文章摘要
赵 宝,冷明祥.常熟市居民城乡一体化基本医保运行情况分析与评价[J].南京医科大学学报(社会科学版),2012,(5):334~338
常熟市居民城乡一体化基本医保运行情况分析与评价
Assessment of operating conditions of urban-rural integration of residents’ basic health insurance in Changshu city
投稿时间:2012-09-05  
DOI:10.7655/NYDXBSS20120503
中文关键词: 新型农村合作医疗  筹资  补偿  常熟市
英文关键词: new rural cooperative medical insurance  financing  compensation  Changshu city
基金项目:
作者单位
赵 宝 南京医科大学公共卫生学院,江苏 南京 210029 
冷明祥 南京医科大学医政学院,江苏 南京 210029 
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中文摘要:
      通过对2009~2010年,常熟市居民城乡一体化基本医疗保险运行情况进行分析,发现常熟市城乡居民参保率处于较高水平,筹资总额和参保居民受益水平逐年提高,参保居民疾病负担明显下降;但基金使用面临一定压力,实际补偿比例有待进一步提高?建议合理应对参保居民人口老龄化问题;继续完善筹资增长机制,提高实际补偿比例;加强乡(镇)村(社区)卫生服务体系建设;提高服务监管能力,控制医疗费用不合理增长?
英文摘要:
      Through the analysis of operating conditions of urban-rural integration of residents’ basic health insurance in Changshu from 2009 to 2010,the following results were found:insurance rate of urban and rural residents in Changshu were at a high level,total financing and benefit level of the insured residents increased year by year,disease burden of the insured residents significantly declined. However,the use of the fund was under pressure and the actual compensation ratio should be further improved. The article suggested that the aging population of the insured residents should be reasonably dealt with,the growth mechanism of financing should be continuingly improved,and the actual compensation ration should be increased. Development of the rural health service system should be strengthened. Supervisory capacity of services should be enhanced and unreasonable growth of medical expenses should be controlled.
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