医疗保障城乡整合典型模式比较研究——以东莞、珠海、湛江为例

A Comparative Study of Urban and Rural Integration Medicare Typical Pattern ——Take Dongguan, Zhuhai, and Zhanjiang City as an Example

对东莞、珠海和湛江城乡医疗保障整合模式和经济基础的对比分析可以看出,东莞实行的全民医保政策在筹资标准、财政补助、管理机构、医疗待遇等方面都实现了统一;珠海整合了城镇居民医保与农村医保两大医保体系;而湛江则将医保缴费标准分为两个档次,不同的缴费标准享受不同的待遇水平。据此指出不同城市应根据自身特点和经济水平,选择不同的统筹模式,最终实现城乡医疗保障一体化。

The comparative analysis on urban and rural medical insurance integrated model and economic base of Dongguan, Zhuhai and Zhanjiang City. And the results show that, firstly, universal medical insurance policy, which implemented in Dongguan, have achieved unity on funding criteria, financial assistance, management agencies, medical treatment, etc; secondly, Zhuhai integrate medical insurance for urban residents and rural medical insurance system; thirdly, Zhanjiang Medicare divide medical pay cost standard into two grades, and different pay cost standards enjoy different levels of treatment. Then point out different cities can choose a different co-ordination model according to its own characteristics and economic level,and realize the integration of urban and rural medical insurance.