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我国医保制度整合的相关问题探讨
引用本文:李显文,魏来,潘杰,张亮.我国医保制度整合的相关问题探讨[J].卫生经济研究,2011(11):17-19.
作者姓名:李显文  魏来  潘杰  张亮
作者单位:1. 浙江医学高等专科学校,浙江杭州,310053
2. 华中科技大学同济医学院医药卫生管理学院,湖北武汉,430030
3. 西南财经大学公共管理学院,四川 成都,610074
摘    要:针对我国目前医疗保险制度存在碎片化状况,提出了医保制度整合中需要重点关注的几个问题:整合应以总体规划分步实施、立法保障稳步推进、公平优先兼顾效率为原则,分三个步骤进行;在筹资方面,应逐步实现强制参保,以家庭为参保单位,并以法律形式明确各级政府的筹资责任,设置分档次的居民筹资方式及合理的补偿机制;在管理上,应妥善整合经办管理机构,并通过立法明确基金监管和服务质量保障机制,确保监管有效、得力。

关 键 词:医疗保险制度  整合

Discussion on health insurances integration in China
LI Xian-wen,WEI Lai,PAN Jie,ZHANG Liang.Discussion on health insurances integration in China[J].Health Economics Research,2011(11):17-19.
Authors:LI Xian-wen  WEI Lai  PAN Jie  ZHANG Liang
Institution:LI Xian-wen1,WEI Lai2,PAN Jie3,ZHANG Liang2 (1.Zhejiang Medical College,Zhejiang Hangzhou 310053,China,2.Tongji Medical College of Huazhong University of Science & Technology School of Medicine and Health Management,Hubei Wuhan 430030,3.School of Public Administration,Southwestern University of Finance & Economics,Sichuan Chengdu 610074,China)
Abstract:We proposed to integrate health insurance schemes in China.Integration plan should be implemented step by step,guaranteed by legislation,and considered both equity and efficiency.Three steps should be included.From the perspective of financing,we should implement compulsory health insurance,family unit enrollment,government responsibility on financing guaranteed by legislation,and differentiated financing and reimbursement level for residents.From the perspective of management,we should integrate health ins...
Keywords:health insurance system  integration  
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