大额医疗费用与补充医疗保险  

A study on the relationship between large medical expenditure and supplementary medical insurance

作　　者：王启林[1] 张战南 保天行[3] 劳云飞[3] 

机构地区：[1]<卫生软科学>编辑部,650118 [2]云南省人民医院,650032 [3]云南省医学信息研究所,650118

出　　处：《中国卫生资源》2000年第1期36-37,共2页Chinese Health Resources

摘　　要：作者对１９９７年、１９９８年云南省某三级甲等医院一次住院费用超过１万元的公费医疗患者的情况进行调查分析。对医改后的费用筹集与实际支付的差额问题，从患者承受能力、供方管理、建立补充医疗保险的必要性、建立补充医疗保险的医疗消费自我约束机制和商业医疗保险发展方向等几方面问题进行论述，建议应建立符合我国国情的多层次医疗保障体系。The inpatient fees exceeding 10 000 Yuan for patients free of charge in a grade A tertiary hospital in Yunnan Province in 1997 and 1998 were investigated and analyzed. The issues of the balance between fee collecting and paying after medical reform, suffer paying ability, provider management, necessity of establishing commercial medical insurance, establishment of self-rest-riot mechanism of medical consumption and development of supplementary medical insurance were discussed. Authors also put forward some suggestions to build the multi-level medical ensure system.

关 键 词：补充医疗保险 大额医疗费用 多层次医疗保障体系 三级甲等医院 商业医疗保险 自我约束机制 1997年 1998年 公费医疗 住院费用 承受能力 医疗消费 云南省 患者 

分 类 号：R197.1[医药卫生—卫生事业管理] R197[医药卫生—公共卫生与预防医学]