摘要
通过界定贵州、河南、四川的部分地区健康扶贫对象,分析健康扶贫“组合拳”的方案及其效果等,提出了医疗保障制度推进健康扶贫的一些思考:一是健康扶贫不仅要关注当前,还要结合实际关注因病致贫风险人群;二是城乡居民医保是“组合拳”的核心,相对倾斜支持,合理控费更关键;三是加强医疗保障制度间的全过程衔接,切实做好健康扶贫;四是合理确定保障水平,规避道德风险;五是推进健康扶贫关口前移,减少因病致贫和因病返贫是关键。
This paper analyzes the subject definitions, comprehensive measures and effectiveness on healthy poverty alleviation in Guizhou, Henan and Sichuan provinces. It puts forward some conclusions as follows: firstly, health poverty alleviation need to pay more attention to people who at the risk of poverty caused by illness; secondly, the basic insurance for urban and rural residents do actually play a fundamental role in the comprehensive measures, but cost control is more important than a relatively inclined support; thirdly, it is necessary to strengthen the linkage of the whole progress on comprehensive measures; fourthly, the reimbursement ratio needs to be developed reasonably to avoid moral hazards; and fifth, the disease prevention measures can reduce poverty caused by illness in a long-term change.
作者
赵美英
丁一磊
张红培
苗艳青
ZHAO Mei-ying;DING Yi-lei;ZHANG Hong-pei;MIAO Yan-qing(National Health Development Research Center,National Health Commission,Beijing 100044,China;National Healhcare Security Administration,Beijing 100037,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2019年第4期65-70,共6页
Chinese Journal of Health Policy
基金
国家卫生健康委委托研究项目
关键词
医疗保障
健康扶贫
成效
Health security
Health poverty alleviation
Comprehensive measures
