摘要
目前,我国城乡医疗保障体系已基本形成,基本实现了医疗保险的全面覆盖。但在这一过程中,出现了城乡居民重复参加不同类型社会医疗保险的现象,影响了医疗保障制度的公平性和制度运行的效率。文章通过对重复参保问题的概念进行界定,总结重复参加社会医疗保险的群体和主要类型,并从基本医疗保险制度设计、部门之间利益分割等方面分析重复参保现象产生的原因,以及重复参保产生的消极影响,在此基础上提出了加强三大基本医疗保险制度的信息化建设,统筹城乡医疗保障制度,整合医疗资源,实现信息共享等对策,探究制度并轨对卫生资源利用公平性的作用。
At present, China＇ s urban and rural medical security system has been basically formed, which funda- mentally realized the complete coverage of the medical insurance. However, in this process, the phenomenon that the urban and rural residents have repeatedly participated in different kinds of social medical insurances has emerged, which has affected the fairness of the medical security system and the operating efficiency of the system. Through the definition over the concept of the repeated insurance coverage, the Paper has summarized the groups and main types having repeatedly participated in the social medical insurance, analyzed the causes for the repeated insurance coverage phenomenon from the design of the basic medical insurance system, the division of profits among the departments and other aspects, as well as the negative effects generated by the repeated insurance coverage, upon which the paper has proposed the countermeasures to strengthen the informatization construction for the three basic medical insurance sys- tems, to integrate the urban and rural medical security systems, to combine the medical resources, and to realize the in- formation sharing, etc. so as to explore the effect exerted by the system integration on the fair utilization of the health re- sources.
出处
《广西经济管理干部学院学报》
2013年第4期8-13,共6页
Journal of GuangXi Cadres College of Economic and Management
基金
2012年湖北省软科学研究项目"湖北省失地农民保障调研研究"(2012GDA00705)
关键词
城乡居民
重复参保
制度并轨
卫生公平
Urban and Rural Residents
Repeated Insurance Coverage
System Integration
Health Equity
