经济问题
經濟問題
경제문제
On Economic Problems
2014年
6期
126~128
,共null页
统筹 城乡医保 政策
統籌 城鄉醫保 政策
통주 성향의보 정책
coordination; rural and urban medical security; policy
覆盖城乡居民的医疗保障体系在山西省初步确立，但医疗卫生服务体系的“二元”失衡和医疗保障体制的“三维”分立，仍是其加大统筹步伐的制度障碍。要真正实现城乡一体化，应采取渐进式、分“两步走”的改革办法；施行管理与经办资源整合、统筹层次逐步提升、筹资机制趋于科学化、保障项目之间有效衔接等一系列政策性配套改革措施。
覆蓋城鄉居民的醫療保障體繫在山西省初步確立，但醫療衛生服務體繫的“二元”失衡和醫療保障體製的“三維”分立，仍是其加大統籌步伐的製度障礙。要真正實現城鄉一體化，應採取漸進式、分“兩步走”的改革辦法；施行管理與經辦資源整閤、統籌層次逐步提升、籌資機製趨于科學化、保障項目之間有效銜接等一繫列政策性配套改革措施。
복개성향거민적의료보장체계재산서성초보학립，단의료위생복무체계적“이원”실형화의료보장체제적“삼유”분립，잉시기가대통주보벌적제도장애。요진정실현성향일체화，응채취점진식、분“량보주”적개혁판법；시행관리여경판자원정합、통주층차축보제승、주자궤제추우과학화、보장항목지간유효함접등일계렬정책성배투개혁조시。
Shanxi has initially set up the medical security system covering the whole provincial rural and urban residents. The ＂dual＂ disequilibrium of current medical and health service and the ＂three dimensional＂ discrete state of medical security system are still the impediment for its further coordination. In order to realize the urban and rural integration, we shouhl take the gradual ＂two steps＂, integrate the management and service resources, upgrade the coordination level, set up scientific and dynamic fund raising mechanism and strengthen the coordination of various medical security system.
