摘要
系统收集梳理我国不同省(市、自治区)新型农村合作医疗制度重大疾病保障政策相关资料,从政策实施方案出台时间、试点保障大病数量、定点医疗机构的确定、医疗费用支付与补偿办法、救治申报程序与费用支付模式、管理与保障措施等方面对各地大病政策进行比较。结果表明,各省(市、自治区)大病保障政策目标和内容的制定基本符合国家文件要求。存在的主要问题是:大病付费方式较为单一,各地按病种付费的具体形式存在差异;大病分级诊疗制度尚未完全建立;医疗服务监管体制存在缺陷等。在此基础上提出相应政策建议,为进一步改进和完善相关政策提供参考。
This paper systematically collected and combed the different provinces （ autonomous regions and municipalities directly under the central government） policy of New Rural Cooperative Medical Scheme （NRCMS） catastrophic disease insurance. Then it made a comparative re- search of the enacting time of Policy implementation plan, quantity of pilot diseases, the determination of fixed - point medical institutions, way of medical expenses payments and compensation, applying procedures and fees payment pattern, management and safeguard measures, etc. The re- suits showed that the provinces＇policy object and content basically conform to national requirements, and the existing problems mainly include：the payment matter of catastrophic diseases is relatively single , while the specific form varies among provinces ; the grading diagnosis and treatment system has not been fully established; the regulatory system for medical services is defected. Finally, it put forward corresponding policy recom- mendations, in order to provide reference for further improving and perfecting the policies and measures.
出处
《医学与社会》
2014年第4期36-40,共5页
Medicine and Society
基金
2012年卫生部农卫司委托研究项目"提高新农合重大疾病保障水平试点工作进展及效果的跟踪评价研究"
关键词
新型农村合作医疗制度
重大疾病保障
New Rural Cooperative Medical Scheme
Catastrophic Disease Insurance
