CAJ | 학술논문

介绍了上海医疗保障体系的概况和实施成效,分析存在的问题和面临的挑战,提出完善医疗保障体系的总体目标和重点任务.上海已初步形成"三纵三横"的医疗保障制度体系,为减轻参保人员医疗费用负担、推动经济社会发展起到了积极作用,已基本实现国家医改意见中提出的基本医疗保障制度建设近期目标.为进一步贯彻落实国家医改要求,上海将通过整合各类制度、缩小待遇差距、完善医保管理、建立老年护理保障制度等举措进一步完善医疗保障体系,力争2012年户籍人口医疗保障制度覆盖率达到98%,常住人口覆盖率达到90%.
개소료상해의료보장체계적개황화실시성효,분석존재적문제화면림적도전,제출완선의료보장체계적총체목표화중점임무.상해이초보형성"삼종삼횡"적의료보장제도체계,위감경삼보인원의료비용부담、추동경제사회발전기도료적겁작용,이기본실현국가의개의견중제출적기본의료보장제도건설근기목표.위진일보관철락실국가의개요구,상해장통과정합각류제도、축소대우차거、완선의보관리、건립노년호리보장제도등거조진일보완선의료보장체계,력쟁2012년호적인구의료보장제도복개솔체도98%,상주인구복개솔체도90%.
The paper introduces an overview of Shanghai medical security system, analyzes its effectiveness and challenges, and put forward overall goals and key tasks in the future. Shanghai has formed a multiple, medical security system and basically achieved the short-term goal of medical security system establishment which was requested to put forward in national health system reform. Shanghai medical insurance system has played a positive role in promoting economic and social development and reducing the burden of medical expenses. To further implement requirements of national health system reform, Shanghai will be conducting the integration of different schemes , narrow down the gap of benefit packages, improvement of health care management and the initiatives of nursing care insurance to further improve the medical security system, and strive to cover 98% of household population and 90% resident population in 2012.