CAJ | 학술논문

医疗保险制度是构成中国社会保险制度的重要内容，关系到每个公民的切身利益。近年来，中国建立并逐步完善了城镇职工基本医疗保险、城镇居民基本医疗保险和新型农村合作医疗三大医疗保险制度，相对健全的医疗保障体系有效地缓解了看病难、看病贵的难题，切实减轻了患者的医疗费用负担，缓和了日趋紧张的医患矛盾，促进了社会的稳定与和谐。当前中国基本医疗保险制度实行属地化管理，而中国异地就医现象已经越来越普遍，异地就医产生的医疗费用逐年递增，患者异地就医需求与属地化管理政策之间存在一定的冲突，产生诸如异地就医报销难等问题。通过对中国异地就医政策现状进行分析与调查研究，我们发现，中国异地就医当前面临若干困境，异地就医费用报销难问题异常突出。在回顾与梳理2009年至今国家出台的相关政策及学者研究成果的基础上，借鉴欧盟异地就医的相关理论与实践，可对优化中国异地就医政策提出新的政策性思考。
의료보험제도시구성중국사회보험제도적중요내용，관계도매개공민적절신이익。근년래，중국건립병축보완선료성진직공기본의료보험、성진거민기본의료보험화신형농촌합작의료삼대의료보험제도，상대건전적의료보장체계유효지완해료간병난、간병귀적난제，절실감경료환자적의료비용부담，완화료일추긴장적의환모순，촉진료사회적은정여화해。당전중국기본의료보험제도실행속지화관리，이중국이지취의현상이경월래월보편，이지취의산생적의료비용축년체증，환자이지취의수구여속지화관리정책지간존재일정적충돌，산생제여이지취의보소난등문제。통과대중국이지취의정책현상진행분석여조사연구，아문발현，중국이지취의당전면림약간곤경，이지취의비용보소난문제이상돌출。재회고여소리2009년지금국가출태적상관정책급학자연구성과적기출상，차감구맹이지취의적상관이론여실천，가대우화중국이지취의정책제출신적정책성사고。
Medical insurance system is an important part of Chinese social insurance system ,related to the vi?tal interests of each citizen. In recent years ,Chinese has established and gradually improved three medical in?surance systems:the basic medical insurance for urban employees ,basic medical insurance for urban resi?dents and the new rural cooperative medical care ,which have effectively alleviate the problem of that medical difficult ,expensive ,reduced patient burden of medical expenses ,succeeded to ease the growing tension be?tween doctors and patients conflicts and to promote the social stability and social harmony. The current Chi?nese basic medical insurance system is with territorial management. The Off-Site medical has become more and more popular ,while the medical expenses increasing year by year. The Off-Site medical needs and territo?rial management policy are inconsistent and give rise to problem of that difficult to reimburse the Off-Site med?ical expenses. Learn from the advanced idea and practice of Off-Site medical in European Union ,we may put forward several policy thinking to optimize the Chinese Off-Site medical policies .