摘要
我国目前已经初步建立起以基本医疗保险为核心,以补充医疗保险、医疗救助为两翼的多层次医疗保障体系。基本医疗保险的待遇水平不断提高,医疗救助的财政补助不断增加,但"看病贵、看病难"的问题没有得到根本解决。多层次的医疗保障体系运行依然存在诸多问题,如基本医疗保险制度范围内保障水平偏高,有的已经接近改革前"公费医疗"的水平,而范围外自费项目同样较高。另外,各层次间衔接不畅,无确切逻辑关系等问题也较为突出。通过对5个典型城市各层次医疗保障制度的分析,提出多层次医疗保障体系完善的目标及政策建议。
The multilevel medical insurance system has been developed in China,which is with basic medical insurance at the core, and supplementary health insurance （SHI） and medical assistance system as its components. But some problems still ex- ist in operation of multilevel medical insurance system, such as overhigh payment from basic medical insurance, and overhigh self- payment out of medical insurance system. And there had some other problems such as hindered connection and unclear positio- ning. Based on analysis of medical insurance system in five typical cities, some policy suggestions on improving multilevel medical insurance system were put forward.
出处
《中国卫生事业管理》
北大核心
2013年第1期29-31,共3页
Chinese Health Service Management
关键词
多层次医疗保障
基本医疗保险
补充医疗保险
医疗救助
multilevel medical insurance system
basic medical insurance
supplementary health insurance
medical assis- tance
