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不同医保形式下终末期肾病血液透析患者的直接经济负担 被引量:12

The Direct Economic Burden of Hemodialysis Patients with End-stage Renal Disease under Different Forms of the Medical Insurance
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摘要 通过对终末期肾病末期尿毒症患者接受血液透析治疗的直接经济负担进行回顾性分析,探究我国患者接受透析治疗所承受的直接经济负担的特点,以及在国家精准扶贫政策下医保政策对血液透析低保患者直接经济负担的影响。探索在不影响患者透析质量的情况下,更为合理的医疗保险形式。在面对资金困难的低保血液透析患者时,政府展现出基本医保政策的兜底作用就显得至关重要。政府应加大医疗救助的帮扶力度,构成以"基本医保+大病保险+医疗救助+补充商业保险"的四位一体重点针对健康扶贫的模式。 Through the retrospective analysis of the direct economic burden of hemodialysis for patients with end-stage renal disease and end-stage uremia,this paper explores the characteristics of the direct economic burden of dialysis for patients in China,and the impact of the medical insurance policy on the direct economic burden of hemodialysis patients with low-income insurance under the national targeted poverty alleviation policy.So as to explore a more reasonable form of medical insurance without affecting the quality of patients’ dialysis.In the face of the financial difficulties of low-income hemodialysis patients,it is very important for the government to demonstrate the bottom-up effect of the basic medical insurance policy.And the government should increase the support of medical assistance,so as to form a four-in-one focusing on health poverty alleviation model of "basic medical insurance + serious illness insurance + medical assistance + supplementary commercial insurance".
作者 余雪影 李亦兵 YU Xue-Ying;LI Yi-Bing(International Pharmaceutical Business School,China Pharmaceutical University,Nanjing 210009,China)
出处 《中国药物经济学》 2021年第11期15-24,共10页 China Journal of Pharmaceutical Economics
关键词 医疗保险 血液透析 终末期肾病 健康扶贫 Medical insurance Hemodialysis End-stage renal disease Healthy poverty alleviation
作者简介 通信作者:李亦兵,E-mail:1019861191@cpu.edu.cn。
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