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加大保障力度,改善医疗服务公平性——新农合与医疗救助制度的衔接机制及成效分析
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| 投稿时间： 2014-11-28 最后修改时间： 2015-10-30 摘要点击次数: 2476 全文下载次数: 6 |
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| 引用本文：应亚珍, 潘伟, 张朝阳.加大保障力度,改善医疗服务公平性——新农合与医疗救助制度的衔接机制及成效分析[J].中国卫生政策研究,2015,8(11):3-8 |
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| 应亚珍1, 潘伟2, 张朝阳2 |
1. 国家卫生计生委卫生发展研究中心 北京 100191;
2. 国家卫生计生委项目资金监管服务中心 北京 100044 |
| 基金项目:世行贷款/英国赠款中国农村卫生发展项目(IBRD-75510 TF-92893) |
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| | 摘要:提高低收入人群医疗服务公平性和可及性,是中国医疗保障制度的重要目标,经过10多年的实践,该领域取得了举世瞩目的成绩,为广大人民群众所称道。世行贷款/英国赠款中国农村卫生发展项目(简称"卫十一项目"),利用资金、管理和人力优势,以新农合与医疗救助制度有效衔接、探索重大疾病救助制度为主题开展了一系列项目活动,部分地区在医疗救助对象确认、优化管理实现新农合与医疗救助制度"无缝衔接"、探索重大疾病救助制度尤其是增加筹资渠道建立"重大疾病救助基金"、强化配套监管等方面进行了一系列探索实践。结果表明,项目地区医疗救助对象服务利用情况明显改善,医疗保障水平大幅度提高,群众满意度明显提升。 | |
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关键词:贫困人群 新农合 医疗救助 制度衔接 公平性
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| Increasing insurance protection efforts and improving the fairness of health care services:Analysis on the convergence mechanism between New Rural Cooperative Medical Scheme and Healthcare Financial Assistance Program |
| YING Ya-zhen1, PAN Wei2, ZHANG Zhao-yang2 |
1. National Health Development Research Center, Beijing 100191, China;
2. Center for Project Supervision and Management, National Health and Family Planning Commission, Beijing 100044, China |
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| | Abstract:The goal of China's health care insurance system is to improve the fairness and accessibility of health care services for low-income people. In the past 10 years of practice, the insurance has made remarkable achievements and gained popularity among broad masses of people. With the support of World Bank and UK Department for International Development, China Rural Health Development Project (hereinafter referred as "Health XI Project")have used the advantages of unique funding, management and human resources to launched a series of project activities, with the main goal of achieving effective convergence between the New Rural Cooperative Medical Scheme (NRCMS) and Healthcare Financial Assistance Program (HCFAP) in order to explore the assistance system of catastrophic diseases. Some areas have achieved seamless convergence between NRCMS and HCFAP to explore the assistance program for catastrophic diseases in the context of confirming and optimizing the management of services covered by the project, especially conducting a series of exploration and practice activities in the aspects of increasing new funding channels to establish the "Catastrophic Disease Assistance Fund", strengthening the related supporting regulations, etc. The results show that the utilization of services covered by HCFAP in the project has significantly improved, the protection level of health insurance has greatly improved, and the people satisfaction has significantly increased. | |
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