摘要
目前,整合城乡居民医保制度呈现不可逆转之势,先行整合地区因地制宜对城乡医保制度的整合途径和模式进行了积极的探索。实践模式共性的特征包括:梯次推进的整合之路,优先整合经办管理体制的策略,政府在制度整合中发挥主导作用。同时,整合城乡医保制度面临诸多方面障碍:缺乏顶层制度设计,制度"碎片化"、统筹层次低、卫生资源配置不均衡等,需要整体规划,提高统筹层次,优化城乡医疗资源配置,统一经办管理体制和信息管理系统,从而建立城乡一体化的医疗保障体系。
At present, the integration of medical insurance system overall planning for urban and rural residents showed irreversible. First integration area has carried on the positive exploration ways and models of urban and rural medical insurance system. The characteristics of common practice mode： the gradual integration of the road, priority handling management system integration strategy, the government leading role in the integration system. At the same time, urban and rural medical insurance system faces many obstacles： the lack of top system design, the system of “ fragmentation”, low level of overall planning, the allocation of health resources is not balanced, needs overall planning, to improve the level of overall planning, optimize the allocation of medical resources, unified handling management system and information management system, thereby establishing the integration of urban and rural medical security system.
出处
《社会保障研究》
CSSCI
2015年第3期15-20,共6页
Social Security Studies
基金
甘肃省社科规划项目"实现跨越式发展下的甘肃省城乡居民医疗保险整合与发展研究"(13YD090)
甘肃政法学院青年科研资助项目(GZF2014XQNLW10)阶段性研究成果
关键词
统筹
医疗保障
障碍
策略
urban, medical security, barriers, strategy
