| 引用本文：梁土坤.健康保障托底：医疗救助制度建设的地方实践及未来展望[J].中国卫生政策研究,2017,10(3):47-53 |
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| 健康保障托底：医疗救助制度建设的地方实践及未来展望 |
| 投稿时间：2016-10-19 修订日期：2016-12-18 PDF全文浏览 HTML全文浏览 |
| 梁土坤 |
| 南开大学周恩来政府管理学院 天津 300071 |
| 摘要:本文结合某县的实际情况，从政策托底、城乡统筹、分类实施三个方面总结了医疗救助制度的发展特点。并从四个方面分析了医疗救助制度面临的现实挑战：政策实施偏差，政策制定与实际情况矛盾重重；救助比例偏低，贫困程度及贫困脆弱性难以缓解；筹资渠道较窄，制度运行经济基础有待夯实；事后救助效率低，医疗救助内卷化问题依然严峻。并在此基础上，提出了进一步完善医疗救助制度的对策思考。 |
| 关键词:医疗救助 社会救助 托底性 贫困脆弱性 |
| 基金项目:国家社会科学基金重点项目（11ASH009） |
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| Health security underpinning:Local practice and future prospect of medical assistance system construction |
| LIANG Tu-kun |
| Zhou Enlai School of Government, Nankai University, Tianjin 300071, China |
| Abstract:The medical assistance system is the last line of defense of the medical security system. Based on the actual situation of a county, this paper summarizes the development characteristics of medical assistance system from three aspects of policy support, urban and rural integration, and classification and implementation. The health security system underpinning policy plays an important role in increasing the accessibility of medical services to the vulnerable people, providing the necessary conditions for their health recovery, reducing the medical burden of their families, and alleviating the vulnerability to poverty. This research discovered that there are four major problems that are affecting the medical assistance system such as policy implementation deviation, lower proportion of assistance and relief, narrow financing channel, and the poverty level and vulnerability are difficult to alleviate. In view of this, this paper puts forward the countermeasures such as strengthening the economic basis of the system to further improve the medical assistance system. |
| Key words:Medical assistance Social assistance Underpinning Poverty vulnerability |
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