浙江省城乡一体化医疗救助制度建设的实践与思考  

Exploration and Consideration of Construction of Medical Assistance System Through Integration of Urban and Rural Areas in Zhejiang Province

作　　者：林瑾[1] 许冬武[1] 林文诗[1] 

机构地区：[1]温州医科大学仁济学院,温州325035

出　　处：《医学与社会》2016年第9期8-10,24,共4页Medicine and Society

基　　金：浙江省科技计划软科学项目;编号为2013C35018;浙江省科技计划软科学项目;编号为2015C25049;温州市哲学社会规划课题;编号为14wsk030;温州市科技计划项目

摘　　要：城乡医疗救助制度对于缓解贫困群众就医难、实现病有所医具有重要意义,我国城乡医疗救助制度的发展是从农村医疗救助先行、城市医疗救助跟进到城乡融为一体的过程。浙江省的医疗救助制度从一开始就做到了城乡统筹,在制度的运行和完善过程中坚持以零门槛、即时救助、不分病种为导向。但在实践过程中存在体制二元化、政策宣传力度不够、制度设计预期与运行保障机制存在间隙等深层次问题,提出医疗救助制度只有适时调整、不断完善,充分进行资源整合及衔接才能满足我国医疗保障制度的需求和弱势人群对卫生服务的需求。The urban and rural medical assistance system has great significance to alleviate people＇ s difficulty of getting medical service and achieve the universal access to health care. The urban and rural medical assistance system in our country is a procedure from rural medical assistance, then urban medical assistance, and finally the process of urban and rural integration. The medical assistance system in Zhejiang Province regards the urban and rural areas as a whole from the beginning. In the process of operating and improving the system, it insists on taking easy ac- cess, instant relief and regardless of diseases as the guidance. Some underlying problems that exist in the process of practice, including system du- alization, insufficient propaganda of the policy, disparity between the expectation of the system and the operation of the safeguard mechanism, and come up with the idea that the needs of China＇s medical security system and demands of the vulnerable group for health services can be met only when the medical assistance system follows up timely adjustment, unceasing improvement, full integration and connection of resource.

关 键 词：医疗救助 城乡一体化 浙江 

分 类 号：R19-0[医药卫生—卫生事业管理]