[1]胡晓梅,邓绍平,胡锦梁.多层次医疗保障体系发展的国际经验借鉴与展望[J].卫生经济研究,2021,38(7):51-54.
　HU Xiao-mei,DENG Shao-ping,HU Jin-liang.International Experience Reference and Prospect of Multi-tiered Healthcare Security System Development[J].Journal Press of Health Economics Research,2021,38(7):51-54.
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多层次医疗保障体系发展的国际经验借鉴与展望
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年7期
页码:
51-54
栏目:
他山之石
出版日期:
2021-06-30

文章信息/Info

Title:
International Experience Reference and Prospect of Multi-tiered Healthcare Security System Development
作者:
胡晓梅1; 邓绍平1; 胡锦梁1
1.四川省医学科学院·四川省人民医院卫生政策与医院管理研究所，四川 成都610072
Author(s):
HU Xiao-mei;  DENG Shao-ping;  HU Jin-liang
Sichuan Academy of Medical Science /Institute of Health Policy and Hospital Management, People's Hospital of Sichuan Provincial, Chengdu Sichuan 610072, China
关键词:
医疗保障体系; 基本医疗保险; 商业健康保险; 医疗救助
Keywords:
medical security system;  basic medical insurance;  commercial health insurance;  medical assistance
分类号:
F840.684
文献标志码:
A
摘要:
在梳理国际医疗保障体系发展历程的基础上，总结具有代表性国家的做法——以商业健康保险为主体的美国模式、以全民医疗保障为代表的英国模式以及政府主导下引入市场机制的德国模式。当前，我国多层次医疗保障体系已初步形成，但在发展中仍面临政策统筹性不足、各层次以及同一层次内资源衔接效率低、医疗保障与其他保障制度衔接不足等问题。借鉴国际经验，提出我国医疗保障体系应以保底层精细化、主体层一体化和补充层专业化为着力方向，更好地发挥医疗保障功能。
Abstract:
On the basis of combing the international healthcare security system development, this paper summarizes the representative countries practices--the American model with commercial health insurance as the main body, the British model represented by universal health insurance and the German model with market mechanism led by the government. At present, multi-tiered healthcare security system in China has been initially formed, but it is still faced with some problems in the development, such as insufficient policy coordination, the low efficiency of resource connection at all levels and within the same level, and insufficient connection between medical security and other security systems. Drawing lessons from the international experience, this paper puts forward that healthcare security system in China should focus on the refinement of the bottom level, the integration of the main level and the specialization of the supplementary level as a direction, so as to play a better role of the medical security.

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更新日期/Last Update: 2021-06-30