摘要
为了实现我国基本卫生保健制度的医改目标，本研究从全民健康覆盖的理念出发，建立基本医疗服务包的筹资框架，涵盖基层医疗机构的医疗服务、重点疾病治疗、以及二级和三级医院基本医疗服务。以卫生总费用和医疗服务利用的历年数据为基础，遵循经济可承受和成本效果原则，测算2020年基本医疗服务的筹资额度预计将达到19408．46亿～21624．17亿元，占卫生总费用的30．66%～34．16％，政府和社会在卫生筹资中需要发挥75％的筹资责任，重点保障基层卫生机构的医疗服务筹资，降低居民的个人疾病经济负担。
To achieve the goal of universal healthcare coverage, and the objective of the ongoing healthcare reform to establish an essential healthcare system, the study proposed a financial framework for building the essential medical service package, covering medical services offered by primary medical institutions, treatment of major diseases, and essential medical services offered by secondary and tertiary hospitals. With data over the years of the total medical expense and medical service usage as the basis,and in the principles of affordability and cost-effectiveness, the total financing quota of essential medical services is expected to reach 1 940. 846-2 162. 417 billion,accounting for 30.66%-34. 16% of the total healthcare expenditure. 75% of the financing load should be carried by the government and society, focusing on financing medical services offered by primary institutions and lowering out-of-pocket burden of residents.
出处
《中华医院管理杂志》
北大核心
2016年第3期175-179,共5页
Chinese Journal of Hospital Administration
基金
国家卫生计生委法制司立项课题（2014）
教育部人文社会科学研究青年基金项目（12YJC630233）
关键词
基本医疗
服务包
卫生筹资
Essential medical service
Service package
Health financing
作者简介
通信作者：吴妮娜，Email：wunina@ccmu．edu．cn
