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王伟光
    男,汉族,1950年2月出生,山东海阳人。1967年11月参加工作,1972年11月加入中国共产党,博士研究生学... 详情>>
李 扬
    1951年9月出生,籍贯安徽,1981年、1984年、1989年分别于安徽大学、复旦大学、中国人民大学获经济学学... 详情>>
李培林
    男,山东济南人。博士,研究员,中国社会科学院副院长,中国社会学会副会长,中国社会科学院社会学研究所副所长。《社会... 详情>>

    新医改以来我国医疗保险制度改革的回顾与展望

    摘要

    新医改启动以来,我国积极推进医疗保险制度改革,并且取得了积极成效,对减轻城乡居民医疗负担、保障人民群众的身体健康发挥了重要作用,主要体现在:医疗保险总体实现覆盖全民、补偿水平明显提高、基金收支规模和补偿人数逐步增加、城乡居民的医疗负担有所减轻。但是,目前我国的医疗保险制度仍然存在不少问题:医疗保险的碎片化严重、部分医疗保险制度改革滞后、制度设计还存在诸多不足、管理与服务体系不完善、监管不力、相关配套改革不完善。未来医疗保险制度改革需要有效处理好公平与效率的关系、政府与市场的关系,具体从以下几个方面推进:改革中央公务员和大学生的医疗保险制度、加快推进城乡居民医疗保险制度的整合、不断优化医疗保险制度设计、推进医疗保险管理体制改革、提升医疗保险制度的统筹层次、加强医疗保险经办能力建设、建立和完善多层次的医疗保险体系、加强对医疗保险制度的监管、深化医疗保险相关配套改革。

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    Abstract

    Since the launch of the new health care reform,the reform of medical insurance system has been actively promoted in our country,and has achieved positive results,playing an important role in alleviating the medical burden of the urban and rural residents and safeguarding people’s health,mainly reflects in:achieve universal health insurance in general,compensation levels increase significantly,fund scale and compensation payment number increase gradually,the medical burden of the urban and rural residents decrease. However,at present,our country’s medical insurance system still exist many problems:serious fragmentation,part of the medical insurance system reform lag,many deficiencies in design,imperfect management and service system,poor regulation,and imperfect relevant coordinated reform. The future medical insurance system reform needs to effectively deal with the relationship between fairness and efficiency,and the relationship between government and market. The reform should be promoted from the following several specific aspects:reform the medical insurance system of the civil servants and college students,accelerate the integration of urban and rural residents medical insurance system,constantly optimize the design of the medical insurance system,promote the reform of medical insurance management system,promote the medical insurance system as a whole,strengthen the construction of medical insurance handling ability,establish and perfect the multi-level medical insurance system,strengthen the supervision of medical insurance system,and deepen the medical insurance related reform.

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    作者简介
    龙玉其:龙玉其,博士,首都师范大学管理学院讲师。
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