我国基本医疗保险财政补贴制度:现状、问题与对策  

Financial subsidies for China's social health insurance: Current situation,problems and solutions

作　　者：李亚青[1] 黄子丽[1] 冯嘉宏 

机构地区：[1]广东财经大学金融学院,广东广州510320

出　　处：《中国卫生政策研究》2015年第6期1-7,共7页Chinese Journal of Health Policy

基　　金：广东大学生科技创新培育专项资金重点项目

摘　　要：在我国现行的基本医疗保险体系中,覆盖近11亿人口的新型农村合作医疗和城镇居民基本医疗保险均采取"政府补贴为主、个人缴费为辅"的筹资方式。本文对全国31个地区的医保财政补贴制度现状进行了分析,指出现行财政补贴政策存在缺乏长效机制、政府间责任分摊不明、公平性问题突出和投入绩效低下等问题,并提出了加快基本医疗保险城乡统筹步伐、建立补贴标准的科学测算与动态调整机制、构建合理的政府间责任分摊机制、提高财政补贴资金的绩效、适当增加个人的筹资责任等针对性的政策建议。Two systems which covered nearly New Rural Cooperative Medical Scheme （NRCMS） 1.1 billion people in China＇s social health insurance, and the Urban Residents＇ Health Insurance System namely the （URHIS）, have been depended mainly on government support with high percentage of premium subsidies. This paper deals with the current situation and probes into the main subsidy policy problems by making an overall analysis on the policies of 31 cross-country provinces , and in result points out four problems including the long-term mechanism shortage, in- distinct responsibility between governments at different levels, the equity deficiency and the subsidies inefficiency. Finally, the paper concludes with enlightening some corresponding policies and suggestions.

关 键 词：基本医疗保险 财政补贴 政府责任 

分 类 号：R197[医药卫生—卫生事业管理]