中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2014年
1期
26-28
,共3页
流动人口%异地就医%结算
流動人口%異地就醫%結算
류동인구%이지취의%결산
floating population%ecdemic medical care%settlement
随着我国人口流动现象的加剧,异地就医需求日益提高。由于我国的基本医疗保险实行属地化管理,不同地区间的报销政策和报销水平差异导致异地就医产生的医疗费用难以及时报销,大量流动人口在异地就医时仍面临较重的个人负担,一定程度上限制了流动人口及时获取医疗服务。文章在分析了流动人口异地就医特点的基础上,总结3种典型异地就医即时结算模式,并探讨制约流动人口异地就医即时结算的主要问题,从而提出加快推进异地就医即时结算的建议。
隨著我國人口流動現象的加劇,異地就醫需求日益提高。由于我國的基本醫療保險實行屬地化管理,不同地區間的報銷政策和報銷水平差異導緻異地就醫產生的醫療費用難以及時報銷,大量流動人口在異地就醫時仍麵臨較重的箇人負擔,一定程度上限製瞭流動人口及時穫取醫療服務。文章在分析瞭流動人口異地就醫特點的基礎上,總結3種典型異地就醫即時結算模式,併探討製約流動人口異地就醫即時結算的主要問題,從而提齣加快推進異地就醫即時結算的建議。
수착아국인구류동현상적가극,이지취의수구일익제고。유우아국적기본의료보험실행속지화관리,불동지구간적보소정책화보소수평차이도치이지취의산생적의료비용난이급시보소,대량류동인구재이지취의시잉면림교중적개인부담,일정정도상한제료류동인구급시획취의료복무。문장재분석료류동인구이지취의특점적기출상,총결3충전형이지취의즉시결산모식,병탐토제약류동인구이지취의즉시결산적주요문제,종이제출가쾌추진이지취의즉시결산적건의。
With the intensification of population floating in China, there has been a growing demand for ecdemic medical care. Because basic medical insurance in China conduct localized management, the differentiation between reimbursement policy and level in different areas result in the difficulty of immediate settlement. The great quantity of floating population are faced with rather heavy personal burden when need medical care at different locations, which to some extent restrict in-time healthcare for floating population. On the basis of analyzing the features of endemic medical care for floating population, it described three mode of typical immediate settlement on ecdemic medical care, discussed the main problems in restricting the flowing population get immediate settlement at different locations and put forward suggestions on improving the immediate settlement at different locations.