从“看病贵”问题看我国医疗保障制度的变革及其存在的问题  

Analysis of Transitions and Problems of Medical Insurance System in China:Analyzing its Influence on So Expensive Health Care

作　　者：王颖[1] 崔欣[1] 李程跃[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032

出　　处：《中国卫生经济》2010年第2期19-22,共4页Chinese Health Economics

基　　金：国家自然科学基金青年项目(70703005);国家社会科学青年基金项目(08CZZ022)

摘　　要：我国卫生总费用占GDP的5.6%,没有理由说我国卫生总费用超过了其社会平均支付能力。但为何看病贵问题成为当前我国全社会普遍关心的问题呢?笔者认为,在卫生总费用没有超过社会平均支付能力前提下,看病贵问题凸现的是不健全的医疗保障制度带来的费用风险机制的缺失。医疗保障制度改革中,处理好政府宏观调控和市场机制的关系,增加政府筹资职能从而确保筹资体系的稳定性和公平性,扩大医疗保障制度的覆盖面,提高现有保障制度的风险分担机制,完善保障制度的费用控制措施,应成为改革关键点。At present, China＇ s 5.6% GDP for health care has not reached to the point that is beyond the bearing ability of the national economy. However, why the overly expensive health care expenditures have been complained by the public throughout the country？ The paper thought that lacking of risk pooling of high medical expenditure, which resulted from the incomplete health insurance, brought forth the overly expensive health care. How to deal with the relationship between the market and the government, increase the government＇ s capital collecting during financing system reform in order to ensure stability and fairness, widen the cover of health insurance, enhance the risk pooling, and advance the medical expenditure control method should be a key during health insurance reform.

关 键 词：医疗保障 问题 看病贵 费用控制 

分 类 号：R197.1[医药卫生—卫生事业管理]