我国医疗保障制度推进健康扶贫的探索和成效

通过界定贵州、河南、四川的部分地区健康扶贫对象,分析健康扶贫"组合拳"的方案及其效果等,提出了医疗保障制度推进健康扶贫的一些思考:一是健康扶贫不仅要关注当前,还要结合实际关注因病致贫风险人群;二是城乡居民医保是"组合拳"的核心,相对倾斜支持,合理控费更关键;三是加强医疗保障制度间的全过程衔接,切实做好健康扶贫;四是合理确定保障水平,规避道德风险;五是推进健康扶贫关口前移,减少因病致贫和因病返贫是关键。

The exploration and effectiveness of health poverty alleviation based on China's medical security system

This paper analyzes the subject definitions, comprehensive measures and effectiveness on healthy poverty alleviation in Guizhou, Henan and Sichuan provinces. It puts forward some conclusions as follows:firstly, health poverty alleviation need to pay more attention to people who at the risk of poverty caused by illness; secondly, the basic insurance for urban and rural residents do actually play a fundamental role in the comprehensive measures, but cost control is more important than a relatively inclined support; thirdly, it is necessary to strengthen the linkage of the whole progress on comprehensive measures; fourthly, the reimbursement ratio needs to be developed reasonably to avoid moral hazards; and fifth, the disease prevention measures can reduce poverty caused by illness in a long-term change.