社会医疗保险制度下的政策抉择

社会基疗保险是许多国家的卫生筹资形式，政策目标不仅体现在社会医疗保险的系统结构中，更重要的是体现在社会医疗实际运行中的政策抉择中，这些政策抉择集中反映了筹资强度，保险覆盖范围与优先项目，费用控制及服务提供的效率改善等相互联系的4个方面。

Policy Dilemmas Under Social Health Insurance

Social health insurance is being considered as an option for health care financing in many countries. Policy goals will be met not only by the system structure of social health insurance, but also, more importantly, through rational policy decision in the operation of social health insurance. The associated policy dilemmas include financing intensity, benefit coverage and priority setting, cost control and efficient provision of health care.