（2）镇卫生院就诊报销40%，每次就诊各项检查费及手术费限额50元，处方药费限额100元。（3）二级医院就诊报销30%，每次就诊各项检查费及手术费限额50元，处方药费限额200元。（4）三级医院就诊报销20%，每次就诊各项检查费及手术费限额50元，处方药费限额200元。（5）中药发票附上处方每贴限额1元。（6）镇级合作医疗门诊补偿年限额5000元。住院补偿（1）报销范围：A、药费：辅助检查：心脑电图、X光透视、拍片、化验、理疗、针灸、CT、核磁共振等各项检查费限额200元；手术费（参照国家标准，超过1000元的按1000元报销）。B、60周岁以上老人在兴塔镇卫生院住院，治疗费和护理费每天补偿10元，限额200元。（2）报销比例：镇卫生院报销60%；二级医院报销40%；三级医院报销30%。大病补偿（1）镇风险基金补偿：凡参加农村合作医疗保险的住院病人一次性或全年累计应报医疗费超过5000元以上分段补偿，即元补偿65%，元补偿70%。（2）镇级合作医疗住院及尿毒症门诊血透、肿瘤门诊放疗和化疗补偿年限额1.1万元。以下是不属农村合作医疗保险报销范围：（1）自行就医（未指定医院就医或不办理转诊单）、自购药品、公费医疗规定不能报销的药品和不符合计划生育的医疗费用；（2）门诊治疗费、出诊费、住院费、伙食费、陪客费、营养费、输血费（有家庭储血者除外，按有关规定报销）、冷暖气费、救护费、特别护理费等其他费用；（3）车祸、打架、自杀、酗酒、工伤事故和医疗事故的医疗费用；（4）矫形、整容、镶牙、假肢、脏器移植、点名手术费、会诊费等；农村医疗保险怎么报销（一）申请受理 1、申请人：参合病人本人或者其配偶、父母、子女。参合病人本人不能亲自办理申请手续且没有配偶、父母、子女的，由其兄弟、姐妹代 其申请;没有兄弟、姐妹的，由村民委员会负责人代其申请。由其代理人代理申请的，应当提交代理人的身份证复印件及与参合病人关系的证明材料。 2、受理机 构：县级以下（含县级，下同）定点医疗机构。 3、申请结果：（1）申请报销的参合病人身份证明材料真实、提交材料齐全的，应当场受理;（2）对参合病人 身份证明材料有疑义的，应移交合作医疗管理经办机构核实其身份;（3）对提交材料不齐的，应一次性书面告知需要补齐的全部材料。（二）费用 核算县级定点医疗机构：由县级定点医疗机构合作医疗窗口初审核算人员受理医疗费用报销申请，对申请人提交的材料进行审查，具体核算补偿范围内的医药费用和 补偿金额，并填写《新型农村合作医疗住院补偿表》，签署核算意见。乡镇定点医疗机构：由乡镇卫生院合作医疗窗口初审核算人员受理医疗费用报销申请，对申请 人提交的材料进行审查，具体核算补偿范围内的医药费用和补偿金额，并填写《新型农村合作医疗住院补偿表》，签署初审核算意见后，由复核人员或者乡镇专职审 核员对初审项目和补偿金额进行审核，签署审核意见。（三）费用兑付由县级以下定点医疗机构合作医疗窗口兑付人员根据审核意见，向申请人支付应当报销的医药费用，并由申请人或者其代理人在《新型农村合作医疗住院补偿表》上签字。
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2016年7月份新型农村合作医疗补偿花名册
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解放军第一零五医院
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解放军第一零五医院
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安徽医科大学第一附属医院
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安徽省第二人民医院（原省立新安和友谊医院）
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金寨县人民医院
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金寨县人民医院
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金寨县人民医院
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金寨县人民医院
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金寨县人民医院
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金寨县人民医院
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金寨县人民医院
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="38.35
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<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="82.58
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="26.29
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="71.6
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="80.39
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="20.01
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="48.42
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="51.28
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="38.11
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金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" , class=et3 height=30 width=74 x:num="57.89
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<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=72 x:num="
金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="65.01
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="18.27
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="98.8
金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="48.85
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="89.15
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="98.8
金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="71.32
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=72 x:num="35.32
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=74 x:num="60.72
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: BACKGROUND: # HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: mso-pattern: auto none" class=et3 height=30 width=72 x:num="70.4
金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="97.97
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="99.4
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="73.65
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="05.37
金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="943.51
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="56.08
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="830.95
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="82.62
金寨县人民医院
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="431.07
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="58.1
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 55.5 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=74 x:num="646.86
<TD style="BORDER-BOTTOM: #.5 TEXT-ALIGN: BORDER-LEFT: #.5 FONT-STYLE: WIDTH: 54 WHITE-SPACE: HEIGHT: 22.5 COLOR: #000000; FONT-SIZE: 9 VERTICAL-ALIGN: BORDER-TOP: #.5 FONT-WEIGHT: 400; BORDER-RIGHT: #.5 TEXT-DECORATION: mso-protection: locked visible" class=et4 height=30 width=72 x:num="132.64
安徽省立医院
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安徽省立医院
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安徽省立儿童医院
县以上医院
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芜湖市第一人民医院
县以上医院
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常州市中医医院
县以上医院
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湖州市中心医院
县以上医院
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湖州市中心医院
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金寨县中医院
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六安市人民医院
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六安市人民医院
金寨县妇幼保健院
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主办单位：金寨县远程教育管理中心&&& 协办单位：金寨县桃岭乡东冲村
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