城乡统筹医疗保险制度效果评价——基于天津、重庆、宁夏的实证研究

发布时间：2018-04-23 03:21

本文选题：城乡统筹 + 医疗保险　；参考：《中国卫生政策研究》2017年10期

【摘要】：目的:对天津市、重庆市和宁夏自治区城乡居民医疗保险制度效果进行综合评价,为政府相关部门制度设计提供政策建议。方法:构建城乡统筹医疗保险制度评价指标体系,运用"纵横向拉开档次"法对制度效果进行评价。结果:(1)试点城市城乡统筹医疗保险制度公平性和制度政策保障水平较高,但医疗服务保障水平和医保制度可持续性仍是制度运行的短板;(2)由于人口数量、经济发展水平等差异,三个地区制度效果存在明显差异。结论:试点城市应在吸收其他省市经验基础上,从坚持政府领导、加强顶层设计、加大财政投入力度、完善筹资和费用报销机制、加强医保基金监管等几方面进一步对制度进行完善。
[Abstract]:Objective: to evaluate the effect of urban and rural residents' medical insurance system in Tianjin, Chongqing and Ningxia Autonomous region, and to provide policy suggestions for the system design of relevant government departments. Methods: the evaluation index system of medical insurance system in urban and rural areas was constructed, and the effect of the system was evaluated by using the method of "vertical and horizontal pull open grade". Results: (1) the equity of the urban and rural health insurance system and the level of institutional policy guarantee are relatively high in the pilot city, but the level of medical service security and the sustainability of the medical insurance system are still the shortcuts in the operation of the system. (2) due to the difference in population size and economic development level, There are obvious differences between the three regions. Conclusion: on the basis of absorbing the experience of other provinces and cities, the pilot cities should adhere to the leadership of the government, strengthen the top-level design, increase the financial input, and improve the mechanism of raising funds and reimbursing expenses. Strengthen medical insurance fund supervision and other aspects to further improve the system.
【作者单位】：中共天津市委党校天津行政学院;
【分类号】：F842.684;R197.1

【相似文献】