| 引用本文：姜雨杉,刘远立.构建急救医疗保障体系的国际经验与中国现状[J].中国卫生政策研究,2013,6(10):60-64 |
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| 构建急救医疗保障体系的国际经验与中国现状 |
| 投稿时间：2013-03-01 修订日期：2013-10-10 PDF全文浏览 HTML全文浏览 |
| 姜雨杉, 刘远立 |
| 哈佛大学公共卫生学院 美国 波士顿 02115 |
| 摘要:随着急诊需求逐年上升和急救条件不断完善,许多病人却因无法支付急救医疗经费而得不到治疗,急救医疗保障体系亟待建立。为完善中国急救医疗服务体系,建立急救医疗保障体系,本文在借鉴相关国际经验的基础上,通过分析急救医疗保障的现状和挑战,提出建设急救医疗保障体系"两步走":首先将急救医疗保障制度纳入全民医疗保障的整体制度,实现医疗服务一体化;其次建立由中央政府和地方政府成本分摊为主要筹资渠道的"急救医疗保障基金",以预付形式拨付给承担急救服务的单位,从而保障病人有急救需求时能够得到及时诊治,并从经济上减轻医院的负担。 |
| 关键词:急救医疗 现状 国际经验 可行性 |
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| Financing emergency healthcare in China：International experience and current situations |
| JIANG Yu-shan, LIU Yuan-li |
| Harvard School of Public Health, Boston MA 02115, USA |
| Abstract:China is experiencing increasing demand for emergency care, yet the cost of this care is still being borne by private out-of-pocket payments and bad debts. Lack of organized financing for emergency healthcare is seriously affecting people in need, and providers are unwilling to accept uninsured or underinsured patients. This study analyzes the feasibility of establishing a new emergency healthcare security system in China, which would have significant implications for China's health system performance and social stability. We propose setting up an emergency healthcare mutual fund that is incorporated into the overall design of the social healthcare insurance system that pays emergency healthcare providers in part ahead of time to ensure universal access to emergency care. |
| Key words:Emergency healthcare Current situation International experience Feasibility |
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