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完善医疗保障制度实现全民医保
引用本文:倪思明,许宏,高臻耀,曹俊山,郑颐,梁鸿. 完善医疗保障制度实现全民医保[J]. 中华医院管理杂志, 2011, 27(7). DOI: 10.3760/cma.j.issn.1000-6672.2011.07.016
作者姓名:倪思明  许宏  高臻耀  曹俊山  郑颐  梁鸿
作者单位:1. 上海市人力资源和社会保障局,200051
2. 复旦大学社会发展与公共政策学院
摘    要:介绍了上海医疗保障体系的概况和实施成效,分析存在的问题和面临的挑战,提出完善医疗保障体系的总体目标和重点任务.上海已初步形成"三纵三横"的医疗保障制度体系,为减轻参保人员医疗费用负担、推动经济社会发展起到了积极作用,已基本实现国家医改意见中提出的基本医疗保障制度建设近期目标.为进一步贯彻落实国家医改要求,上海将通过整合各类制度、缩小待遇差距、完善医保管理、建立老年护理保障制度等举措进一步完善医疗保障体系,力争2012年户籍人口医疗保障制度覆盖率达到98%,常住人口覆盖率达到90%.
Abstract:
The paper introduces an overview of Shanghai medical security system, analyzes its effectiveness and challenges, and put forward overall goals and key tasks in the future. Shanghai has formed a multiple, medical security system and basically achieved the short-term goal of medical security system establishment which was requested to put forward in national health system reform. Shanghai medical insurance system has played a positive role in promoting economic and social development and reducing the burden of medical expenses. To further implement requirements of national health system reform, Shanghai will be conducting the integration of different schemes , narrow down the gap of benefit packages, improvement of health care management and the initiatives of nursing care insurance to further improve the medical security system, and strive to cover 98% of household population and 90% resident population in 2012.

关 键 词:医疗保障  医疗保险  制度体系  全民医保

Constantly improve the medical security system to achieve universal coverage
NI Si-ming,XU Hong,GAO Zhen-yao,CAO Jun-shan,ZHENG Yi,LIANG Hong. Constantly improve the medical security system to achieve universal coverage[J]. Chinese Journal of Hospital Administration, 2011, 27(7). DOI: 10.3760/cma.j.issn.1000-6672.2011.07.016
Authors:NI Si-ming  XU Hong  GAO Zhen-yao  CAO Jun-shan  ZHENG Yi  LIANG Hong
Abstract:The paper introduces an overview of Shanghai medical security system, analyzes its effectiveness and challenges, and put forward overall goals and key tasks in the future. Shanghai has formed a multiple, medical security system and basically achieved the short-term goal of medical security system establishment which was requested to put forward in national health system reform. Shanghai medical insurance system has played a positive role in promoting economic and social development and reducing the burden of medical expenses. To further implement requirements of national health system reform, Shanghai will be conducting the integration of different schemes , narrow down the gap of benefit packages, improvement of health care management and the initiatives of nursing care insurance to further improve the medical security system, and strive to cover 98% of household population and 90% resident population in 2012.
Keywords:Medical security  Medical insurance  Institutional system  Universal coverage
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