| 引用本文：张海琴, 耿玲, 李顺平, 李超凡.积极生育支持背景下不孕不育医疗保障政策国际比较研究[J].中国卫生政策研究,2022,15(12):38-45 |
|
| 积极生育支持背景下不孕不育医疗保障政策国际比较研究 |
| 投稿时间：2022-09-13 修订日期：2022-11-01 PDF全文浏览 HTML全文浏览 |
| 张海琴1,2,3, 耿玲4,5, 李顺平1,2,3, 李超凡1,2,3 |
1. 山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心 山东济南 250012;
2. 国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学) 山东济南 250012;
3. 山东大学健康偏好研究中心 山东济南 250012;
4. 山东第一医科大学附属省立医院 山东济南 250012;
5. 山东大学附属生殖医院 山东济南 250012 |
| 摘要:本文基于全民健康覆盖框架，从人群覆盖广度、服务覆盖宽度和费用覆盖深度三个维度，比较了12个国家的不孕不育医疗保障政策异同与效果。为全面构建积极生育支持体系，应针对我国不孕不育高发、医疗费用高昂的社会人口问题，借鉴国际经验，完善不孕不育医疗保障顶层设计，构建多层次保障体系；明确覆盖患者的纳入标准；动态调整医疗服务清单；综合考虑政策目标、筹资能力和患者需求等因素科学制定适宜费用保障标准。多元协同为不孕不育患者提供充分的经济支持，推动实现适度的生育水平。 |
| 关键词:不孕不育 医疗保障 积极生育支持 全民健康覆盖 国际比较 |
| 基金项目:教育部人文社科基金(22YJCZH076)；山东省自然科学基金(ZR2021MG010) |
|
| Research on infertility health insurance policy under the background of active fertility support: Based on a perspective of international comparison |
| ZHANG Hai-qin1,2,3, GENG Ling4,5, LI Shun-ping1,2,3, LI Chao-fan1,2,3 |
1. Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan Shandong 250012, China;
2. NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan Shandong 250012, China;
3. Center for Health Preference Research, Shandong University, Jinan Shandong 250012, China;
4. [ZK(]Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan Shandong 250012, China;
5. Center for Reproductive Medicine, Shandong University, Jinan Shandong 250012, China |
| Abstract:Based on the conceptual framework of Universal Health Coverage (UHC), this work compared the differences and effects of infertility health insurance policies across 12 countries from three dimensions: range of population coverage, scope of service coverage, and depth of cost coverage. In order to build an active all-round fertility support system, the government should aim at the social and demographic problems of high incidence of infertility and high medical expenses in China, learn from international experience, construct holistic framework of infertility health insurance policy and establish a multi-level security system; clarify the inclusion criteria for patient coverage; dynamically adjusting the list of medical service coverage; and scientifically determine the appropriate level of reimbursement by comprehensively considering multiple key factors such as policy objectives, financing capacity and patient demand. Overall, multi-party cooperation shall be implemented to provide sufficient financial support for infertility patients to achieve a moderate fertility level. |
| Key words:Infertility Health insurance Active fertility support Universal Health Coverage International comparison |
| 摘要点击次数: 871 全文下载次数: 511 |
|
|
|
|
|
