[1]张籍元,马爱霞,唐文熙.典型省市大病保障模式探究[J].卫生经济研究,2019,(01):41-43.
　ZHANG Ji-yuan,MA Ai-xia,TANG Wen-xi.Study on the Mode of Major Illness Insurance in Typical Provinces[J].Journal Press of Health Economics Research,2019,(01):41-43.
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典型省市大病保障模式探究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2019年01期
页码:
41-43
栏目:
医保天地
出版日期:
2019-01-04

文章信息/Info

Title:
Study on the Mode of Major Illness Insurance in Typical Provinces
作者:
张籍元1; 马爱霞1; 唐文熙1
1.中国药科大学国际医药商学院，江苏 南京 211198
Author(s):
ZHANG Ji-yuan; MA Ai-xia; TANG Wen-xi
School of International Pharmaceutical Business，China Pharmaceutical University，Nanjing Jiangsu 211198，China
关键词:
大病保险政策; 基本医疗保险; 支付标准
Keywords:
major illness insurance policy; basic medical insurance; payment standard
分类号:
F840.684
文献标志码:
A
摘要:
本文通过查阅并梳理青岛市、江苏省、浙江省等7个省市的大病医保政策，重点从保障对象、保障范围、支付方式、筹资机制4个方面比较各地大病医保政策之间的异同，分析各地在大病保险政策推进中的优势以及存在问题，为我国其他省市大病保险的推进提供借鉴。
Abstract:
This paper reviewed and sorted out the major medical insurance policies of 7 provinces such as Qingdao，Jiangsu，and Zhejiang provinces，focusing on the similarities and differences among the major medical insurance policies in four aspects: the target of protection，the scope of protection，the payment method and the financing mechanism. The advantages and problems in the promotion of major illness insurance policies in various places can provide reference for the promotion of major illness insurance in other provinces and cities in China.

参考文献/References:

[1] 吴海波.大病保险筹资与控费机制改革研究[J].中国卫生经济,2014,33(5):17-19.
[2] 董曙辉.关于大病保险筹资与保障范围的思考[J].中国医疗保险,2013(4):9-11.
[3] 荆门市人民政府. 市人民政府办公室关于进一步做好城乡居民大病保险工作的通知[R]. 2015.
[4] 安徽省卫计委. 关于印发《安徽省新农合大病保险指导方案 (2016版)》的通知[R] .2016.
[5] 北京市人社局.关于城乡居民医疗保险有关问题的通知[R]. 2017.
[6] 江苏省人社厅.关于进一步做好城乡居民大病保险有关工作的通知[R]. 2015.
[7] 浙江省人社厅.关于开展省级大病保险工作的通知[R]. 2014.
[8] 青岛市人社局.青岛市补充医疗保险特殊药品和特殊医用耗材及精准诊疗项目目录[R]. 2017.
[9] 江苏省人社厅.江苏省城乡居民大病保险及重大疾病保障工作综述[EB/OL].http://www.jshrss.gov.cn/xwzx/ztbd/gzcj/jsrs/201709/ t20170908_211114.html.
[10] 福建省人民政府办公厅. 关于巩固和完善城乡居民大病保险制度的实施意见[R]. 2017.
[11] 江欣禅,王艳,徐伟,等.三省(市)医疗保险特殊用药谈判制度比较[J].中国卫生经济,2017,36(3):40-42.
[12] 宋占军.大病保险筹资可持续性的再分析——基于基本医疗保险医疗服务利用调查数据的测算[J].保险理论与实践,2016(3):48-60.
[13] 常峰,张舰云,崔鹏磊,等.国内典型地区特药谈判模式总结及启示[J].现代商贸工业,2017(9):48-51.
[14] 康洽福.国内NSCLC EGFR-TKIs主要保障模式调研[EB/OL].https://wenku.baidu.com/view/6b6dddc9763231126fdb1161.html.

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更新日期/Last Update: 2019-01-04