2015年上海市医疗救助制度研究

目的：对上海市医疗救助制度进行总结分析，归纳上海市医疗救助体系发展的成效与不足，为进一步完善上海市医疗救助制度设计提供建议。方法：检索国内外文献，并梳理上海市及其他省市相关政策文件，建立上海市医疗救助制度理论分析框架。结果：上海市已基本建立了较为完善的医疗救助制度，但在资金筹集、救助对象、救助内容和组织方式上仍然存在欠缺。结论：建议上海市医疗救助体系从拓宽筹资渠道、扩大救助范围、协调部门关系、完善医保衔接、发展信息系统等方面予以完善，进一步加大对重点人群的精准救助力度。

A Study on the Medical Assistance System in Shanghai in 2015 / ZHANG Xiao-xi, LI Fen, WANG Chang-ying, LIN Jie, CAI De-qi, WANG Xi

Objective: To summarize the characteristics of the medical assistance system in Shanghai, and analyze the effectiveness and shortcomings of its development, so as to provide suggestions for further improving the policy design of the medical assistance system in Shanghai. Methods: The domestic and foreign literatures were retrieved and the relevant policy documents of Shanghai and other cities and provinces were sorted out, based on which the theoretical analysis framework of Shanghai medical assistance system was established. Results: Shanghai has basically established a comprehensive medical assistance system, whereas further development is still needed in the aspects including fund raising, object recognition, content refinement and organization mechanism. Conclusion: It is suggested that the medical assistance system in Shanghai should be improved from the aspects of broadening the financing channels, expanding the scope of the assistance, coordinating among different departments, optimizing the connection to the medical insurance, developing the information system, and further intensifying the precise assistance to the target population.