对贫困人口实施医疗救助  

Implementing Medical Relief Schemes to the Poor in China

作　　者：韩雷亚[1] 张振忠[2] 

机构地区：[1]同济医科大学卫生管理系,武汉430030 [2]卫生部卫生经济研究所,北京100083

出　　处：《中国卫生经济》1999年第11期25-32,共8页Chinese Health Economics

摘　　要：本文在分析了我国城乡居民收入分配中的不公平性加重、医疗保障水平降低、医疗费用大幅度上涨、个人负担比例增加和卫生保健筹资的“供方投入”模式的不合理性以及贫困人口较差的健康状况和卫生服务利用水平、贫困人口的主要健康问题、“需方投入”模式对供方的激励作用的基础上,认为对贫困人口实施医疗救助不仅符合公平原则,而且符合效率原则。医疗救助计划应该成为我国目前正在步步深入的卫生改革的重要组成部分。作者分别以我国部分城市地区的贫困人口医疗救助计划和世界银行中国卫生Ⅷ项目“特困人口医疗救助计划”为例,分析了它们在实施过程中面临的问题。在此基础上,作者提出了在我国实行医疗救助政策中需重点关注的领域。The researchers think that medical relief plan implementation does not only accord with equity goal, but also accords with efficiency principle in China and medical relief must become an essential component of China' s health reform which is more and more profound, which are based on analysis to the less equity in resident income allocation, health security pooling decrease, medical cost greatly inflating increasing of individual financing health care, the inappropriate of directly financing provider' model, poor health status and less health service utilization in poverty population, main health problems of the poor and better incentive of financing demand -side' model. Then researchers analyze what problems exist current medical relief programs in urban and rural China on the case studies of some cities and project counties of Health VIII' supported by the World Bank. Finally, several policy issues on medical relief that should be studied are concluded.

关 键 词：贫困人口 医疗救助 医疗保障水平 供方投入 

分 类 号：R197.1[医药卫生—卫生事业管理]