我国重大疾病医疗救助对象界定研究

Object Definition of Catastrophe Assistance in China

目的:为我国特重大疾病医疗救助对象界定提供科学合理的政策建议。方法:文献研究、函调和专题讨论相结合。结果:(1)我国特重大疾病医疗救助对象的界定偏重以经济贫困为依据,医疗贫困考虑不够;(2)缺乏清晰合理的分类救助;(3)缺乏科学的特重大疾病病种优先选择思路。结论:(1)综合运用贫困线外推法和医疗需求定位法界定救助对象;(2)实施分类救助,建立专项特重大疾病医疗救助制度;(3)建立更科学的特重大疾病医疗救助病种选择框架。

Objectives： To propose some suggestions about object definition for our government. Methods： Combining Literature research, sekcted research and project discussion. Results： （1） Literature review, social security object definition and serious disease economic burden were analyzed： （2） Letter survey is adopted to find current situation about object definition of serious disease assistance： （3） Project discussion method. Professional suggestions were advanced during the seminar about medical aid object definition. Conclusion： （1） Poverty line extension and medical need targeting are two basic methods to define groups. （2） Classifying assistance should be developed; （3） Scientific disease selection frame should be established.