全民医保与健康中国:基础、纽带和导向  

Universal Health Insurance and Healthy China:Foundations,Links and Guidance

作　　者：仇雨临[1] 王昭茜 QIU Yu-lin;WANG Zhao-xi(School of Labor and Human Resources, Renmin University of China, Beijing 100872,China)

机构地区：[1]中国人民大学劳动人事学院,北京100872

出　　处：《西北大学学报（哲学社会科学版）》2018年第3期40-47,共8页Journal of Northwest University：Philosophy and Social Sciences Edition

基　　金：国家社会科学基金项目(13BGL114)

摘　　要：全民医保作为健康中国的组成部分,是整个健康中国体系的基础。以人人享有基本医疗卫生制度为目标,在健康中国相关要素之间,通过价格、支付、监督与谈判等机制,促进全民医保同分级诊疗制度、现代医院管理制度、药品供应保障制度等进行互动,发挥对整个医疗卫生体系的监督职能,成为连接健康中国相关要素的纽带。另一方面,健康中国的建设为全民医保确定发展方向,基于促进健康公平、提高健康水平、推进体制机制创新和全民共建共享的战略背景,要实现更加成熟定型的全民医保,需要医保制度从分割到整合,医保体系从单一到多层次,医保管理从粗放到精细,医保改革从"单兵突进"到协同发展。As a component of healthy China, universal health insurance is the foundation of the whole healthy China system. With the aim of everyone owning a basic medical and health system, among the relevant ele- ments of healthy China, universal medical insurance connects with the tiered diagnosis and treatment system, the modern hospital management system, the drug supply guarantee system and plays a supervision role for the entire health care system through the mechanisms of price, payment, supervision, and negotiation, which becomes a link to connect the relevant elements of healthy China. On the other hand, the construction of healthy China has set a development guidance for universal health insurance. Based on the background of healthy China such as enhancing health equity, improving health standard, promoting institutional innovation, building and sharing for all citizens, the ways of achieving a more mature and stereotype universal health insurance system are as follows： medical insurance system from segmentation to integration, medical insurance standard from single to multiple levels, medical insurance management from extensive to fine and reform method for medical insurance from individual to coordination

关 键 词：全民医疗保险 健康中国 基本医疗卫生 

分 类 号：F840.684[经济管理—保险]