医保式大病医疗救助模式研究
发布时间：2019-03-14 10:49
【摘要】：大病医疗救助已经成为新世纪人口与发展的重要领域,并引发了学者们的广泛关注,我国现行的大病医疗救助工作中仍然存在筹资渠道单一、支付补偿水平低等问题,导致大病救助效果欠佳,大病患者得不到应有的救助服务。本文在概念界定的基础上,对大病医疗救助的特点及分类进行初步介绍,在借鉴国外大病医疗救助经验基础上,选取了青岛、福建等地区医保式大病医疗救助模式作为研究样本,学习其实践经验,以适合我国国情的医保式大病医疗救助筹资支付及管理运行模式为主要目标,建立较为成熟的救助模式。大病医疗救助模式是在职工基本医疗保险和城乡居民基本医疗保险的基础上,针对参保患者所发生的大额医疗费,建立的以医疗保险管理平台为载体,以政府投入为主导,引入多方社会资源,实施多渠道补偿的救助机制。它是在医疗保险基金报销部分医疗费的基础上针对患有重大疾病患者施行的再次补偿性救助。大病医疗救助政策的实施,改善了重大疾病患者对于大额医疗费用支付困难的困境,也体现了国家对这部分人的关怀,全方位提高大病医疗救助的救助水平。本文的研究结果改变了以往单一大病医疗救助模式,为我国建立科学性医保式大病医疗救助模式提供了理论支撑,为以后大病医疗救助政策的制定提供科学依据。
[Abstract]:Medical aid for serious diseases has become an important field of population and development in the new century, and has aroused widespread concern from scholars. There are still problems in the current medical assistance for serious diseases in China, such as a single financing channel and a low level of payment and compensation, and so on. Leading to serious disease relief effect is not good, serious disease patients do not receive due relief services. On the basis of the definition of the concept, this paper introduces the characteristics and classification of medical aid for serious diseases, and selects Qingdao for reference from the experience of medical aid for serious diseases abroad. The mode of medical insurance medical aid in Fujian and other areas is taken as a research sample, and its practical experience is studied. The main goal is to set up a more mature medical aid mode, which is suitable for the national conditions of our country and the mode of financing payment and management of the medical assistance for serious diseases is the main objective. The mode of medical assistance for serious illness is based on the basic medical insurance for employees and urban and rural residents, aiming at the large amount of medical expenses incurred by the insured patients, the medical insurance management platform is established as the carrier, and the government input is the leading factor. The introduction of multi-social resources, the implementation of multi-channel compensation relief mechanism. It is on the medical insurance fund reimbursement part of the medical expenses on the basis of patients with major diseases of the re-compensatory assistance. The implementation of the policy of medical assistance for serious diseases has improved the difficult situation for patients with major diseases to pay large medical expenses, and also reflected the care of the state for this part of the population, and improved the level of assistance for medical assistance for serious diseases in an all-round way. The research results of this paper change the former medical aid mode of single major illness, provide theoretical support for the establishment of scientific medical care mode of serious illness in our country, and provide scientific basis for the formulation of medical assistance policy of serious illness in the future.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;F842.684
本文编号：2439915
[Abstract]:Medical aid for serious diseases has become an important field of population and development in the new century, and has aroused widespread concern from scholars. There are still problems in the current medical assistance for serious diseases in China, such as a single financing channel and a low level of payment and compensation, and so on. Leading to serious disease relief effect is not good, serious disease patients do not receive due relief services. On the basis of the definition of the concept, this paper introduces the characteristics and classification of medical aid for serious diseases, and selects Qingdao for reference from the experience of medical aid for serious diseases abroad. The mode of medical insurance medical aid in Fujian and other areas is taken as a research sample, and its practical experience is studied. The main goal is to set up a more mature medical aid mode, which is suitable for the national conditions of our country and the mode of financing payment and management of the medical assistance for serious diseases is the main objective. The mode of medical assistance for serious illness is based on the basic medical insurance for employees and urban and rural residents, aiming at the large amount of medical expenses incurred by the insured patients, the medical insurance management platform is established as the carrier, and the government input is the leading factor. The introduction of multi-social resources, the implementation of multi-channel compensation relief mechanism. It is on the medical insurance fund reimbursement part of the medical expenses on the basis of patients with major diseases of the re-compensatory assistance. The implementation of the policy of medical assistance for serious diseases has improved the difficult situation for patients with major diseases to pay large medical expenses, and also reflected the care of the state for this part of the population, and improved the level of assistance for medical assistance for serious diseases in an all-round way. The research results of this paper change the former medical aid mode of single major illness, provide theoretical support for the establishment of scientific medical care mode of serious illness in our country, and provide scientific basis for the formulation of medical assistance policy of serious illness in the future.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;F842.684
【参考文献】
相关期刊论文 前10条
1 杨自根;;国外弱势群体医疗救助的实践及启示[J];卫生经济研究;2017年01期
2 于子淇;;青岛大病医疗救助制度探索[J];中国医疗保险;2015年08期
3 刘慧娴;;重特大疾病医疗救助将全面展开[J];中国财政;2015年12期
4 张伟;;大病保险与大病救助的四个衔接[J];中国民政;2015年07期
5 甘银艳;;大病医疗救助探讨[J];卫生经济研究;2014年09期
6 向国春;顾雪非;李婷婷;张振忠;毛正中;;医疗救助与大病保险衔接中的难点及实践探索[J];卫生经济研究;2014年03期
7 毛立坡;张琳;崔斌;;重特大疾病医疗救助试点评析[J];中国医疗保险;2013年08期
8 孙冬悦;孙纽云;房珊杉;董丹丹;梁铭会;;大病医疗保障制度的国际经验及启示[J];中国卫生政策研究;2013年01期
9 余臻峥;;国外典型国家医疗救助制度经验及其借鉴[J];现代商贸工业;2010年19期
10 王宗凡;;门诊大病医疗保障政策的比较分析[J];中国卫生经济;2010年04期
相关重要报纸文章 前1条
1 沈峰;;大病救助“凹地”亟待政府责任填平[N];中国社会报;2011年
相关硕士学位论文 前1条
1 王颖;中国城镇医疗保障制度研究[D];西南财经大学;2007年
，本文编号：2439915
本文链接：https://www.wllwen.com/jingjilunwen/bxjjlw/2439915.html
