摘要
目的:提高我国医疗保险统筹层次。方法:通过分析目前我国医疗保险统筹层次偏低(即主要为县级统筹)带来的种种弊端,提出逐步提高我国基本医疗保险统筹层次、实现市级统筹的建议。结果与结论:统筹层次偏低存在不能满足保险的大数法则、增加了异地就医的情况、加大了管理成本、不利于制度整合发展等弊端。建议建立基本医疗保险的市级统筹,在地市级行政区划范围内实现基本医疗保险制度的统一政策、统一基金和统一管理服务,并建议按"基础层→政策层→管理层"的路线加以实现。
OBJECTIVE ： To improve the level of overall plan for medical insurance in China. METHODS ： The defects of low level （county level） of medical insurance in China were analyzed. Some proposals were put forward to improve the overall plan of basic medical insurance in China and realize municipal overall plan. RESULTS ＆ CONCLUSIONS： The low level of overall plan can not meet the demand of the most of insurance principle, result in the occurrence of seeing a doctor in a strange place, increase management cost and is unfavorable to integrated system development. It is advisable to establish the municipal overall plan for basic medical insurance, carry out uniform policy, uniform fund and uniform management of basic medical insurance system, realize municipal overall plan through road map of ＂basic level-policy level-management level＂.
出处
《中国药房》
CAS
CSCD
北大核心
2011年第9期769-771,共3页
China Pharmacy
关键词
医疗保险
统筹层次
市级统筹
Medical insurance
Overall plan level
Municipal overall plan
作者简介
讲师，硕士。研究方向：药事管理、食品法规。电话：025-86185038。E-mail：nierl209@gmail．com
