| 引用本文：梁笛,应晓华.我国精神障碍医疗保险政策现状分析[J].中国卫生政策研究,2011,4(7):46-50 |
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| 我国精神障碍医疗保险政策现状分析 |
| 投稿时间：2011-05-03 修订日期：2011-06-21 PDF全文浏览 HTML全文浏览 |
| 梁笛1, 应晓华1 |
| 复旦大学公共卫生学院 |
| 摘要:目的：了解我国医疗保险政策对精神障碍的保障情况。方法：采用文件分析法，分析全国79个城市医疗保险政策中涉及精神障碍的政策信息。结果：目前，医保政策中对于精神障碍的特殊政策保障水平因区域、险种不同有较大差异，特殊政策以保障门诊为主，30.4%的地区尚无任何针对精神障碍的特殊医保政策，但现有资料尚难以评估精神障碍患者的医疗保障需要及各地医保的实际保障水平。结论：现有医保政策可能在缓解患者的经济压力等方面有一定积极作用，但不同区域、不同险种间的待遇差异需要进一步缩小，其补偿水平是否合理还有待进一步研究。 |
| 关键词:精神障碍 医疗保险 政策 现状 |
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| Analysis on status quo of medical insurance policies on mental disorders in China |
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| Abstract:Objective: To review current health insurance policies on mental disorders in China. Methods: Health insurance policies and literatures in 79 cities in China are searched and analyzed. Results: Currently, specific health insurance policies considering mental disorders vary significantly among different areas and different health insurance schemes. Current specific policies mainly focus on reimbursement for out patients. More than 30.4% cities have no specific health insurance policies on mental disorders. In addition, the available data are not sufficient to estimate needs of patients with mental disorders and whether their needs are met. Conclusions: Current policies probably alleviate some economic burden of patients with mental disorders. However, disparities among different areas and insurances remain to be eliminated. Whether the reimbursement rate of health insurance for patients with mental disorders is appropriate needs further research. |
| Key words:Mental disorder Medical insurance Policy Status quo |
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