城镇医疗保险与社区卫生服务的政策对接研究

The Study of Docking Policy of Urban Medical Insurance and Community Health Service

城镇医疗保险与社区卫生服务的政策对接是新医改的突破口。文章论证了城镇医疗保险与社区卫生服务的政策对接的重要意义,分析了城镇医疗保险与社区卫生服务的现状及存在的问题,提出了政策建议:确立医疗保险与社区卫生服务对接的法律地位,发挥法制的强制作用;加大政府的资金投入;统一管理机构;加强监督审核;发挥社区卫生服务与基本医疗保险的互补优势;进一步扩大基本医疗保险范围。

Medical insurance policy of community health service is a new breakthrough in medical dock. The paper demonstrates the important significance of the docking policy of the medical insurance and community health service, analyzes their status and existing problems, and puts forward policy suggestions.The suggestions are as follows： Stablising medical insurance and community health service docking legal status, bringing legal enforcement into play, increasing government investment, unifying management institution, strengthening supervision and audit, bringing the complementary advantages of insurance of primary medical treatment into play, and further expanding the scope of insurance of primary medical treatment.