| 引用本文：胡敏,陈文.上海市城市弱势群体医疗保障制度的现状、挑战与对策[J].中国卫生政策研究,2011,4(3):10-15 |
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| 上海市城市弱势群体医疗保障制度的现状、挑战与对策 |
| 投稿时间：2010-08-25 修订日期：2011-02-17 PDF全文浏览 HTML全文浏览 |
| 胡敏, 陈文 |
| 复旦大学公共卫生学院 |
| 摘要:城市中的低收入群体以及由于疾病、残疾等原因导致贫困的人群在医疗保障方面往往处于弱势，这部分人群需要更为有效的医疗保障。本文分析了上海市弱势群体的基本医疗保险、医疗救助、补充医疗保险等政策规定；在全面梳理弱势群体医疗保障制度的基础上，分析了保障体系当前在覆盖人群、保障内容、公平性与效率方面所面临的挑战；并提出明确定位、加强制度衔接，建立收入支出相关联的保障对象确定机制，对城镇居民基本医疗保险参保人群予以政策倾斜，保障范围向常见病、慢性病辐射等进一步完善制度体系的策略。 |
| 关键词:弱势群体 医疗保障 基本医疗保险 医疗救助 |
| 基金项目:教育部人文社会科学研究规划基金项目（05JA790021） |
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| HU Min, CHEN Wen |
| School of Public Health, Fudan University |
| Abstract:The low income as well as those falling into poverty resulting from illness and physical disability, usually regarded as medically vulnerable, are in great need of medical security. This article described the systems of basic medical insurance, medical assistance and supplemental medical insurance of Shanghai in details, discovered the challenges confronted by the systems in terms of coverage, health demand, equity and efficiency. Finally, the directions and strategies of development were proposed, including the ways to strengthen role definition and integration of the systems, to link expenditure with income to distinguish the objects, and to pay more attention to those who join the residential medical insurance and to the demand in the basic health care and chronic diseases. |
| Key words:Vulnerable groups Medical security Basic medical insurance Medical assistance |
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