统筹城乡医疗保障的实质及发展趋势

王保真; 徐宁; 孙菊

引用本文：王保真,徐宁,孙菊.统筹城乡医疗保障的实质及发展趋势[J].中国卫生政策研究,2009,2(8):32-35

统筹城乡医疗保障的实质及发展趋势

投稿时间：2009-06-08 修订日期：2009-07-11 PDF全文浏览 HTML全文浏览

1.武汉大学社会保障研究中心;2.武汉大学政治与公共管理学院

摘要:依据“统筹兼顾”作为贯彻落实科学发展观必须坚持运用的根本方法，论述了开展统筹城乡医疗保障研究的背景、意义和实质；阐述了首先必须使政府举办的法定基本医保体现一致性与统一性，而补充医保则体现多样性与差别性。提出应准确理解和把握统筹的涵义与核心实质；整合医保管理资源，克服多头管理的弊端，建立统一规范的经办机构，是今后管理体制发展的的必然趋势。整合归并统一后的医保制度，最终归属哪个部门管理，需要经过实践的检验、周密的论证与审慎的政治决策。

关键词:统筹医保制度实质趋势

The essence and developing trend of medical security system under the perspective of balancing urban and rural areas development

WANG Bao-zhen¹, XU Ning¹, SUN Ju²

1.Center for Social Secarity Studies, Wuhan University;2.School of Political Science and Public Administration, Wuhan University

Abstract:Basing on the principle of “overall consideration” which is the fundamental approach to apply the Scientific Outlook on Development, this paper firstly discusses background, significance, and essentiality of the research which is relative to how to establish and develop the medical security system to balance urban and rural development. Secondly, it reveals that the characteristic of basic medical insurance system which is held by government is identity and uniformity. On the contrary, the characteristic of supplementary medical insurance system is diversity and discrepancy. Finally, it finds that we should understand and grasp the meaning and core concept of “overall consideration”, It proposes, to integrate health insurance managerial resources in order to reduce the drawback of multi management situation. Also, it recommends establishing the standardized agencies is inevitable trend of development in the future. As to which department will govern the unifying medical security system, this article suggest that several factors as such the outcome of practice, careful evaluation of medical security system, and deliberately political decision making should be fully considered.

Key words:Balance urban and rural development, Medical security system, Essence, Trend

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