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我国农村地区实施大病统筹合作医疗或医疗保险方案的技术缺陷
引用本文:郝模 袁小平. 我国农村地区实施大病统筹合作医疗或医疗保险方案的技术缺陷[J]. 中国初级卫生保健, 1999, 13(11): 11-13
作者姓名:郝模 袁小平
作者单位:上海医科大学卫生事业管理教研室 200032(郝模,丁晓沧,吴延风,罗力,姜晓朋,章滨云,李鹏翔,信亚东),江西省崇仁县卫生局 344200(袁小平),山东潍坊医学院 261000(尹爱田,王志锋),江苏省盱眙县卫生局 211700(孙邦贵)
基金项目:国家自然科学基金资助课题
摘    要:在我国中等发达及上农村地区,大病统筹合作医疗或医疗保险以其可缓解农村居民的就医经济风险而受到欢迎,但是在方案的拟订过程中尚存在一些明显的技术缺陷,比如,“大病”的技术定义、农村居民就医经济风险分析、风险临界线界定、保险经付比测算和保险费率厘定等,这些技术的缺乏,已严重影响农村合作医疗或医疗保险的推广和实施效果。

关 键 词:医疗保险 关键技术 大病统筹 技术缺陷

An Analysis on Technique Defects of Catastrophic Medical Insurance in Ru- ral China
Hao Mo,Ding Xiaocang,Wu Yanfeng,et al.. An Analysis on Technique Defects of Catastrophic Medical Insurance in Ru- ral China[J]. Chinese Primary Health Care, 1999, 13(11): 11-13
Authors:Hao Mo  Ding Xiaocang  Wu Yanfeng  et al.
Affiliation:Hao Mo,Ding Xiaocang,Wu Yanfeng,et al. Shanghai Medical University Shanghai 200032
Abstract:The Catastrophic Medical Insurance (CMI) scheme is approved for its alleviating the financial risk of medical care services in rural China. However,there are still some technique defects in making a practicable proposal,such as measure of financial risk, poverty .critical standards of financial risk,definition of catastrophic threshold, the Contribution rate-making,and the restrictive conditions,et al. This paper presents an analysis on these technique defects.
Keywords:catastrophic medical insurance  key techniques  rural areas.
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