个人账户保健康 社会统筹保风险——兼议职工医疗保险基金统账分割  

The Individual Account for Healthy and The Overall Fund for Risk

作　　者：左汉宾[1] 王保真[1] 

机构地区：[1]湖北医科大学卫生经济研究所,430000

出　　处：《中国卫生经济》1999年第4期38-39,共2页Chinese Health Economics

摘　　要：在确定统筹基金和个人账户支付范围时,其指导原则应是“个人账户保健康,统筹基金保风险”。个人账户主要支付门诊一般疾病的诊疗费用,统筹基金支付门诊大病、慢性病和住院的费用,两者只在支付门诊大病、慢性病时才互相贯通。The Individual Account mainly to be used for paying the fee of clinic common ills and the Overall Fund to be used for paying the fee of clinical serious and chronic diseases and hospitalizations. Both them run through just at paying clinic serious and chronic diseases. According to the views above and the analysis of the fee for service of medical in Wuhan 1996 and 1997, this article put forward the dividing rate of the Individual Account and the Overall Fund.

关 键 词：医疗保险 个人账户 社会统筹基金 

分 类 号：R197.1[医药卫生—卫生事业管理] F840.69[医药卫生—公共卫生与预防医学]