深入认识基本医保在医改中的作用

Rethinking About the Role of Basic Health Care Insurance for Healthcare Reform

疾病的发展和就医是连续的过程,因此,需要对患者就医的路线图进行全程设计,医保应该促进有管理的医疗、连续的医疗格局形成,预防无序就医;在基本医保覆盖人群方面,应逐步实行按照收入水平分类,不能把所有的风险全部集聚在基本医保之内,让一种保障满足所有人的需求,应探索鼓励高收入群体购买商保的有效措施,促进多层次保障体系建设。

A clinical pathway is essential for patients. For which, the health care insurance has to play its role in promoting managing care and preventing disordered healthcare services. Regarding universal coverage for health care insurance, it would be unsustainable for the basic health care insurance to meet the needs of different population groups. Relevant policies to encourage high end population to join commercial insurance and establish a multi-layer medical security system are required in the long-run.