| 引用本文：雷咸胜, 龚曦.福利归属视角下社会医疗保险政策的纵向比较研究[J].中国卫生政策研究,2021,14(8):1-7 |
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| 福利归属视角下社会医疗保险政策的纵向比较研究 |
| 投稿时间：2021-08-01 修订日期：2021-08-20 PDF全文浏览 HTML全文浏览 |
| 雷咸胜, 龚曦 |
| 中国人民大学公共管理学院 北京 100872 |
| 摘要:为了促进基本医疗保险政策的高质量协调发展，本文从福利归属视角对我国基本医疗保险政策进行审视和分析。利用中国综合社会调查数据（CGSS）和中国家庭金融调查数据（CHFS）等多源数据库进行分析，得出如下结论：基本医疗保险的参保率实现了较高水平，但未参保群体中农村群体和低收入群体占比有提高的趋向；基本医疗保险的受益具有一定的亲富性，并具有强化趋向；而疾病负担具有一定的亲贫性，也具有强化趋向。因此，需要明确规定基本医疗保险参保的强制性，反思现行基本医疗保险的待遇支付，以及完善面向弱势群体倾斜的医保补偿政策。 |
| 关键词:福利归属 社会医疗保险政策 覆盖率 受益归属 疾病负担 |
| 基金项目:中国人民大学2018年度拔尖创新人才培育资助计划成果；国家社会科学基金青年项目“社会医疗保险‘新卑斯麦’改革模式的国际比较研究”（18CSH060） |
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| A longitudinal comparative study on social medical insurance policies: A perspective of welfare ownership |
| LEI Xian-sheng, GONG Xi |
| School of Public Administration and Policy, Renmin University of China, Beijing 100872, China |
| Abstract:In order to facilitate the high-quality and coordinated development of basic medical insurance policy, this paper reviews and analyzes the basic medical insurance policy from the perspective of welfare ownership. The researchers conducted an analysis by using multi-source databases such as China General Social Survey (CGSS) data and China Household Finance Survey (CHFS) data, and drew the following conclusions:the participation rate has been improved to a relatively high level, but there is a trend of increase in the proportions of rural groups and low-income groups in uninsured groups. On one hand, benefits from basic medical insurance are of a pro rich nature, which sees a tendency of intensification; on the other hand, disease burden is of a pro poor nature, which also sees a tendency of intensification. For this reason, it is necessary to clearly stipulate the compulsory nature of participation in basic medical insurance, reflect on the treatment-based payment for the current basic medical insurance, and improve the policy of medical insurance compensation in favor of vulnerable groups. |
| Key words:Welfare ownership Social medical insurance policy Coverage rate Benefit ownership Disease burden |
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