推进全民医保从形式普惠走向实质公平——国外医保模式的启示

发布时间：2018-07-29 07:25

【摘要】：我国现行基本医疗保险制度包括新型农村合作医疗、城镇居民基本医疗保险、城镇职工基本医疗保险。三大基本医疗保险制度虽然形式上实现了全覆盖,减轻了农村居民的医疗费用负担,但也面临着制度碎片化、城乡及区域差距显著、重复参保等诸多问题,实质公平缺失。2016年,国务院发布了《关于整合城乡居民基本医疗保险制度的意见》,标志着推进医保制度并轨,构建全民基本医疗保险已经上升为国家意志。在分析英国、德国、美国、新加坡等国外基本医疗保险模式运行现状,总结全球基本医疗保险制度改革趋势的基础上,从立足制度环境、依托公共财政等角度提出了国外基本医疗保险对我国构建全民基本医疗保险的启示。
[Abstract]:The current basic medical insurance system in China includes the new rural cooperative medical insurance, the basic medical insurance for urban residents and the basic medical insurance for urban workers. Although the three major basic medical insurance systems have achieved full coverage in form and lightened the burden of medical expenses on rural residents, they also face many problems, such as fragmentation of the system, significant urban-rural and regional disparities, repeated participation in insurance, and lack of substantive fairness. The State Council has issued "opinions on integrating the basic medical insurance system of urban and rural residents", which marks the promotion of the medical insurance system and the construction of universal basic medical insurance has become the national will. On the basis of analyzing the operating status of the basic medical insurance model in Britain, Germany, the United States, Singapore and other foreign countries, and summarizing the trend of the reform of the global basic medical insurance system, and based on the institutional environment, Based on public finance and other angles, this paper puts forward the enlightenment of basic medical insurance abroad to the construction of national basic medical insurance in China.
【作者单位】：苏州大学政治与公共管理学院;
【基金】：江苏高校优势学科建设工程“地方政府与社会管理”(项目编号:YX10200111)的阶段性成果
【分类号】：F842.684;R197.1

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