社会保障研究
社會保障研究
사회보장연구
Social Security Studies
2013年
4期
50~56
,共null页
可持续 基本医疗保险 支付制度改革
可持續 基本醫療保險 支付製度改革
가지속 기본의료보험 지부제도개혁
sustainable, the basic medical insurance, payment system reform
摘要：医疗保险是世界公认的难题。待遇支付政策对医疗保险事业的可持续发展影响深远。针对医疗保险制度待遇提升乏力、医保基金高结余、病患高负担等问题，本文以职工基本医疗保险制度为例，且以住院医疗待遇支付政策为研究对象，结合如皋市的实践，着重讨论基本医疗保险住院待遇支付政策体系建设课题，提出了“五个必须坚持”的政策设计重构理念。
摘要：醫療保險是世界公認的難題。待遇支付政策對醫療保險事業的可持續髮展影響深遠。針對醫療保險製度待遇提升乏力、醫保基金高結餘、病患高負擔等問題，本文以職工基本醫療保險製度為例，且以住院醫療待遇支付政策為研究對象，結閤如皋市的實踐，著重討論基本醫療保險住院待遇支付政策體繫建設課題，提齣瞭“五箇必鬚堅持”的政策設計重構理唸。
적요：의료보험시세계공인적난제。대우지부정책대의료보험사업적가지속발전영향심원。침대의료보험제도대우제승핍력、의보기금고결여、병환고부담등문제，본문이직공기본의료보험제도위례，차이주원의료대우지부정책위연구대상，결합여고시적실천，착중토론기본의료보험주원대우지부정책체계건설과제，제출료“오개필수견지”적정책설계중구이념。
Health insurance is the world recognized problems. Pay pay policy has profound influence on the sustainable development of the medical insurance business. For treatment of medical treatment insurance system improve patients lack of power, high medical insurance fund balance, such problems as high burden, based on the worker is basic medical treatment insurance system as an example, and paid in hospitalization medical treatment policy as the research object, combined with the practice of Rugao City, emphatically discussed topic in hospital of insurance of primary medical treatment to pay pay policy system construction, put forward the policy of ＂five must adhere to the＂ refactoring the design concept.
