摘要
针对县(市)一级农村医保政策制定者的迫切需要,在关键技术的研制和模拟使用基础上,提供一整套旨在解决农村因病致贫问题的农村医疗保险或合作医疗方案的操作步骤,共包括下列6个逻辑上相连的操作步骤:基线调查,划分特殊人群与描述人群就医概况,就医经济风险测量,界定就医风险临界线,测算保险费率及方案选择和评估。
Aiming at the stringent request of country level policy makers,This paper presents a series of operative steps to develop the medical insurance or CMS in rural China based on the procession of data analysis of the sample population. These schemes include 6 interlocking process:baseline investigating, key techniques and operative steps for scheming rural Catastrophic Medical Insurance(CMI) .measurement of economic risk for medical service (ERMS) ,defnition of catastrophic threshold and contribution ratemaking,selection and assessment for scheme, to develop the medical insurance or CMS in the light of the procession of data analysis of the sample population.
出处
《中国初级卫生保健》
1999年第12期9-11,共3页
Chinese Primary Health Care
基金
国家自然科学基金
关键词
农村地区
医疗保险方案
操作步骤
大病统筹
rural area,scheme of medical insurance,key techniques,operative steps
