文章摘要
汪彦辉,王萱萱,贾欣欣,陈家应.我国实现全民健康覆盖目标的策略建议[J].南京医科大学学报(社会科学版),2015,(3):176~181
我国实现全民健康覆盖目标的策略建议
Strategies to achieve universal health coverage in China
投稿时间:2015-03-11  
DOI:10.7655/NYDXBSS20150303
中文关键词: 全民健康覆盖  卫生服务  基层医疗卫生机构  医疗保险制度
英文关键词: universal health coverage  health service  primary health care agencies  medical insurance system
基金项目:国家自然科学基金“基于患者体验的公立医院改革绩效评价研究”(71473129)
作者单位
汪彦辉 南京医科大学卫生政策研究中心,江苏南京210029 
王萱萱 南京医科大学卫生政策研究中心,江苏南京210029 
贾欣欣 南京医科大学卫生政策研究中心,江苏南京210029 
陈家应 南京医科大学卫生政策研究中心,江苏南京210029 
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中文摘要:
      文章介绍了全民健康覆盖的由来和目标,从服务覆盖?人口覆盖和费用覆盖三个方面对其内涵进行了阐述?从国外探索实现全民健康覆盖的实践,谈到我国推进全民健康覆盖的进展和存在的几个突出问题,包括卫生资源总量不足?配置不均衡;不同医保制度间医疗费用和服务利用不公平;基层医疗卫生机构服务能力有限,患者就医流向趋高?针对我国存在的问题,借鉴国际经验,建议加大卫生投入,重点加大对农村?中西部地区的财政转移支付力度;加强基层医疗卫生机构服务能力建设;建立基层首诊?分级诊疗?双向转诊的就医制度;提高基本医疗保险保障水平,整合医保体系?
英文摘要:
      This paper introduces the origin and objective of universal health coverage (UHC), explains the connotation and significance of UHC from three aspects, including service?-, population?- and cost?-coverage. Then, we introduce the practice of pursuing UHC by a variety of foreign countries, presents the progress of promoting UHC in China and the main problems in the process, including the lack and unbalanced allocation of health resources; unfairness of medical costs and utilization of health service between different medical insurance systems; the limited service capacity of primary health care institutions which causing the visiting level promoted. Aiming at these problems, several strategies are put forward to achieve UHC based on the current policy in China and with the experiences and lessons learned from foreign countries. For example, increasing investment in health, especially increasing financial transfer payment in rural areas and the Midwest region; strengthening the capacity building of primary health care institutions; establishing hierarchical diagnosis system; improving the level of security of basic medical insurance and integrating health care system.
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