全民健康覆盖实现程度的国际比较  

International comparison on universal health insurance coverage

作　　者：迟垚[1] 吴群红[1] 郝艳华[1,2] 房鑫[1] 高力军[1,2] 康正[1,2] 梁立波[1,2] 潘庆霞 梁梓[1] 郝洁靓 

机构地区：[1]哈尔滨医科大学公共卫生学院,黑龙江哈尔滨150081 [2]复旦大学/国民健康社会风险预警协同创新中心,上海200032

出　　处：《中国卫生资源》2016年第5期363-366,379,共5页Chinese Health Resources

基　　金：国家自然科学基金资助项目"多目标协同与优化视角下的全民医保理论模型构建;效果评价及制度体系重构研究"(71333003);国家自然科学基金资助项目"基于ProModel的医保干预方案模拟与风险预测研究"(71573068);2014年度教育部人文社会科学研究青年基金项目"全民医保评价指标体系构建及实证研究--以浙江省为例"(14YJC630046)

摘　　要：目的 :基于筹资公平性、受益公平性、卫生服务可及性、卫生系统效率、国民健康素质5个关键评价维度,对典型国家的全民健康覆盖实现程度进行评价分析。方法 :采用灰色关联分析法对各国全民健康覆盖的实现程度进行了综合评价,了解影响我国全民健康覆盖目标实现的关键问题和制约因素。结果 :各国全民健康覆盖实现程度的排序由高到低依次为英国、德国、古巴、新加坡、泰国和中国,卫生服务筹资公平性和受益公平性成为制约中国全民健康覆盖目标实现的关键瓶颈。结论 :虽然医改的实施提高了我国医疗服务的可及性及卫生系统的服务效率,但综合评价结果显示,我国距离国际上全民健康覆盖实践最佳的国家仍有差距,需要从立法、监管体制和制度整合上多方探索。Objective： To evaluate and analyze the realization of universal health insurance coverage in the typical countries based on the key evaluation dimensions, such as financing equity, benefit fairness, health service availability, health system efficiency and national health level. Methods： Grey relational analysis was used to evaluate the realization of universal health insurance coverage for all countries, and to understand the key issues affecting national health care insurance coverage. Results： The universal health insurance coverage ranking from highest to lowest was the United Kingdom, Germany, Cuba, Singapore, Thailand and China. Financing equity and benefit fairness of health services were key to restricting the universal health insurance coverage in China. Conclusion： The universal health insurance coverage in China is far from those best practices in other countries. It is suggested to explore the integration of legislation, regulatory systems and health insurance systems.

关 键 词：灰色关联分析法 全民健康覆盖 医保整合 

分 类 号：R197[医药卫生—卫生事业管理]