改革
改革
개혁
Reform
2009年
6期
86~92
,共null页
城乡 医疗保险 均等化 制度安排 整合
城鄉 醫療保險 均等化 製度安排 整閤
성향 의료보험 균등화 제도안배 정합
urban-rural, health insurance, equity, institutional arrangement, integration
医疗保险具有城乡二元设计、三网并行的特征，城乡医疗保险在覆盖对象、筹资水平、费用补偿和用药目录等制度安排方面存在较大差异；发展方向应为城乡医疗保险制度整合并趋于均等。全国统一的医疗保险整合之路可以划分为四个阶段．实行四步走路线。
醫療保險具有城鄉二元設計、三網併行的特徵，城鄉醫療保險在覆蓋對象、籌資水平、費用補償和用藥目錄等製度安排方麵存在較大差異；髮展方嚮應為城鄉醫療保險製度整閤併趨于均等。全國統一的醫療保險整閤之路可以劃分為四箇階段．實行四步走路線。
의료보험구유성향이원설계、삼망병행적특정，성향의료보험재복개대상、주자수평、비용보상화용약목록등제도안배방면존재교대차이；발전방향응위성향의료보험제도정합병추우균등。전국통일적의료보험정합지로가이화분위사개계단．실행사보주로선。
Based on survey of Shandong province ,the paper finds that urban and rural health insurance system has marked dual nature. Three kinds of health insurance develop independently. There are big gaps in four aspects between urban medical insurance and the rural medical insurance, such as coverage, funding levels, reimbursing rate and drug catalogue. The future health insurance reform should integrate the urban medical insurance and the rural medical insurance, and all citizens can equally share health insurance. Finally, policy implications of four steps are put forward.
