我国基本医疗保险城乡一体化研究综述

当前我国分立的三项医疗保险制度筹资水平、待遇水平、管理部门等均不相同,医疗保险体系存在显失社会公平、管理效率和基金使用效率低下等问题,亟需推进基本医疗保险城乡一体化。但机遇与挑战并存,经济的发展、国家政策的支持给一体化带来了良好机遇,而整合制度及协调既得利益是其面临的巨大挑战。学者们对医疗保险城乡一体化的实现路径取得了渐进式改革、分阶段推进的基本共识,但在整合方式及管理部门选择上存在分歧,这需要进一步的研究和探讨。

Review on integration of urban rural basic medical insurance research

Chinese basic medical insurance consists of three separate systems, which have different funding levels, treatment levels and management departments. There are some problems in the separated medical insurance system, such as social inequities, low management efficiency and low efficiency in the use of medical insurance fund. The urban-rural basic medical insurance must be integrated. There are challenges but also opportunities, the rapid development of economy and the support of national policy are opportunities, while how to integrate system and coordinate vested interests are challenges. Lots of scholars have studied the system integration, the common view is that the integration should be advanced gradually. There are still disagreements about integration mode and management department, and further research and discussion are necessary.