完善北京市流动人口医疗保障政策的可行性分析  

The Feasibility Analysis of Improving Floating Population's Medical Insurance Policy in Beijing City

作　　者：仇叶龙[1] 韩优莉[2] 李曈[2] 李力[2] 周海清[2] 常文虎[2] 

机构地区：[1]首都医科大学宣武医院医务处,北京100053 [2]首都医科大学卫生管理与教育学院,北京100069

出　　处：《中国社会医学杂志》2013年第6期371-373,共3页Chinese Journal of Social Medicine

基　　金：北京市属高等学校人才强教深化计划-"中青年骨干人才培养计划"项目(PXM2011-014226-07-000028)

摘　　要：目的探索解决流动人口医保供需间的严重失衡问题,实现医保制度全民覆盖的卫生事业发展目标。方法根据2010年对北京市626户流动人口家庭的随机抽样调查数据,通过PEST分析的方式,分析、评价各种解决方案在政治、经济、社会、技术4个方面的可行性。结果将流动人口纳入北京市现有医保体系或建立专门的流动人口医保,需要北京市每年增加财政支出约10亿元,近期均较难实现,全面建立转移接续制度由于统筹层次较低近期基本不能实现,而完善异地报销政策是近期解决流动人口医保问题的次优方案。结论建议北京市政府分近期、中期和远期采取一定措施,分层分类、逐步完善流动人口的基本医疗保障。Objectives To explore the solutions to the serious imbalance between medical insurance＇s supply and demand of floating population, and to achieve the health development goals of covering all the people in the medical insurance system. Methods Based on the random sample data of 626 floating families in Beijing in 2010, the feasibility of various solutions in political, economic, social and technological was analyzed and evaluated through meth ods of PEST. Results Incorporating the floating population into the existing medical insurance system or establishing specialized floating population medical insurance required an annual increase of about 10 billion Yuan of finan- cial expenditure, this were all difficult to achieve recently. Comprehensively establishing the system of transfer and continuation could not be achieved recently because of a lower level of co-ordination, while improve off-site reimbursement policy was the sub-optimal program to solve the problem of floating population＇s medical insurance nowadays. Conclusions It is proposed that the government of Beijing city should take certain measures in short, medium and long-term, improve the basic medical insurance of the floating population gradually.

关 键 词：流动人口 医疗保障 政策建议 可行性分析 

分 类 号：R197.1[医药卫生—卫生事业管理]