乌克兰公共卫生筹资体系改革评析及对我国的经验启示  

Analysis on the Reform of Public Health Financing System in Ukraine and Its Enlightenment to China

作　　者：寇文涛 KOU Wentao

机构地区：[1]广州市劳动就业服务管理中心,广东广州510010

出　　处：《保险职业学院学报》2024年第2期82-87,共6页Journal of Insurance Professional College

摘　　要：目的:介绍乌克兰2016年以来实施的公共卫生筹资政策改革的基本情况和成效,借鉴其有效经验,作为我国医疗保障制度建设的参考。方法:分析乌克兰公共卫生筹资体系改革的基本目标和内容,以及权威国际机构对其改革成果的评析。结果:乌克兰本轮改革的基本成效得到国际认可,改革后患者自费支出比例整体虽仍然较高,但补充医疗保险制度发挥了一定的积极作用。结论:适当借鉴乌克兰本轮改革的成功经验,合理增加财政预算对诊疗费用的支付,稳妥推广补充医疗保险制度,提高医疗保险统筹层次,试点使用通过中央直接支付的医疗费管理系统;同时,规避改革带来的负面影响,谨慎采取共同支付措施,避免在基本医疗体系内出现过高的个人自付比例。Objective:to explore the basic situation and effectiveness of the public health financing policy reform implemented in Ukraine since 2016,and adopt its effective experience as a reference for the medical security system in China.Methods:analyze the basic objectives and contents of the public health financing system reform in Ukraine,as well as the evaluation of the reform achievements by authoritative international institutions.Result:the basic result of this round of reform in Ukraine has been recognized successful internationally.Although the proportion of patients’out-of-pocket expenditure is still high after the reform,the supplementary medical insurance system has played a certain positive role.Conclusion:China should learn from the experience of the current round of reform in Ukraine and the successful experience in the reform,increase the payment of medical expenses in the financial budget reasonably,steadily promote the supplementary medical insurance system,improve the pooling level of medical insurance,and pilot the medical treatment management system of direct payment by the central government.At the same time,it is also suggested to avoid the negative impact of the reform,and take co-payment measures to avoid the excessive individual out-of-pocket percentage in the basic medical system.

关 键 词：乌克兰 公共卫生 筹资政策 改革 综述 

分 类 号：R199[医药卫生—卫生事业管理]